在阻塞性睡眠呼吸暂停的外科评估中使用的患者报告结果措施:系统性审查
Amrita Bhat1, Amritpal Singh1, Megan L Durr1
1Department of Otolaryngology Head and Neck Surgery, University of California San Francisco, San Francisco, California, U.S.A.
The Laryngoscope
|July 10, 2024
概括
对于阻塞性睡眠呼吸暂停 (OSA) 手术患者报告的结果指标 (PROM) 的生活质量具有可变的心理特征. 新的PROM应纳入患者和提供者投入,以提高内容有效性.
科学领域:
- 睡眠医学 睡眠医学
- 外科手术的结果
- 衡量生活质量 衡量生活质量
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 显著影响生活质量.
- 睡眠手术旨在改善OSA症状和相关的生活质量.
- 经验证的患者报告结果测量 (PROM) 对于评估手术成功至关重要.
研究的目的:
- 识别和分析用于测量成年OSA患者睡眠手术生活质量的PROMs的心理特征.
- 根据既定的标准,评估这些PROM的原始设计和开发.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在多个数据库中进行了搜索 (PubMed,科学网,Embase,PsychINFO,CINAHL).
- 使用基于共识的健康状况测量仪器选择标准 (COSMIN) 标准评估方法质量.
主要成果:
- 在睡眠手术中确定了7个与OSA相关的生活质量的PROM.
- 没有一个PROM实现了"充足"的内容有效性;只有一个涉及患者和医生的输入.
- 六个PROM显示了"非常好的"内部一致性和测试重试可靠性.
结论:
- 目前用于OSA手术生活质量的PROM具有可变的测量特性.
- 内容有效性存在重大差距,突出了需要患者和提供者的意见.
- 开发新的或更新的PROM应优先考虑全面的患者和提供者视角.
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