电子患者报告结果测量对非透析依赖性CKD患者的测量特性
Dipal M Patel1, Dingfen Han2, Jodi B Segal3,4
1Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland USA.
Kidney360
|December 18, 2025
概括
病症状调查 (KDSS) 对稳定非透析依赖慢性病 (NDD-CKD) 的患者显示出良好的可靠性. 需要进一步的研究来确认其对恶化功能和整体临床功效的反应能力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 患者报告的结果衡量结果.
- 临床信息学 临床信息学
背景情况:
- 非透析依赖的慢性病 (NDD-CKD) 由于症状逐渐恶化,严重影响患者的生活质量.
- 病症状调查 (KDSS) 是一种电子患者报告结果测量 (PROM) 工具,旨在评估NDD-CKD患者的症状.
- 在日常临床护理中评估KDSS的测量特性对于其有效实施至关重要.
研究的目的:
- 评估在接受常规临床护理的NDD-CKD患者中KDSS的测量特性.
- 评估KDSS的时间稳定性,响应性和融合构造有效性.
主要方法:
- 对完成KDSS的NDD-CKD患者的电子健康记录 (EHR) 数据的回顾性分析.
- 在稳定的功能患者中评估KDSS时间稳定性.
- 在功能恶化的患者中评估KDSS响应能力.
- 检查KDSS对医疗保险年度健康访问 (AWV) 评估的融合构造有效性.
主要成果:
- 在稳定的NDD-CKD患者中,观察到KDSS一般健康,生活质量,身体症状和心理健康评分的强时间稳定性.
- 在KDSS检测到大约40%的患者的身体和心理健康得分临床上重要的差异恶化功能.
- 对于一般健康和抑郁症状的KDSS和AWV评估之间发现了中等到强烈的相关性.
结论:
- 在NDD-CKD患者中,KDSS证明了时间稳定性和适度的融合构造有效性,用于NDD-CKD患者的一般健康状况和抑郁症状.
- 在病中,KDSS对身体症状和心理健康变化的反应性需要进一步调查.
- 需要进行额外的研究,以确定KDSS对功能变化的反应能力及其在NDD-CKD管理中的整体临床实用性.
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