在炎症性肠道疾病中发现脊髓关节炎的自我管理查问卷:系统性审查
Romain Schotkosky1, Tiphaine Dujardin2, Marianne Hupé3
1Univ. Grenoble Alpes, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, TIMC, T-RAIG, 38000 Grenoble, France.
在炎症性肠病 (IBD) 患者中,查脊椎关节炎 (SpA) 是至关重要的. 尽管证据质量中等,但DETAIL问卷显示了IBD中SpA查的临床前景.
科学领域:
- 胃肠道学和风湿病学
- 诊断的准确性 诊断的准确性
- 系统审查是系统的审查.
背景情况:
- 肌肉骨症状在炎症性肠病 (IBD) 中很常见.
- 脊椎关节炎 (SpA) 在IBD患者中经常被诊断不足.
- 需要有效的查工具来识别这一群体中的SpA.
研究的目的:
- 系统地审查和比较IBD患者对SPA的自我管理查问卷.
- 评估可用的查工具的心理测量特性和内容有效性.
主要方法:
- 按照PRISMA指南进行了系统审查.
- 搜索包括PubMed,Cochrane和ACR/EULAR会议数据库.
- 提取了问卷的特征,心理测量数据和内容有效性 (COSMIN方法).
主要成果:
- 从1491篇选文章中,确定了IBD患者中SPA的6个查问卷.
- IBIS-Q显示了最高的灵敏度 (92.7%),而Queiro的轴向问卷显示了最高的特异性 (89.8%).
- 在DETAIL问卷中,我们得到了最高的积极概率率 (≥14),但没有一个符合Cosmin的所有质量标准.
结论:
- 对于IBD患者的SpA查有六个问卷,但存在方法上的限制.
- DETAIL问卷提供了在IBD中对SPA查的最临床实用性,并得到了中等证据的支持.
- 为了最佳的工具选择,需要进一步的验证和方法透明度.
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