可吸收止血材料院内应用综合评价指标体系构建OA
Construction of an indicator system of comprehensive evaluation for in-hospital application of absorbable hemostatic materials
目的:构建可吸收止血材料院内应用综合评价指标体系,促进可吸收止血材料评价向科学规范、标准统一的方向发展.方法:检索数据库建库至2023年7月美国PubMed、荷兰EMbase、英国Cochrane临床对照实验数据库(CENTRAL)和中国知网(CNKI)、维普及万方数据库中发表的可吸收止血材料中英文随机对照试验和经济学评价研究文献,提炼纳入文献的可吸收止血材料有效性、安全性和经济性等方面的描述性指标,基于临床实践与循证证据,通过德尔菲法和层次分析法,构建融合临床价值与管理效能的院内可吸收止血材料综合评价指标体系并制定其使用方法.结果:可吸收止血材料院内应用综合评价指标体系包含有效性、安全性、经济性、创新性、适宜性和可及性6个一级指标、13个二级指标以及19个三级指标,6个一级指标的权重分别为0.458 2、0.239 1、0.106 9、0.106 9、0.044 4和0.044 4.指标量化评分采用10分制,分为10、5和0分,总得分为所有的三级指标评价得分乘以其权重的得分之和,总得分即为最终评分,可直接进行可吸收止血材料遴选比较.结论:可吸收止血材料院内应用综合评价指标体系能够为医疗机构明确可吸收止血材料类产品的科学遴选思路,为可吸收止血材料的遴选、采购与临床使用提供科学依据.
Objective:To construct an indicator system of comprehensive evaluation for in-hospital application of absorbable hemostatic materials,so as to promote the development of the evaluation for absorbable hemostatic materials toward the direction of scientific standardization and unified standard.Methods:The published literatures of absorbable hemostatic materials of English and Chinese randomized control trial(RCT)and economic evaluation studies were retrieved from PubMed(USA),EMbase(Netherlands),Cochrane Central Register of Controlled Trials(CENTRAL)(UK),and China National Knowledge Infrastructure(CNKI),VIP and Wanfang Databases of China since the time of establishing database to July 2023.The descriptive indicators of absorbable hemostatic materials,including effectiveness,safety,and economy in these included literatures,were extracted.Based on the clinical practice and evidence-based research,an indicator system of comprehensive evaluation for absorbable hemostatic materials was constructed through Delphi method and Analytic Hierarchy Process(AHP),which can integrate clinical value and management efficacy.Then,the use method of that was formulated.Results:The indicator system of comprehensive evaluation for in-hospital application of absorbable hemostatic materials included six primary indicators:effectiveness,safety,economy,innovation,suitability,and accessibility,and corresponding 13 secondary indicators and 19 tertiary indicators.The weights of six primary indicators were respectively 0.4582,0.2391,0.1069,0.1069,0.0444 and 0.0444.The quantitative score of the indicators adopted 10-point scale,which included 10,5 and 0 point,and the total score was the sum of scores that evaluated scores multiplied weight of all tertiary indicators.The total scores were final scores,which can directly be used to conduct screening and comparison for absorbable hemostatic materials.Conclusion:The indicator system of comprehensive evaluation for in-hospital application of absorbable hemostatic materials can clarify idea of scientific selection about the products of absorbable hemostatic materials for medical institutions,and provide scientific basis for selection,procurement and clinical utilization of absorbable hemostatic materials.
杨文杰;吴家春;蔡葵;陈蕾
四川大学华西医院临床研究管理部 成都 610041上海市胸科医院采购中心 上海 200030中国医学装备协会应用评价分会 北京 100094四川大学华西医院神经内科 成都 610041
医药卫生
可吸收止血材料止血综合评价指标体系
Absorbable hemostatic materialHemostasisComprehensive evaluationIndicator system
《中国医学装备》 2026 (8)
88-93,6
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