Evaluation of outcomes in community-acquired pneumonia: a guide for patients, physicians, and policy-makers

被引：40

作者：

Barlow, GD

Lamping, DL

Davey, PG

Nathwani, D

机构：

[1] Ninewells Hosp & Med Sch, Infect Unit, Tayside Univ Hosp NHS Trust, Dundee DD1 9SY, Scotland

[2] London Sch Hyg & Trop Med, Dept Publ Hlth & Policy, Hlth Serv Res Unit, London WC1, England

[3] Univ Dundee, Infect Dis Med Monitoring Unit, Dundee, Scotland

来源：

LANCET INFECTIOUS DISEASES | 2003年 / 3卷 / 08期

关键词：

D O I：

10.1016/S1473-3099(03)00721-7

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Community-acquired pneumonia (CAP) is a key target for research and quality improvement in acute medicine. However, many of the outcome measures used in prognostic and antibiotic studies are not validated and do not capture features of outcome that are important to patients. Substitutes for traditional outcome measures include a recently validated patient-based symptom questionnaire (the CAP-Sym) and process-of-care measures. The interpretation of outcomes also depends on the quality of the study design and methods used. This paper discusses the advantages and disadvantages of outcome, process-of-care, and economic measures in CAP and the interpretation of these measures in randomised and observational studies. A core set of measures for use in clinical CAP research and performance measurement is proposed.

引用

收藏

页码：476 / 488

页数：13

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