在喘中EQ-5D的有效性和响应性:系统性审查和元分析
Ai-Ping Chua1,2, Ling Jie Cheng3, Zhi Yi Soh3
1Department of Medicine, JurongHealth Campus, National University Health System, 1 Jurong East Street 21, Singapore, 609606, Singapore. ai_ping_chua@nuhs.edu.sg.
The patient
|September 7, 2024
概括
在成人喘患者中,EQ-5D显示出良好的有效性和响应性. 然而,特定于疾病的工具可能为这一群体提供更好的心理测量性能.
科学领域:
- 健康 结果 研究 研究 结果
- 呼吸系统医学 呼吸系统医学
- 心理测量 心理测量 心理测量
背景情况:
- 与健康相关的生活质量 (HRQoL) 在喘管理中至关重要.
- EQ-5D是广泛使用的通用HRQoL测量仪.
- 将EQ-5D性能与喘特定仪器进行比较对于最佳应用至关重要.
研究的目的:
- 综合关于EQ-5D在喘中的构造有效性和响应性的证据.
- 为了比较EQ-5D性能与喘特异性HRQoL尺度.
- 为了指导未来的研究和临床使用EQ-5D在喘.
主要方法:
- 在2024年6月1日之前对关键数据库进行系统文献搜索.
- 使用COSMIN方法的证据评估.
- 对效果大小估计 (相关系数,科恩的d,标准化响应平均值) 的元分析,以比较EQ-5D与AQLQ和AQL-5D.
主要成果:
- 从37件评估的物品中进行了493次测试,评估了结构的有效性和响应性.
- 高百分比的假设被满足的有效性 (78.4%) 和响应性 (76.9%).
- 方法质量一般为良好至充分.
- EQ-5D和AQLQ之间的聚合相关系数在0.52到0.53.5之间.
结论:
- EQ-5D证明了在成人喘中可接受的构造有效性和响应性.
- 像AQLQ这样的特定疾病的仪器可以为喘提供卓越的心理测量特性.
- 进一步的研究可以完善EQ-5D应用或探索喘护理中的替代措施.
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