产后压力尿失禁的预测模型:系统性审查
Liyun Wang1, Minghui Zhang1, Kaihui Sha1
1School of Nursing, Binzhou Medical University, Shandong, China.
Heliyon
|October 9, 2024
概括
预测产后压力尿失禁的现有模型存在偏差和方法缺陷的高风险. 需要进一步开发,以创建可靠和临床适用的预测工具,用于这种常见的条件.
科学领域:
- 产科和妇科 产科和妇科
- 妇女健康研究 妇女健康研究
- 临床预测建模模型
背景情况:
- 产后压力尿失禁 (SUI) 显著影响妇女的生活质量和健康.
- 产后SUI的可靠预测模型对于预防至关重要.
- 目前模型的质量和临床适用性在很大程度上是未知的.
研究的目的:
- 系统地审查和评估现有的模型来预测产后SUI风险.
- 评估当前预测模型的质量和适用性.
主要方法:
- 在多个数据库 (PubMed,Embase,Web of Science等) 中进行系统搜索. 在2023年10月之前.
- 使用CHARMS检查表进行数据提取,使用PROBAST进行偏差和适用性评估.
- 包括8篇论文与10个产后SUI预测模型.
主要成果:
- 确定了常见的预测因素:怀孕UI,分娩方式,产妇年龄,平价和怀孕前UI.
- 九个模型显示在0.680-0.850.50之间存在歧视 (AUC/C指数).
- 所有研究都显示出因方法问题而存在偏差的高风险.
结论:
- 产后SUI预测模型处于早期发展阶段.
- 现有的模型存在高偏差和方法质量差,限制了临床使用.
- 未来的模型需要遵守开发规范,以提高性能和适用性.
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