文章：

根治性前列腺切除术后尿失禁吸收垫使用情况索赔数据的验证：一项全国性横断面分析

Validation of Claims Data for Absorbing Pads as a Measure for Urinary Incontinence after Radical Prostatectomy, a National Cross-Sectional Analysis

原文发布日期：7 December 2023

DOI: 10.3390/cancers15245740

类型: Article

开放获取: 是

英文摘要：

The use of healthcare insurance claims data for urinary incontinence (UI) pads has the potential to serve as an objective measure for assessing post-radical prostatectomy UI rates, but its validity for this purpose has not been established. The aim of this study is to correlate claims data with Patient Reported Outcome Measures (PROMs) for UI pad use. Patients who underwent RP in the Netherlands between September 2019 and February 2020 were included. Incontinence was defined as the daily use of ≥1 pad(s). Claims data for UI pads at 12–15 months after RP were extracted from a nationwide healthcare insurance database in the Netherlands. Participating hospitals provided PROMS data. In total, 1624 patients underwent RP. Corresponding data of 845 patients was provided by nine participating hospitals, of which 416 patients were matched with complete PROMs data. Claims data and PROMs showed 31% and 45% post-RP UI (≥1 pads). UI according to claims data compared with PROMs had a sensitivity of 62%, specificity of 96%, PPV of 92%, NPV of 75% and accuracy of 81%. The agreement between both methods was moderate (κ = 0.60). Claims data for pads moderately align with PROMs in assessing post-prostatectomy urinary incontinence and could be considered as a conservative quality indicator.

摘要翻译： 

利用医疗保健保险理赔数据中关于尿失禁（UI）护垫的使用情况，可作为评估根治性前列腺切除术后尿失禁发生率的客观指标，但其用于此目的的有效性尚未得到证实。本研究旨在将理赔数据与患者报告的尿失禁护垫使用结果（PROMs）进行关联分析。研究纳入了2019年9月至2020年2月期间在荷兰接受根治性前列腺切除术的患者。尿失禁定义为每日使用≥1片护垫。术后12-15个月的尿失禁护垫理赔数据提取自荷兰全国性医疗保险数据库，参与研究的医院提供了PROMs数据。共有1624名患者接受了根治性前列腺切除术，其中9家参与医院提供了845名患者的对应数据，416名患者具有完整的PROMs数据可供匹配。理赔数据显示术后尿失禁发生率为31%，PROMs数据显示为45%。与PROMs相比，理赔数据诊断尿失禁的敏感性为62%，特异性为96%，阳性预测值（PPV）为92%，阴性预测值（NPV）为75%，准确率为81%。两种方法的一致性为中等水平（κ = 0.60）。在评估前列腺切除术后尿失禁方面，护垫理赔数据与PROMs具有中等程度的一致性，可被视为一种保守的质量指标。

原文链接：

Validation of Claims Data for Absorbing Pads as a Measure for Urinary Incontinence after Radical Prostatectomy, a National Cross-Sectional Analysis