皮评分的有效性和可靠性
Jerome R Lechien1,2,3,4, Stephane Hans2, Marie Mailly2
1Department of Surgery, Faculty of Medicine, Research Institute for Language Science and Technology, University of Mons (UMons), Mons, Belgium.
概括
喷评分有效地测量了逆行式喉功能障碍 (R-CPD) 的症状,显示出高可靠性和有效性. 这种患者报告的结果工具准确地跟踪治疗后的症状变化.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 患者报告的结果
背景情况:
- 逆行式喉功能障碍 (R-CPD) 是一种影响吞的疾病.
- 需要准确的评估工具来记录R-CPD症状和治疗疗效.
研究的目的:
- 为了评估皮评分的有效性和可靠性,患者报告了R-CPD的结果问卷.
- 评估皮评分对治疗的响应性,并确定临床重要差异最小值 (MCID).
主要方法:
- 一项前性受控研究,涉及80名R-CPD患者和34名对照.
- 评估了测试重试可靠性,内部一致性 (克朗巴赫的α) 和外部有效性 (与RSS-12的相关性).
- 通过ROC分析评估了对肉毒素注射 (BTI) 的反应,并确定了MCID.
主要成果:
- 观察到高的测试重复测试可靠性 (rs=0.911) 和内部一致性 (α=0.870).
- 发现了中等但显著的外部有效性 (rs=0.533与RSS-12) 和优秀的内部有效性 (P=.001).
- 皮评分在BTI后显著下降,表明反应能力,MCID为11.0.
结论:
- 皮评分是记录R-CPD症状的有效和可靠工具.
- 它有效地评估症状严重程度和频率的变化,从治疗前到治疗后.
- 已建立的MCID有助于解释R-CPD治疗的有效性.
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