一项文献综述,探讨患者报告结果 (PRO) 措施的有意义变化值估计是否因基线严重程度而有所不同
Joel Sims1, Andrew Trigg2, Jessica Flynn3
1Adelphi Values, Macclesfield, UK. joel.sims@adelphivalues.com.
概括
患者报告结果 (PRO) 的有意义变化值通常取决于基线疾病严重程度. 大多数研究发现,对于初始病情较差的患者,需要更高的临界值.
科学领域:
- 健康 结果 研究 研究 结果
- 临床试验方法论 临床试验方法论
- 患者报告的结果
背景情况:
- 对患者报告结果 (PRO) 措施的有意义变化值对于解释临床意义至关重要.
- 这些值可能会根据患者的基线疾病严重程度而有所不同.
研究的目的:
- 审查评估基线疾病严重程度与PRO有意义变化值之间的关系的方法.
- 在出版文献中描述这种关系的性质.
主要方法:
- 2018-2022年间发表的摘要的结构化文献综述.
- 提取用于估计PRO有意义变化值的方法,以及它们与基线严重程度的关系.
主要成果:
- 包括22篇文章,所有文章都报告了根据基线严重程度估计的有意义变化值.
- 主要使用基于的方法 (n=21).
- 大多数研究 (n=21) 报告了更大的有意义变化值,用于更糟糕的基线严重程度.
结论:
- 在PRO值中评估基线严重性依赖的方法各不相同.
- 一种共识表明,更大的门是为更糟糕的基线严重性提供理由的.
- 需要进一步的研究来区分真正的依赖与统计文物,以便准确的PRO解释.
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