■由于国家内部和人口之间的差异,卫生研究中的优先级设置被认为是必不可少的。制药行业的商业利益可能会增加监管现实世界证据的产生和使用,这些证据最近已在文献中报道。研究必须由有价值的优先事项来指导。本研究的目的是通过生成高甘油三酯血症患者注册的潜在研究重点列表来确定甘油三酯诱导的急性胰腺炎知识中的关键差距。
■使用Jandhyala方法观察了来自美国和欧盟的10名专科医生在治疗甘油三酸酯诱发的急性胰腺炎方面的专家意见的共识。
■十名参与者完成了Jandhyala方法的共识回合,并生成了38个他们都同意的独特项目。这些项目包括在高甘油三酯血症患者注册表的研究重点生成中,并提出了Jandhyala方法在研究问题开发中的新应用。以帮助验证核心数据集。
■TG-IAP核心数据集和研究重点相结合可以开发一个全球统一的框架,在该框架中,可以使用同一组指标同时观察TG-IAP患者。通过解决观察性研究中与不完整数据集有关的问题,这将增加对该疾病的了解,并促进更高质量的研究。此外,将启用新工具的验证,和诊断和监测将得到改善,以及检测疾病严重程度和随后的疾病进展的变化,全面改善TG-IAP患者的管理。这将为个性化的患者管理计划提供信息,并改善患者的预后及其生活质量。
国家和人群之间医疗保健的差异可能会影响所需的研究类型。这就是为什么需要与有特定疾病经验的人交谈,了解他们的担忧是什么。这些人可能是医生或病人。当收集到这些信息时,这可以帮助对特定疾病感兴趣的组织了解如何在现实生活中帮助患者。对于这项研究,研究人员与10名专家医生合作治疗一种名为甘油三酯诱导的急性胰腺炎(TG-IAP)的疾病。这些医生来自美国和欧盟,他们被要求分享他们对使用Jandhyala方法最重要的研究领域的看法。医生生成并同意了38个项目,所有这些都与TG-IAP最重要的研究领域有关。确定的研究领域可以与收集的关于TG-IAP患者的重要数据一起使用,以创建一项研究,其中使用相同的测量结果在不同的位置监测这些患者。这项研究将帮助人们更多地了解这种疾病,并通过确保收集最重要的数据来提高研究质量。因此,TG-IAP患者的医疗保健可以得到改善。
Priority setting in health research has been described as essential due to disparities within and between countries and populations. Commercial benefits to the pharmaceutical industry may increase the generation and use of regulatory Real-World Evidence which has recently been reported in the literature. Research must be steered by valuable priorities. This study\'s objective is to identify key gaps in the knowledge of
triglyceride-induced acute pancreatitis by generating a list of potential research priorities for a Hypertriglyceridemia Patient Registry.
The Jandhyala Method was used to observe the
consensus of expert opinion from ten specialist clinicians in the treatment of
triglyceride-induced acute pancreatitis across the US and EU.
Ten participants completed the
consensus round of the Jandhyala method and generated 38 unique items which they all agreed with. The items were included in the generation of research priorities for a hypertriglyceridemia patient registry and presented a novel application of the Jandhyala method for the development of research questions, in aid of the validation of a core dataset.
The TG-IAP core dataset and research priorities combined can develop a globally harmonized framework where TG-IAP patients can be observed simultaneously using the same set of indicators. This will increase knowledge of the disease and facilitate higher-quality research by addressing issues related to incomplete data sets in observational studies. Furthermore, validation of new tools will be enabled, and diagnosis and monitoring will be improved as well as the detection of changes in disease severity and subsequent disease progression, improving the management of patients with TG-IAP overall. This will inform personalized patient management plans and improve patient outcomes along with their quality of life.
The differences in healthcare between countries and groups of people will likely affect the type of research needed. This is why people that have experience with specific diseases need to be spoken to, to understand what their concerns are. These types of people could be doctors or patients. When this information is gathered, this could help inform organizations interested in a specific disease on how to help patients in real life situations.For this study, the researchers worked with ten expert doctors who treat a disease called
triglyceride-induced acute pancreatitis (TG-IAP). These doctors were from the United States and the European Union, and they were asked to share their opinions on what the most important research areas are using the Jandhyala method. The doctors generated and agreed on 38 items, all related to the most important research areas for TG-IAP.The research areas identified can be used with important data collected about patients with TG-IAP to create a study where these patients are monitored in different locations using the same measurements. This study will help people learn more about the disease and improve the quality of research by making sure the most important data is collected. As a result, patients with TG-IAP can have their healthcare improved.