PDF(Sci-hub)
Abstract：
To describe the principles, process, and results of creating the International Consortium for Health Outcomes Measurement (ICHOM) standard set for hand and wrist conditions.
Following the standardized methods of ICHOM, an international working group of hand surgeons, therapists, and researchers was assembled to develop an evidence-based, patient-centered, standard set of outcome measures for patients with hand and wrist conditions. Multiple systematic reviews were performed to support our choices of outcome domains and tools for hand and wrist conditions. Fourteen video conferences were held between March 2018 and March 2020, and a modified Delphi process was used.
A consensus was reached on 5 measurement tracks: the thumb, finger, wrist, nerve, and severe hand trauma tracks, with a distinction between regular and extended tracks for which specific allocation criteria applied. The standard set contains a selection of outcome tools and predefined time points for outcome measurement. Additionally, we developed a hierarchy for using the tracks when there are multiple conditions, and we selected risk-adjustment, case-mix variables.
The global implementation of the ICHOM standard set for hand and wrist conditions may facilitate value-based health care for patients with hand and wrist conditions.
The ICHOM standard set for hand and wrist conditions can enable clinical decision making, quality improvement, and comparisons between treatments and health care professionals.
Following the standardized methods of ICHOM, an international working group of hand surgeons, therapists, and researchers was assembled to develop an evidence-based, patient-centered, standard set of outcome measures for patients with hand and wrist conditions. Multiple systematic reviews were performed to support our choices of outcome domains and tools for hand and wrist conditions. Fourteen video conferences were held between March 2018 and March 2020, and a modified Delphi process was used.
A consensus was reached on 5 measurement tracks: the thumb, finger, wrist, nerve, and severe hand trauma tracks, with a distinction between regular and extended tracks for which specific allocation criteria applied. The standard set contains a selection of outcome tools and predefined time points for outcome measurement. Additionally, we developed a hierarchy for using the tracks when there are multiple conditions, and we selected risk-adjustment, case-mix variables.
The global implementation of the ICHOM standard set for hand and wrist conditions may facilitate value-based health care for patients with hand and wrist conditions.
The ICHOM standard set for hand and wrist conditions can enable clinical decision making, quality improvement, and comparisons between treatments and health care professionals.
摘要：
为了描述这些原则，process,以及针对手部和腕部状况创建国际健康结果测量联盟（ICHOM）标准集的结果。
遵循ICHOM的标准化方法，一个由手外科医师组成的国际工作组,治疗师,研究人员聚集在一起开发一种基于证据的，以病人为中心,手和腕患者的标准结果测量。进行了多项系统评价，以支持我们选择手部和腕部疾病的结果领域和工具。在2018年3月至2020年3月之间举行了14次视频会议，并使用了修改后的Delphi流程。
在5条测量轨道上达成共识：拇指，手指,手腕,神经,和严重的手部创伤痕迹，在适用特定分配标准的常规和扩展轨道之间有区别。标准集包含结果工具的选择和用于结果测量的预定时间点。此外,当存在多个条件时，我们开发了一个使用轨道的层次结构，我们选择了风险调整，案例混合变量。
针对手部和腕部疾病的ICHOM标准的全球实施可以促进手部和腕部疾病患者的基于价值的医疗保健。
针对手部和腕部疾病的ICHOM标准集可以实现临床决策，质量改进,以及治疗和医疗保健专业人员之间的比较。
遵循ICHOM的标准化方法，一个由手外科医师组成的国际工作组,治疗师,研究人员聚集在一起开发一种基于证据的，以病人为中心,手和腕患者的标准结果测量。进行了多项系统评价，以支持我们选择手部和腕部疾病的结果领域和工具。在2018年3月至2020年3月之间举行了14次视频会议，并使用了修改后的Delphi流程。
在5条测量轨道上达成共识：拇指，手指,手腕,神经,和严重的手部创伤痕迹，在适用特定分配标准的常规和扩展轨道之间有区别。标准集包含结果工具的选择和用于结果测量的预定时间点。此外,当存在多个条件时，我们开发了一个使用轨道的层次结构，我们选择了风险调整，案例混合变量。
针对手部和腕部疾病的ICHOM标准的全球实施可以促进手部和腕部疾病患者的基于价值的医疗保健。
针对手部和腕部疾病的ICHOM标准集可以实现临床决策，质量改进,以及治疗和医疗保健专业人员之间的比较。
