12 results match your criteria: "UMR U1246 Sphere "Methods in Patient-Centered Outcomes and Health Research"[Affiliation]"
BMC Public Health
November 2024
INSERM, Université de Nantes - Université de Tours, UMR U1246 SPHERE, Methods in patient- centered outcomes and health research, Nantes, France.
Background: To examine the psychometrics properties of the French version of two scales measuring general (HLS-Q12) and navigational (HLS-NAV) health literacy (HL) using validation methods based on modern psychometric test theories: a Rasch model analysis.
Methods: The data on representative samples of the French adult population came from the Health Literacy Survey (N = 2 003), conducted in France in two waves (2020 and 2021), and from the third wave of SLAVACO study (N = 2 022), conducted in December 2021. A Rasch analysis was performed using a partial credit model with marginal maximum likelihood estimation adapted to polytomous data.
J Am Med Dir Assoc
March 2024
Département de gériatrie, Assistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Pitié Salpêtrière, Paris, France; Sorbonne Université, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), Paris, France. Electronic address:
Objectives: Overtreatment with glucose-lowering treatment (GLT) is frequent and a source of high morbidity and mortality in older adults with type 2 diabetes mellitus (T2DM). This study aimed to identify and synthesize barriers and enablers for deprescribing GLT in older adults (≥65 years) with T2DM.
Design: Systematic review of qualitative and mixed-methods studies.
Orthop Traumatol Surg Res
May 2023
Clinique chirurgicale orthopédique et traumatologique, hôpital Hôtel-Dieu, CHU de Nantes, Nantes, France; Inserm UMR 1238, Sarcome et remodelage des tissus calcifiés, faculté de médecine, 1, rue Gaston-Veil, 44035 Nantes, France.
Introduction: Malignant tumors of the extremities are uncommon. Their surgical treatment, whether conservative or not, may cause sequelae. Functional assessment of patients is essential for research purposes, but also follow-ups and adaptation of treatments.
View Article and Find Full Text PDFBMC Med Res Methodol
March 2022
Département de Médecine Générale, Faculté de Médecine, Nantes Université, Nantes, France.
Background: Deprescribing literature has been increasing rapidly. Our aim was to develop and validate search filters to identify articles on deprescribing in Medline via PubMed and in Embase via Embase.com .
View Article and Find Full Text PDFMethods
August 2022
Inserm - University of Nantes - University of Tours, UMR U1246 Sphere "Methods in Patient-centered Outcomes and Health Research", Nantes 44200, France; University Hospital of Nantes, Unit of Methodology and Biostatistics, Nantes 44000, France.
Interpreting observed changes over time in Patient-Reported Outcomes (PRO) measures is still considered a challenge. Indeed, concluding an observed change at group level is statistically significant does not necessarily equate this change is meaningful from the perspective of the patient. To help interpret within and/or between group changes in the measure over time, the estimation of the Minimal Important Difference (MID) of the instrument - the smallest value that patients consider as a perceived change - is useful.
View Article and Find Full Text PDFBMC Med Res Methodol
June 2021
Inserm-University of Tours-University of Nantes, UMR U1246 Sphere "Methods in Patient-Centered Outcomes and Health Research", 37000, Tours, France.
Background: Patient-Reported Outcomes (PROs) are standardized questionnaires used to measure subjective outcomes such as quality of life in healthcare. They are considered paramount to assess the results of therapeutic interventions. However, because their calibration is relative to internal standards in people's mind, changes in PRO scores are difficult to interpret.
View Article and Find Full Text PDFQual Life Res
December 2021
Center for Outcomes Research and Evaluation, McGill University, Montreal, Canada.
Qual Life Res
December 2021
Center for Outcomes Research and Evaluation, McGill University, Montreal, Canada.
Purpose: The extant response shift definitions and theoretical response shift models, while helpful, also introduce predicaments and theoretical debates continue. To address these predicaments and stimulate empirical research, we propose a more specific formal definition of response shift and a revised theoretical model.
Methods: This work is an international collaborative effort and involved a critical assessment of the literature.
Health Qual Life Outcomes
May 2020
Inserm, Université Bretagne-Loire - Université de Nantes - Université de Tours, UMR U1246 SPHERE "Methods in patient-centered outcomes and health research", Nantes, France.
Background: Using a real dataset, we highlighted several major methodological issues raised by the estimation of the Minimal Clinically Important Difference (MCID) of a Patient-Reported Outcomes instrument. We especially considered the management of missing data and the use of more than two times of measurement. While inappropriate missing data management and inappropriate use of multiple time points can lead to loss of precision and/or bias in MCID estimation, these issues are almost never dealt with and require cautious considerations in the context of MCID estimation.
View Article and Find Full Text PDFRheumatology (Oxford)
August 2020
Department of Rheumatology, Sorbonne University, GRC-08 (EEMOIS), APHP, University Hospitals Pitié-Salpêtrière Charles-Foix, Paris, France.
Objective: In early RA, some patients exhibit rapid radiographic progression (RRP) after one year, associated with poor functional prognosis. Matrices predicting this risk have been proposed, lacking precision or inadequately calibrated. We developed a matrix to predict RRP with high precision and adequate calibration.
View Article and Find Full Text PDFNeurophysiol Clin
February 2019
Innovation cell, partnership and innovation department, directorate of medical affairs and research, CHU de Nantes, Nantes, France.
Objectives: Due to its ease of use, tolerance, and cost of acquisition, transcranial direct current stimulation (tDCS) could constitute a credible therapeutic option for non-resistant depression in primary care, when combined with drug management. This indication has yet to receive official recognition in France. The objective of this study is to evaluate the production cost of tDCS for the treatment of depression in hospitals, under realistic conditions.
View Article and Find Full Text PDFEur J Epidemiol
March 2018
Université de Nantes, Université de Tours, INSERM, SPHERE (INSERM U1246): methodS in Patient-centered outcomes and HEalth ResEarch - IRS2, 22 Boulevard Bénoni Goullin, 44200, Nantes, France.
When a patient is registered on renal transplant waiting list, she/he expects a clear information on the likelihood of being transplanted. Nevertheless, this event is in competition with death and usual models for competing events are difficult to interpret for non-specialists. We used a horizontal mixture model.
View Article and Find Full Text PDF