曼彻斯特化品临床医生报告结果问卷 (MCCRO-Q) 的验证
Samuel Kitching1, Rachel Harwood2, Gary Leslie Ross3
1School of Medical Sciences, University of Manchester, Oxford Rd, Manchester M14 4PX, UK.
概括
曼彻斯特化品临床报告结果问卷 (MCCRO-Q) 是评估腹部整形结果的可靠工具. 它显示了临床医生之间一致的结果,有助于客观的临床结果评估.
科学领域:
- 整形外科 整形外科 整形外科
- 医疗信息学 医疗信息学
背景情况:
- 患者报告的结果测量 (PROM) 是整形外科的标准,但缺乏验证的临床医生报告的结果测量 (CROM) 阻碍了客观的临床评估和比较.
- 将临床医生的结果进行比较,并将其与患者的期望保持一致,对于知情同意和手术前建议至关重要.
- 由于缺乏标准化的CROM,医疗从业者之间评估和比较临床结果的能力受到限制.
研究的目的:
- 开发和验证曼彻斯特化品临床报告结果问卷 (MCCRO-Q) 作为整形外科的CROM.
- 评估MCCRO-Q在术前和术后临床评估中的评价者之间的可靠性.
主要方法:
- 15名评估人员使用MCCRO-Q.评估了95名腹部整形患者的术前和术后照片.
- 评估人员在手术前和手术后的评估中使用了四分级.
- 评价者之间的可靠性是使用类内系数 (ICC) 计算的.
主要成果:
- MCCRO-Q表现出良好的评价者之间的可靠性,所有ICC平均值在手术前和后的评估中都超过0.5.
- 手术前的评估显示了高度一致:26%的完美,56%的差异为1分,18%的差异为2分.
- 手术后的评估显示:1%完全一致,36%差异为1分,63%比中位数差异为2分.
结论:
- MCCRO-Q是一种可靠的工具,用于临床判断腹部整形术中的患者外观.
- 问卷显示一致的结果,当使用三个或更多的评估者进行术前和术后评估时.
- MCCRO-Q促进客观的临床结果测量,补充了患者报告的结果.
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