在血管质量倡议中,对外围血管干预的设备选择进行噪音审计
William K Robinson1, Peter W Callas2, Jens Eldrup-Jorgensen3
1Department of Surgery, Tufts Medical Center, Boston, MA.
Journal of vascular surgery
|January 21, 2025
概括
对于类似患者的外周血管干预 (PVI) 设备选择存在显著差异. 血管质量倡议 (VQI) 注册表中的这种噪音凸显了对比疗效研究的必要性,以指导最佳设备选择.
科学领域:
- 血管外科 血管外科
- 医疗保健服务研究 医疗服务研究
- 医疗器械技术 医疗器械技术
背景情况:
- 血管质量倡议 (VQI) 外周血管干预 (PVI) 登记册收集有关血管疾病干预的数据.
- 了解设备选择的变化对于改善患者的治疗结果和医疗保健效率至关重要.
研究的目的:
- 为了对VQI PVI注册表进行噪声审计.
- 分析具有相似血管状况和解剖学的患者器械选择的差异.
主要方法:
- 一项回顾性队列研究分析了2010年12月至2021年12月的VQI PVI注册表.
- 创建了15个模拟患者场景 (8个临床,7个基于病变) 来查询设备选择.
- 使用最常见的设备作为参考标准来量化变量,包括特殊气球.
主要成果:
- 每种情况的患者人数从223到26,241不等.
- 在不同场景中,最常见的设备在32%至72%的时间内使用.
- 观察到设备选择和专用气球使用的显著差异 (P < .0001).
结论:
- 在VQI注册表中的PVI设备选择中存在相当大的噪音.
- 具有相似血管病理的相似患者接受不同的设备.
- 需要进行比较有效性研究,以解决设备选择中的系统噪声问题.
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