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为患有肥胖症的成年人制定以患者为中心的核心结果:基于德尔菲的修改国际共识
Teferi Mekonnen1, Leanne Staniford2, Spencer Connell3
1Nordic Institute of Dental Materials and Norwegian Institute of Public Health, Norway.
EClinicalMedicine
|September 2, 2025
概括
针对肥胖成年人制定了一套新的标准化结果测量方法. 这一核心组将改善以患者为中心的护理和全球肥胖治疗的基准.
科学领域:
- 医学研究
- 公共卫生
- 临床实践
背景情况:
- 肥胖是一种复杂的慢性疾病,
- 目前多种模式的肥胖治疗缺乏标准化,以患者为中心的结果措施, 以有效评估和改善护理.
研究的目的:
- 为肥胖成年人定义一套标准化结果指标.
- 纳入患者报告和临床医生报告的结果.
- 确定最佳测量频率,并确定风险调整的基本情况组变量.
主要方法:
- 国际健康结果测量联盟 (ICHOM) 肥胖工作组 (OWG) 组成29名国际专家和肥胖患者,制定了这些措施.
- 经过全面的文献审查和三轮的德尔菲进程,就关键结果和后续间隔达成共识.
- 在相关领域对95名患者和106名医疗保健专业人员进行了调查.
主要成果:
- 制定了一套20项标准化结果措施,其中包括17项核心措施和3项特定人群措施.
- 这些措施涵盖身体健康,心理健康,健康行为,身体功能和不良事件,具体增加了减肥手术和生殖健康.
- 为了确保报告的总体一致性,确定了关键案例组合因素和随访期.
结论:
- 通过这种标准化的结果集,将能够识别护理差距,监测结果,并根据全球基准进行质量评估.
- 实施可以促进强大的国际数据资源,以指导成人肥胖的研究,临床实践和政策制定.
- 限制包括验证的地理多样性和某些措施因工具的可用性而被排除.
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