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改善PROMIS全球健康数据的公平收集和分析在脊椎手术后的时间:调查非响应和缺失数据的特征

David Shin¹, Seth Meade¹, Gabrielle Scariano²

¹Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, USA.

The spine journal : official journal of the North American Spine Society

|April 24, 2025

概括

在脊椎手术中,患者报告的结果测量 (PROM) 显示出非响应偏差. 完整的PROM数据在白人,已婚,退休的医疗保险患者中更为常见,影响了公平的医疗保健分析.

科学领域:

脊柱手术研究结果研究结果
医疗服务研究医疗服务研究
患者报告的结果措施 (PROMs)

背景情况:

患者报告的结果测量 (PROMs) 对于评估脊柱手术结果至关重要,但显示了变化.
不完整的PROM收集引入了非响应偏差,限制了基于时间的结果分析的概括性.

研究的目的:

在脊椎手术中比较PROM受访者和非受访者.
为了描述调查非响应模式.
改善时间序列PROM分析中的公平患者代表性.

主要方法:

对4938名接受脊椎手术 (LSS,LSP,CSM) 的患者进行了回顾性研究.
完整PROM和不完整PROM患者之间的人口和临床特征的比较.
分析影响PROM完整性的因素,使用后勤回归和地理变异可视化.

主要成果:

完成PROM的患者更有可能是白人,已婚,退休,并且不太可能是目前的吸烟者.
完成PROM的腰椎脊柱狭窄症 (LSS) 和椎脊髓炎 (CSM) 患者更有可能拥有医疗保险.
在PROM完整和PROM不完整的患者群体之间观察到显著的人口差异.

结论:

完成PROM的脊柱手术患者在人口统计学上与非响应者不同.
了解调查非响应对于在医疗保健中公平应用PROM至关重要.
在脊椎外科手术中,公平的患者代表对于医生评估,报销和预测分析至关重要.

关键词:

股权资本股权资本没有响应偏差的偏差.患者报告的结果脊柱外科手术脊柱外科手术时间序列分析时间序列分析.基于价值的护理是基于价值的护理.

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