关键词: Prosthesis amputation benefits core outcome set health economics iCF linking outcomes

来  源:   DOI:10.1080/09638288.2023.2275279

Abstract:
UNASSIGNED: Little is known about the outcomes that are most important to prosthesis users and funders. A Prosthetic Interventions Core Outcome Set (PI-COS) will help researchers and practitioners measure outcomes that are the most important to prosthesis users and funders.
UNASSIGNED: Prosthesis users and funders rated the importance of 121 International Classification of Functioning, Disability, and Health (ICF) second-level categories using a two-round Delphi survey. A Consensus Meeting using the nominal group technique resolved rating differences between groups. The ICF second-level categories were ranked according to importance and a K-Means Cluster Analysis helped establish the PI-COS.
UNASSIGNED: 65 users and 8 funders completed the Delphi surveys, followed by a Consensus Meeting. 26 ICF second-level categories were considered important to prosthesis users and funders and a PI-COS of 14 ICF second-level categories drawn predominantly from five ICF chapters was established: Sensory Functions and Pain (b2), Neuromusculoskeletal and Movement-related Functions (b7), General Tasks and Demands (d2), Mobility (d4), and Products and Technology (e1).
UNASSIGNED: The PI-COS describes the outcomes that are most important to prosthesis users and funders. The PI-COS can help focus on the most important outcome measures in clinical practice and research, including future prosthetic health economic evaluations.
摘要:
对假体使用者和资助者最重要的结果知之甚少。假肢干预核心结果集(PI-COS)将帮助研究人员和从业者衡量对假肢使用者和资助者最重要的结果。
假体用户和资助者对121国际功能分类的重要性进行了评级,残疾,和健康(ICF)二级类别使用两轮德尔菲调查。使用名义组技术的共识会议解决了组间的评级差异。ICF二级类别根据重要性进行排名,K均值聚类分析有助于建立PI-COS。
65位用户和8位资助者完成了Delphi调查,随后是共识会议。26个ICF二级类别被认为对假肢使用者和资助者很重要,并且建立了主要来自五个ICF章节的14个ICF二级类别的PI-COS:感觉功能和疼痛(b2),神经肌肉骨骼和运动相关功能(b7),一般任务和要求(d2),移动性(d4),产品和技术(e1)。
PI-COS描述了对假体使用者和资助者最重要的结果。PI-COS可以帮助专注于临床实践和研究中最重要的结果指标,包括未来假肢健康经济评估。
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