评估患者报告的心力衰竭结果:系统性审查
João Lázaro Mendes1, Cristina Mendes Dos Santos2, Bernardo Sousa-Pinto3,4
1Internal Medicine Department, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu, Portugal. jplazarom@gmail.com.
Heart failure reviews
|April 17, 2024
概括
患者报告的结果测量 (PROM) 对于评估心力衰竭 (HF) 影响至关重要. 明尼苏达州生活与心力衰竭 (MLHF) 和堪萨斯城心肌病问卷 (KCCQ) 证明了强有力的证据,并被推用于临床使用.
科学领域:
- 心脏病学 心脏病学
- 健康 结果 研究 研究 结果
- 心理测量 心理测量 心理测量
背景情况:
- 心力衰竭 (HF) 是一个日益严重的全球健康问题,严重影响患者的生活质量.
- 准确测量患者报告的结果 (PROM) 对于有效的HF管理和研究至关重要.
- 需要对HF现有的PROM进行全面审查,以指导临床实践和未来的发展.
研究的目的:
- 系统地识别和评估心力衰竭 (HF) 患者中使用的患者报告的结果指标 (PROM).
- 评估HF群体内的各种PROM的频率,特征和测量特性.
- 为在高频研究和临床环境中选择合适的PROM提供基于证据的建议.
主要方法:
- 在Ovid/Medline和Web of Science上进行了系统的文献搜索,寻找成人HF患者的PROM研究.
- 包括64篇论文,涉及30,185名参与者,在审查了4283份已识别的记录后.
- 基于测量属性的预先确定的质量标准和COSMIN偏差风险检查清单对PROM的评估.
主要成果:
- 确定了30种不同的PROM,其中14种HF特定仪器是最常见的.
- 明尼苏达州生活与心力衰竭 (MLHF) 和堪萨斯城心肌病问卷 (KCCQ) 显示出良好的心理测量特性,并经常使用.
- 通用仪器在高频群体中表现出有限的响应能力和缺乏证据,而MacNew则表现负面.
结论:
- MLHF和KCCQ是心力衰竭最常用的和得到良好支持的PROM,为其全面性和准确性提供了强有力的证据.
- 这些仪器非常适合用于心力衰竭患者的临床实践和研究环境.
- 未来的研究应该研究计算机适应的仪器,以提高精度,减少患者的负担,并改善临床医生与患者的沟通.
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