2型糖尿病和肝脏疾病的健康查计划中的离散选择实验和联合分析:范围审查
Felice Cinque1,2,3, Clara Long1,2, Duy A Dinh4
1Chronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.
这次审查没有发现对2型糖尿病患者的代谢功能障碍相关脂肪性肝病 (MASLD) 查的研究. 需要进一步的研究来开发以患者为中心的查计划.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 对2型糖尿病 (T2D) 和肝脏疾病的查计划对于早期检测和管理至关重要.
- 代谢功能障碍相关的脂肪性肝病 (MASLD) 是一种新出现的肝病,通常与T2D相关.
- 量化利益相关者的偏好对于设计有效和可接受的查计划至关重要.
研究的目的:
- 总结关于分离选择实验 (DCE) 和联合分析 (CA) 的证据,以了解T2D和肝病查中利益相关者的偏好.
- 具体评估DCE/CA在T2D的背景下对MASLD查的应用.
主要方法:
- 对五个数据库 (MEDLINE,PubMed Central,EMBASE,Europe PMC,Google Scholar) 进行了全面的范围审查.
- 包括1990年1月以后发表的英语,法语或西班牙语使用DCE/CA进行T2D和肝病查的研究.
- 两个独立的审核员选了没有重复的记录.
主要成果:
- 包括9项研究 (7个高收入国家,2个低收入国家),重点关注各种肝脏疾病,肝炎和心血管疾病,但不是T2D中的MASLD.
- 利益相关者包括患者,医疗保健提供者和普通人群.
- 影响选择的关键属性是查敏感性,设置,持续时间,提供者,成本和医生对治疗的支持.
结论:
- 关于利益相关者对T2D患者MASLD查的偏好,研究中存在很大的差距.
- 迫切需要开发用于MASLD查的DCE,以告知以患者为中心的护理途径.
- 未来的研究应该优先考虑了解偏好,以优化查计划的设计和实施.
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