[测量标准误差:对患者报告的健康结果的获取变化的最小重要差异的替代方法]。

J Rejas, M Ruiz, A Pardo
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引用次数: 3

摘要

目的:评价临床干预后自我感知健康状况改变程度的标准测量误差(EEM)与最小重要差异(MID)标准的一致性。方法:在两项独立研究中使用了两种患者自我报告的健康量表[良性前列腺增生影响量表(BPH-PIM)和生活满意度量表(LISAT-8)],以便使每种量表适应伊比利亚西班牙人口。这些研究分别纳入了129例和537例男性良性前列腺增生(BPH)和勃起功能障碍(ED)。计算EEM和MID值后,将患者分为改善、无变化和恶化三组。使用Cohen的kappa协议指数和Kendall的tau-b线性相关系数来评估标准之间的一致性水平。结果:EEM和MID量表的一致性水平较高,kappa一致性指数分别为0.81和0.76,tau-b相关系数分别为0.87和0.79。结论:发现的一致性水平表明,在评估患者报告的健康状况产生的变化程度时,EEM标准是MID标准的适当替代方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Standard error of measurement: an alternative to minimally important difference to access changes in patient-reported-health-outcomes].

Objective: To assess the concordance level between the standard Error of Measurement (EEM) and the minimal important difference (MID) criteria when evaluating the magnitude of change in self-perceived health status due to a clinical intervention.

Method: Two scales of patient self-reported health are used [a measure of benign prostatic hyperplasia impact (BPH-PIM) and a life satisfaction scale (LISAT-8)] in two independent studies carried out in order to adapt each scale to Iberian Spanish population. These studies included 129 and 537 males with benign prostatic hyperplasia (BPH) and erectile dysfunction (ED), respectively. After computing EEM and MID values, patients where classified in three groups attending to each criterion: improvement, without change, and worsening. Cohen s kappa agreement index and Kendall s tau-b lineal correlation coefficient where used to assess the level of concordance between criteria.

Results: The concordance level between EEM and MID criteria was found to be high for both scales: kappa agreement index attained values of 0.81 and 0.76, while tau-b correlation coefficient attained values of 0.87 and 0.79.

Conclusion: The agreement level found allows to state that the EEM criterion is an adequate alternative to the MID criterion when assessing the magnitude of change produced in patient reported health.

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