测试"坑"时间交易:通过从健康状况评估中删除死亡来改善数据质量吗?
Meixia Liao1, Zhihao Yang2, Kim Rand3
1Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
概括
与标准复合时间权衡 (cTTO) 相比,一种名为pits时间权衡 (pTTO) 的新方法提供了更好的方法来评估健康状况. pTTO方法提供了更一致和更具区别的健康状况评估,特别是在严重的疾病中.
科学领域:
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 由于设计缺陷,复合时间权衡 (cTTO) 可能会受到-1的价值聚类的影响.
- 为了解决cTTO的局限性,开发了一种新的坑区时间权衡 (pTTO) 程序.
研究的目的:
- 评估pTTO方法的性能,以评估EQ-5D-5L健康状况.
- 在可行性,可接受性,价值分配,逻辑一致性和区分能力方面,比较pTTO与cTTO.
主要方法:
- 120名公众成员使用cTTO和pTTO对EQ-5D-5L状态进行了评估.
- 比较的重点是可行性,可接受性,价值分布,逻辑一致性和区分能力 (标准化响应平均值).
主要成果:
- pTTO显示了类似的可行性,但接受度略低于cTTO.
- 对于严重状态,pTTO值的分布更为平稳,逻辑一致性更高.
- 与cTTO相比,pTTO在严重的健康状况方面表现出更好的区分能力.
结论:
- pTTO是评估EQ-5D-5L状态的可行和可接受的方法.
- 与cTTO相比,pTTO的结果较少聚类,更一致,更具歧视性,特别是对于严重的健康状况.
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