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关于临床试验的全面调查 数字疗法风景
Han Yao1, Zirui Liao2, Xinyi Zhang1
1School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China.
Heliyon
|September 3, 2024
概括
数字疗法 (DTx) 在医疗保健中显示出巨大的潜力,临床试验数量越来越多. 然而,不一致的试验设计和标准化需求挑战了这种数字健康技术的进步.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 软件作为一个医疗设备.
- 基于证据的医疗保健
背景情况:
- 数字疗法 (DTx) 是一种使用健康软件的创新医疗干预.
- 尽管拥有巨大的潜力,但DTx仍处于新生阶段,面临着重大挑战.
- 推进DTx需要全面了解当前的临床研究.
研究的目的:
- 在clinicaltrials.gov.gov上注册的所有DTx临床试验的概述.
- 确定DTx研究中的趋势和挑战.
- 促进数字治疗的发展和采用.
主要方法:
- 在2023年8月8日之前对DTx试验进行临床试验.gov的系统审查.
- 包括使用DTx独立或与传统治疗相结合的试验.
- 排除不完整或非基于证据的试验;提取产品推出和结果数据.
主要成果:
- 确定了280项符合条件的试验,重点是疾病治疗 (50.4%),管理 (42.9%) 和改善健康功能 (6.8%).
- 主要关注的领域包括精神,神经和代谢障碍.
- 报告指出,每年试验数量有所增加,但试验的设计和实施仍然不一致;其中67.5%是可推广的试验,12.9%涉及已上市的产品.
结论:
- 越来越多的临床研究强调了DTx在医疗保健中的潜力.
- 标准化,监管和有效性的持续挑战需要注意.
- 协调全球分类和标准化试验协议对于DTx疗效和医疗保健改善至关重要.
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