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德尔托研究:关于代谢性腹手术后长期教科书结果的德尔菲共识
Ellen A M Kuipers1,2, Lindsy van der Laan3,4, Mirjam A Kaijser5
1Ziekenhuis Groep Twente, Almelo, Netherlands.
Obesity surgery
|January 18, 2025
概括
为长期 (≥5年) 的代谢性减肥手术 (MBS) 结果开发了一个新的核心结果集 (COS). 这种标准化的方法确保了全面的患者评估和改进的MBS护理评估.
科学领域:
- 腹部外科手术的结果
- 核心成果集 核心成果集
- 医疗保健服务研究 医疗服务研究
背景情况:
- 代谢性减肥手术 (MBS) 需要标准化的长期结果评估.
- 现有的结果指标可能无法捕捉到MBS后恢复的全部范围.
- 需要一个全面的核心成果集 (COS) 来评估MBS后≥5年的成果.
研究的目的:
- 开发基于共识的核心结果集 (COS) 来评估代谢性减肥手术 (MBS) 后的长期结果.
- 建立一个标准化的框架来衡量和比较MBS护理的有效性.
主要方法:
- 采用了三阶段的Delphi方法.
- 文献审查和专家的意见确定了最初的结果项目.
- 与荷兰MBS医疗保健专业人员 (n=31) 进行的Delphi在线调查在三轮中达到了75%的共识.
- 在全国会议上验证了最终的COS.
主要成果:
- 一个由31名专家组成的专家小组参加了德尔菲进程.
- 在三个Delphi轮 (77-90%) 保持高的参与者.
- 验证的COS包括短期结果,减肥,并发症缓解,生活质量,微量营养素状况,生活方式,精神病理学,长期并发症和手术前指示等领域.
结论:
- 开发的COS为评估长期MBS结果提供了一个多维框架.
- 这一COS将加强对MBS护理的测量和比较.
- 实施COS促进了对患者康复和手术成功的更全面的评估.
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