患者和医疗保健从业人员对减肥手术患者报告结果的评估 - 修改后的Delphi研究
Alyssa J Budin1, Priya Sumithran2,3, Andrew D MacCormick4,5
1Department of Surgery, School of Translational Medicine, Monash University, The Alfred Centre, Melbourne, VIC, Australia. alyssa.budin@monash.edu.
International journal of obesity (2005)
|July 26, 2024
概括
减肥手术患者报告的结果至关重要,但未得到充分利用. 这项研究发现了关于关键结果的共识,如并发症和生活质量,但也强调了患者和医疗保健提供者之间的不同优先事项.
科学领域:
- 腹部外科手术的结果
- 患者报告的措施
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者报告结果 (PROs) 是临床和研究环境中的重要指标.
- 对于减肥手术患者群体来说,PROs需要改进.
- 了解利益相关者对PRO的看法对于有效实施至关重要.
研究的目的:
- 调查和比较患者报告的减肥手术结果.
- 从术前患者,术后患者和医疗保健从业人员的角度确定最重要的结果.
- 在结果优先排序中突出一致和分歧的领域.
主要方法:
- 使用了经过修改的Delphi调查,涉及两轮问卷.
- 参与者包括手术前患者,手术后患者和医疗保健从业人员.
- 结果在0-10级别上进行了评分,如果至少70%的参与者优先考虑8-10级别,则被认为非常重要.
主要成果:
- 58个结果被优先考虑,其中21个 (23.3%) 被所有小组一致同意.
- 一致优先考虑的结果包括并发病,一般身体健康,生活质量和心理健康.
- 在诸如重量增加的恐惧,自杀念头,成行为和耻辱感等结果中发现了显著的不一致性,从业者优先考虑了20个患者不优先考虑的结果.
结论:
- 在许多减肥手术的结果上存在相当大的共识,但仍然存在重大差异.
- 医疗保健从业者优先考虑患者认为不重要的结果,这表明需要综合观点.
- 未来的研究应该确保PRO措施涵盖所有重要的结果,使所有最终用户受益.
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