Validation of the method of complex evaluation of polymorbidity
https://doi.org/10.21626/vestnik/2018-1/03
Abstract
The method for the complex evaluation of polymorbidity (MCEP) is designed to improve the treatment and diagnostic processes in the context of primary health care. Validation of the MCEP was carried out during a clinical study of patients with a metabolic syndrome against the background of polymorbidity. External and substantive validity was assessed using a survey of practicing physicians and experts. Reliability is confirmed by assessing internal consistency and reproducibility. Criterial validity is confirmed by the strong feedback of the indices of the MCEP and the results of the most common methodologies for its evaluation. The sensitivity of the MCEP was proved by calculating predictable differences in its indices. As a result of the validation of the MCEP, its external, substantial, constructive, and criterial validity, reliability and sensitivity are proved. The MCEP is recommended for use in medical organizations providing primary health care.
About the Authors
Y. I. Zhuravlev
Belgorod National Research University
Russian Federation
Russian Federation
V. N. Tkhorikova
Belgorod National Research University
Russian Federation
Russian Federation
References
1. Войтенко В.П. Биологический возраст // Биология старения.- Л. : Наука, 1982. - С. 102-115. [Voytenko V.P. Biological age. in Biology of aging. L. : Nauka; 1982: 102-115 (in Russ.)].
2. ГОСТ Р 52379-2005 Надлежащая клиническая практика. - М. : Стандартинформ, 2006. - 39 с. [GOST R 52379-2005 Good clinical practice. M. : Standartinform; 2006: 39 s. (in Russ.)].
3. Приказ Минздравсоцразвития России от 22.11.2004 № 256 (ред. от 15.12.2014) «О Порядке медицинского отбора и направления больных на санаторно-курортное лечение» (зарегистрировано в Минюсте России 14.12.2004 № 6189). [Order of the Ministry of Health and Social Development of Russia from 22.11.2004 № 256 (Edited on December 15, 2014) "On the Procedure for Medical Selection and Referral of Patients for Sanatorium and Spa Treatment" (registered in the Ministry of Justice of Russia on December 14, 2004 No. 6189) (in Russ.)].
4. Приказ Министерства здравоохранения Российской Федерации от 3 февраля 2015 г. № 36н «Об утверждении порядка проведения диспансеризации определенных групп взрослого населения». [Order of the Ministry of Health of the Russian Federation of February 3, 2015, No. 36n, "On Approval of the Procedure for Clinical Screening of Certain Adult Populations." (in Russ.)].
5. Приказ Министерства здравоохранения РФ от декабря 2012 г. № 1344н «Об утверждении Порядка проведения диспансерного наблюдения». [Order of the Ministry of Health of the Russian Federation from December 21, 2012 № 1344н "On approval of the procedure for dispensary observation." (in Russ.)].
6. Чазова И.Е., Мычка В.Б., Кисляк О.А., Кузнецова И.В., Литвин А.Ю., Шестакова М.В., Бугрова С.А., Звенигородская Л.А., Кошельская О.А., Кухарчук В.В., Мамедов М.Н.О., Медведева И.В., Мкртумян А.М., Небиеридзе Д.В., Недогода С.В., Перепечь Н.Б., Подзолков В.И., Симонова Г.И., Титов В.Н., Тюрина Т.В., Фурсов А.Н., Хирманов В.Н., Чукаева И.И., Шальнова С.А., Шубина А.Т., Всероссийское научное общество кардиологов, Российское медицинское общество по артериальной гипертонии. Диагностика и лечение метаболического синдрома. Российские рекомендации (второй пересмотр) // Кардиоваскулярная терапия и профилактика. - 2009. - Т. 8, № 6, Приложение 2. - С. 1-29. [Chazova I.E., Mychka V.B., Kislyak O.A., Kuznetsova I.V., Litvin A.Yu., Shestakova M.V., Bugrova S.A., Zvenigorodskaya L.A., Koshel’skaya O.A., Kukharchuk V.V., Mamedov M.N.O., Medvedeva I.V., Mkrtumyan A.M., Nebiyeridze D.V., Nedogoda S.V., Perepech’ N.B., Podzolkov V.I., Simonova G.I., Titov V.N., Tyurina T.V., Fursov A.N., Khirmanov V.N., CHukayeva I.I., Shal’nova S.A., Shubina A.T., Vserossiyskoye nauchnoye obshchestvo kardiologov, Rossiyskoye meditsinskoye obshchestvo po arterial’noy gipertonii. Diagnosis and treatment of metabolic syndrome. Russian recommendations (second revision). Kardiovaskulyarnaya terapiya i profilaktika. 2009; 8 (6, Suppl. 2): 1-29 (in Russ.)].
7. Charlson M.E., Pompei P., Ales H.L., MacKenzie C.R. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation // Journal Chronic Disease. - 1987. - Vol. 40, N 5. - P. 373-383.
8. Cronbach L.J. Coefficient alpha and the internal structure of tests // Psychometrika. - 1951. - Vol. 16, N 3. - P. 297-334.
9. Fagerstrom K. Determinants of tobacco use and renaming the FTND to the Fagerstrom Test for Cigarette Dependence // Nicotine Tob. Res. - 2012. - Vol. 14, N 1. - Р. 75-78 - DOI:10.1093/ntr/ntr137.
10. Guyatt G., Walter S., Norman G. Measuring Change over Time: Assessing the Usefulness of Evaluative Instruments // J. Chronic. Dis. - 1987. - Vol. 40, N 2. - P. 171-178.
11. Hlatky M.A., Boineau R.E., Higginbotham M.B., Lee K.L., Mark D.B., Cliff R.M., Cobb F.R., Pryor D.B A brief selfadministered questionnaire to determine functional capacity (the Duke Activity Status Index) // Am J Cardiol. - 1989. - Vol. 64, N 10. - P. 651-654.
12. Kaplan M.H., Feinstein A.R. Acritique of methods in reported studies of long-term vascular complications in patients with diabetes mellitus // Diabetes. - 1973. - Vol. 22, N 3. - P. 160-174.
13. Lee T.H., Marcantonio E.R., Mangione C.M., Thomas E.J., Polanczyk C.A., Cook E.F., Sugarbaker D.J., Donaldson M.C., Poss R., Ho K.K., Ludwig L.E., Pedan A., Goldman L. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery // Circulation. - 1999. - Vol. 100, N 10. - P. 1043-1049.
14. Miller M.D., Towers A. Manual of Guidelines for Scoring the Cumulative Illness Rating Scale for Geriatrics (CIRS-G). - Pittsburg, Pa : University of Pittsburgh., 1991. - 31 p.
15. Ware J.E., Snow K.K., Kosinski M., Gandek B. SF-36 Health Survey. Manuel and Interpretation Guide. - Lincoln, RI. : Quality Metric Incorporated, 2000. - 150 р.
16. Zigmond A.S., Snaith R.P. The hospital anxiety and depression scale // Acta Psychiatrica Scandinavica. - 1983. - Vol. 67, N 6. - P. 361-370.
Review
For citations:
Zhuravlev Y.I., Tkhorikova V.N. Validation of the method of complex evaluation of polymorbidity. Kursk Scientific and Practical Bulletin "Man and His Health". 2018;(1):17-24. (In Russ.) https://doi.org/10.21626/vestnik/2018-1/03
Views:
695
Email this article 