对自我报告的青春期发展尺度对儿童的适用性进行系统审查和元分析
Dongxue Pan1, Cuilan Lin2, Simao Fu1
1Zhongshan People's Hospital, Zhongshan, Guangdong, China.
Journal of pediatric endocrinology & metabolism : JPEM
|April 21, 2025
概括
自我报告的青春期发育量表 (PDS) 显示与医疗保健提供者评估的坦纳分期有中等到实质性的一致性. 在大型研究中,PDS是评估青春期开始的可靠,具有成本效益的工具.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 公共卫生研究 公共卫生研究
- 青少年发展 青少年发展
背景情况:
- 评估青春期阶段是具有挑战性的,因为坦纳分期敏感性.
- 青春期发育量表 (PDS) 提供了一个私有的,可适应的,且具有成本效益的替代方案.
- 本研究评估了 PDS 和 Tanner 阶段化之间的协议.
研究的目的:
- 确定自我报告的青春期发育量表 (PDS) 与医疗保健提供者评估的坦纳分期之间的一致性.
- 评估PDS在大规模流行病学研究中的可靠性.
- 为了评估PDS对于青春期发作的检测.
主要方法:
- 一个对五项涉及6024名参与者的研究进行的元综述.
- 从主要数据库 (PubMed,Embase等) 获取的数据. 在2025年1月之前.
- 用于聚合估计的随机效应模型; 诊断准确性研究的质量评估-2 质量评估工具.
主要成果:
- 在女孩 (Wk:0.63) 和整体 (Wk:0.68) 的PDS和坦纳分期之间发现了实质性的一致性,在男孩 (Wk:0.58) 中是中度的.
- 扩大标准 (I-III阶段) 在所有组中都显示出实质性的共识 (Wk:0.64-0.69).
- 对于青春期开始,PDS表现出高灵敏度 (0.85-0.91) 和积极的预测值 (84.2%-97.8%),与坦纳分期相比.
结论:
- 自我报告的PDS和坦纳分期之间存在中等到实质性的协议.
- 在检测青春期开始时,PDS表现出高灵敏度和PPV.
- PDS是一种可靠且具有成本效益的方法,用于大规模的青春期评估.
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