使用患者报告的结果措施在复发性分泌炎的使用
Megan Shroder1, Thomas Ueland2, Liping Du3
1Division of General Surgery, Section of Colon & Rectal Surgery, Vanderbilt University Medical Center, Nashville, TN; VA Quality Scholars Fellowship, Geriatric Research Education and Clinical Center (GRECC), Tennessee Valley Healthcare System, Nashville, TN.
更高的椎炎生活质量仪器得分预测椎炎的选择性切除术. 患者报告的结果,比如Diverticulitis Quality of Life仪器,指导对复发性分泌炎的手术决策.
科学领域:
- 胃肠病学 胃肠病学
- 手术结果研究研究.
背景情况:
- 对于非复杂的分泌体炎的选择性切除术的国家指南现在强调以患者为中心的方法.
- 患者报告的结果测量 (PROM) 对于指导治疗决策越来越重要.
- 皮炎生活质量仪器 (DQLI) 是评估疾病负担的关键PROM.
研究的目的:
- 调查DQLI得分与因复发性膜炎而接受选择性切除术的决定之间的关联.
- 为了确定更高的DQLI得分是否与手术干预的可能性增加有关.
- 为了告知以患者为中心的决策,用于治疗复发性膜炎.
主要方法:
- 预期的观察性队列研究.
- 包括没有并发症的分泌体炎的成年患者 (≥18岁).
- 分析DQLI得分,以预测选择性切除术与医疗管理.
主要成果:
- 在70名患者中,31.4%选择了选择性手术.
- 胆管切除组 (5.3) 的DQLI平均得分高于医疗管理组 (4.6).
- 增加的DQLI整体和行为子域得分与选择胆管切除术显著相关 (分别为1.39和1.36).
结论:
- 在选择选择性切除术的患者中,观察到显著更高的基线DQLI得分,特别是在行为子域中.
- 像DQLI这样的PROM可以帮助识别可能受益于胆管切除术的患者.
- 结果支持在共享决策中使用患者报告的结果来治疗膜炎.
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