Prioritisation of patients on waiting lists for hip and knee arthroplasties and cataract surgery: Instruments validation

作者: Alejandro Allepuz , Mireia Espallargues , Montse Moharra , Mercè Comas , Joan MV Pons

DOI: 10.1186/1472-6963-8-76

关键词:

摘要: Prioritisation instruments were developed for patients on waiting list hip and knee arthroplasties (AI) cataract surgery (CI). The aim of the study was to assess their convergent discriminant validity inter-observer reliability. Multicentre validation which included orthopaedic surgeons ophthalmologists from 10 hospitals. Participating doctors asked include all eligible placed in procedures under during medical visit. Doctors assessed patients' priority through a visual analogue scale (VAS) administered prioritisation instrument. Information socio-demographic data health-related quality life (HRQOL) (HUI3, EQ-5D, WOMAC VF-14) obtained telephone interview with patients. correlation coefficients between instrument score VAS HRQOL calculated. For reliability self-administered questionnaire, hypothetic scenarios, sent via postal mail doctors. these scenarios intraclass coefficient (ICC) Correlations strong AI (0.64, CI95%: 0.59–0.68) CI (0.65, 0.62–0.69), moderate (0.39, 0.33–0.45) VF-14 (0.38, IC95%: 0.33–0.43). results analysis general as expected. Inter-observer 0.79 (CI95%: 0.64–0.94) AI, 0.63–0.95) CI. show acceptable establishing surgery.

参考文章(33)
J C Lewis, J F Nolan, F Elender, L E Harry, Who gets priority? Waiting list assessment using a scoring system. Annals of The Royal College of Surgeons of England. ,vol. 82, pp. 186- 188 ,(2000)
Gordon Arnett, David C. Hadorn, Developing priority criteria for hip and knee replacement: results from the Western Canada Waiting List Project. Canadian Journal of Surgery. ,vol. 46, pp. 290- 296 ,(2003)
José M Quintana, , Antonio Escobar, Amaia Bilbao, Explicit criteria for prioritization of cataract surgery. BMC Health Services Research. ,vol. 6, pp. 24- 24 ,(2006) , 10.1186/1472-6963-6-24
Jordi Alonso, Mireia Espallargues, Tavs F. Andersen, Sandra D. Cassard, Elaine Dunn, Peter Bernth-Petersen, Jens C. Norregaard, Charlyn Black, Earl P. Steinberg, Gerard F. Anderson, International Applicability of the VF-14: An Index of Visual Function in Patients with Cataracts Ophthalmology. ,vol. 104, pp. 799- 807 ,(1997) , 10.1016/S0161-6420(97)30230-9
Kathleenl N Lohr, None, Assessing health status and quality-of-life instruments: Attributes and review criteria Quality of Life Research. ,vol. 11, pp. 193- 205 ,(2002) , 10.1023/A:1015291021312
Sarah Derrett, Charlotte Paul, Peter Herbison, Helen Williams, Evaluation of explicit prioritisation for elective surgery: A prospective study Journal of Health Services Research & Policy. ,vol. 7, pp. 14- 22 ,(2002) , 10.1258/135581902320176322
Ray Fitzpatrick, Josephine M. Norquist, Barnaby C. Reeves, Richard W. Morris, David W. Murray, Paul J. Gregg, Equity and need when waiting for total hip replacement surgery Journal of Evaluation in Clinical Practice. ,vol. 10, pp. 3- 9 ,(2004) , 10.1111/J.1365-2753.2003.00448.X
Antonio Escobar, José M. Quintana, Amaia Bilbao, Berta Ibañez, Juan C. Arenaza, Luis Gutiérrez, Jesús Azkárate, Jose I. Güenaga, Ignacio Vidaurreta, Development of explicit criteria for prioritization of hip and knee replacement. Journal of Evaluation in Clinical Practice. ,vol. 13, pp. 429- 434 ,(2007) , 10.1111/J.1365-2753.2006.00733.X