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相关概念视频

Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

Diagnostic and Statistical Manual of Mental Disorders (DSM)

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
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相关实验视频

Updated: Jun 18, 2025

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系统性审查显示,EQ-5D中最小重要的差异因治疗类型而异,并且可能随着基线得分的增加而减少.

Ling Jie Cheng1, Le Ann Chen1, Jing Ying Cheng2

  • 1Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.

Journal of clinical epidemiology
|July 31, 2024
PubMed
概括
此摘要是机器生成的。

对于EQ-5D分数的最小重要差异 (MID) 取决于基线分数和治疗,而不是单一值. 研究人员建议使用调整的MID来更好地评估健康状况.

关键词:
安克尔的基础上的.进行元回归.最少重要的差异.患者报告的结果.生活质量生活的质量.系统性审查 系统性审查

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科学领域:

  • 卫生经济学 卫生经济学
  • 患者报告的结果
  • 心理测量 心理测量 心理测量

背景情况:

  • EQ-5D是测量通用健康状况的广泛使用的仪器.
  • 至少重要的差异 (MID) 估计对于解释EQ-5D得分变化至关重要.
  • 之前的MID估计缺乏全面的,最新的总结和影响因素的分析.

研究的目的:

  • 为EQ-5D指数和EQ视觉模拟尺度 (EQ VAS) 评分综合公布的基于的最小重要差异 (MID) 估计.
  • 确定影响这些MID估计的因素.

主要方法:

  • 在八个数据库中进行系统的文献搜索 (1990年1月至2023年3月).
  • 分析MID估计与基线得分,得分变化,数据源,值集,疾病,治疗类型和类型等变量之间的关联.
  • 使用线性和非线性回归模型开发MID的预测公式.

主要成果:

  • 包括47篇文章,提供了改善分数的MID范围:EQ-5D-3L (-0.13到0.68),EQ-5D-5L (0.010.41) 和EQ VAS (0.4223.0).
  • 较高的MID与手术干预相关,EQ指数的基线分数较低,但不是EQ VAS.
  • 非线性模型更好地预测了MID; 对得分恶化的数据不足以进行综合.

结论:

  • 对于EQ-5D得分的MID估计不是统一的,取决于基线得分和治疗类型.
  • 对于EQ-5D,一个单一的,通用的MID值可能是不合适的.
  • 建议包括使用基线调整和治疗特定的MID,以及对健康恶化MID的进一步研究.