在随机对照试验中评估远程医疗的指标:范围审查
Yuka Sugawara1, Yosuke Hirakawa1, Masao Iwagami2
1Division of Nephrology and Endocrinology, The University of Tokyo, Tokyo, Japan.
Journal of medical Internet research
|January 31, 2025
概括
本综述强调了在临床试验中评估远程医疗的关键指标,重点关注患者为中心,结果和成本效益. 标准化这些指标对于未来的研究和了解远程医疗的真正影响至关重要.
科学领域:
- 医疗保健技术 技术 医疗保健 技术
- 临床研究方法论 临床研究方法论
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程医疗利用电信技术提供医疗服务,改善患者的生活质量和疾病管理.
- 尽管IT进步,但对远程医疗的实用性和随机对照试验 (RCT) 的局限性缺乏明确的理解.
- 在RCT中,用于比较远程医疗和面对面护理的标准化,跨学科指标尚未定义.
研究的目的:
- 审查RCT中使用的一般和跨学科指标,比较远程医疗与人身护理.
- 确定以前未经评估的远程医疗研究指标.
- 为未来的临床试验推优先级指标.
主要方法:
- 对MEDLINE和Embase数据库进行系统审查.
- 包括原始的英语RCT,比较远程医疗和面对面的护理,从2019年1月到2024年3月.
- 根据PRISMA-ScR指南,从包含的研究中总结基本信息和一般指标.
主要成果:
- 分析了79个RCT,揭示了三个类别的共同指标:以患者为中心 (85%),患者结果 (72%) 和成本效益 (51%).
- 只有32%的研究评估了所有三个核心类别.
- 较少评估的指标包括员工便利性 (10%),系统可用性 (4%) 和环境影响 (3%).
结论:
- 在不同研究中,远程医疗评估指标存在显著差异.
- 为了更广泛的理解,建议将一般指标与疾病特异性指标一起使用.
- 未来的试验应全面评估以患者为中心,患者的结果和成本效益,并纳入诸如员工便利性,系统可用性和环境影响等指标.
- 评估指标的标准化对于未来的远程医疗研究至关重要.
相关概念视频
01:16Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
01:12Hazard Ratio
96
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
96
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
124
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
124
01:52Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
01:11Blinding
2.4K
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
2.4K
01:26Types of Reports III: Telephone and Verbal Reports
727
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
727