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Prioritisation of patients on waiting lists for hip and knee arthroplasties and cataract surgery: Instruments validation.
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- المؤلفون: Allepuz A;Allepuz A; Espallargues M; Moharra M; Comas M; Pons JM
- المصدر:
BMC health services research [BMC Health Serv Res] 2008 Apr 08; Vol. 8, pp. 76. Date of Electronic Publication: 2008 Apr 08.
- نوع النشر :
Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Validation Study
- اللغة:
English
- معلومة اضافية
- Corporate Authors:
- المصدر:
Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
- بيانات النشر:
Original Publication: London : BioMed Central, [2001-
- الموضوع:
- نبذة مختصرة :
Background: Prioritisation instruments were developed for patients on waiting list for hip and knee arthroplasties (AI) and cataract surgery (CI). The aim of the study was to assess their convergent and discriminant validity and inter-observer reliability.
Methods: Multicentre validation study which included orthopaedic surgeons and ophthalmologists from 10 hospitals. Participating doctors were asked to include all eligible patients placed in the waiting list for the procedures under study during the medical visit. Doctors assessed patients' priority through a visual analogue scale (VAS) and administered the prioritisation instrument. Information on socio-demographic data and health-related quality of life (HRQOL) (HUI3, EQ-5D, WOMAC and VF-14) was obtained through a telephone interview with patients. The correlation coefficients between the prioritisation instrument score and VAS and HRQOL were calculated. For the reliability study a self-administered questionnaire, which included hypothetic patients' scenarios, was sent via postal mail to the doctors. The priority of these scenarios was assessed through the prioritisation instrument. The intraclass correlation coefficient (ICC) between doctors was calculated.
Results: Correlations with VAS were strong for the AI (0.64, CI95%: 0.59-0.68) and for the CI (0.65, CI95%: 0.62-0.69), and moderate between the WOMAC and the AI (0.39, CI95%: 0.33-0.45) and the VF-14 and the CI (0.38, IC95%: 0.33-0.43). The results of the discriminant analysis were in general as expected. Inter-observer reliability was 0.79 (CI95%: 0.64-0.94) for the AI, and 0.79 (CI95%: 0.63-0.95) for the CI.
Conclusion: The results show acceptable validity and reliability of the prioritisation instruments in establishing priority for surgery.
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- Contributed Indexing:
Investigator: T Hermosilla; R López; F Pradas; JM Abad; J Moliner; A Arévalo; A Narváez; F Aguiar; J Trujillo; V De la Varga; E Perea Milla; J Modrego; JA Molina; M Zazo; E Albalat; F Faus; J Barrio; A Cardona; A Danet; E Aguayo; E Delgado; M García; J Martínez; JD Martínez; JM Palomares; N Godoy; S Medialdea; E Bernal; P Serrano Aguilar; P Juez; F Vilurbina; M Pons; R Viladot; A Pasarín; JM Valls; Ballesta E; J García-Arumí; E Cáceres; X Castells; M Castilla; M Marín; C Mestres; F Montserrat; J Tuñí
- الموضوع:
Date Created: 20080410 Date Completed: 20080516 Latest Revision: 20211020
- الموضوع:
20240628
- الرقم المعرف:
PMC2373288
- الرقم المعرف:
10.1186/1472-6963-8-76
- الرقم المعرف:
18397519
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