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首页> 外文期刊>PACE: Pacing and clinical electrophysiology >A viewpoint on the impact of device advisories on patient-centered outcomes.
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A viewpoint on the impact of device advisories on patient-centered outcomes.

机译：关于设备咨询对以患者为中心的结果的影响的观点。

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Device advisories due to potential hardware failure comprise one of the downsides of implantable cardioverter defibrillator (ICD) therapy. The impact of advisories on patient-centered outcomes has largely been overlooked. We examined the impact of ICD advisories on patient-centered outcomes via a systematic literature review. PubMed was searched in the period from 1980 to present using a combination of at set of a priori search terms. The reference lists of the included papers were searched by hand. A total of six studies were identified. All advisories were Class I, Class II, or a combination. The sample size across studies varied between 30 and 86 patients subject to an advisory; four of six studies used a case-control design and two of six a prospective study design. There was considerable variability between notification of the advisory and assessment of the patient-centered outcomes, ranging from 1 to 24 months. A mixture of generic and disease-specific patient-centered outcome measures was used. The evidence for an impact on device advisories was mixed, with the two prospective studies showing an increase in anxiety over time, whereas none of the larger case-control studies found a difference in patient-centered outcomes between cases and controls. Evidence for an impact of device advisories on patient-centered outcomes is mixed. In order to incorporate a patient-centered approach in clinical care, patient-centered outcomes should form part of standard clinical practice and if available the assessments entered into ICD registries. Such registries would provide important insights into the impact of ICD advisories on patients' well being.
机译：由于潜在的硬件故障而导致的设备建议包括植入式心脏复律除颤器（ICD）治疗的缺点之一。咨询对以患者为中心的结果的影响在很大程度上被忽略了。通过系统的文献综述，我们检查了ICD咨询对以患者为中心的结果的影响。从1980年到现在，通过使用一组先验搜索词的组合来搜索PubMed。手工搜索了其中的参考文献清单。总共确定了六项研究。所有咨询都是I级，II级或组合。整个研究的样本量在30到86名患者之间有所不同，需要咨询。六项研究中有四项采用病例对照设计，六分之二采用前瞻性研究设计。咨询通知和以患者为中心的结果评估之间存在很大差异，范围从1到24个月不等。混合使用通用和以疾病为中心的以患者为中心的结果指标。影响器械咨询的证据参差不齐，两项前瞻性研究显示焦虑随着时间的推移而增加，而大型病例对照研究均未发现病例与对照之间以患者为中心的结果有所不同。设备咨询对以患者为中心的结果产生影响的证据好坏参半。为了将以患者为中心的方法纳入临床护理中，以患者为中心的结果应成为标准临床实践的一部分，如果可以的话，评估应输入ICD注册表中。这样的注册将为ICD咨询对患者健康的影响提供重要的见解。

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