A critical COSMIN-informed scoping review of complex abdominal wall hernia quality of life tools: making a case for patient-driven tool development.

IF 2.4 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-07-02 DOI:10.1007/s10029-025-03399-4

Catherine Oxley, Olivia Smith, Asim Abbas, Mark Mierzwinski, Christine Davey, Praminthra Chitsabesan, Srinivas Chintapatla

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引用次数: 0

Abstract

Background: Health-Related Quality of Life (HRQoL) is increasingly recognized as a key outcome measure in Complex Abdominal Wall Hernia (CAWH) surgery. However, selecting an appropriate HRQoL tool is challenging due to the variety of available instruments and their variable psychometric properties.

Aim: This scoping review systematically reviews and evaluates the six CAWH-specific HRQoL tools using the Consensus-based Standards for the Selection of Measurement Instruments (COSMIN) framework. The aim of this scoping review was to assess the clinical suitability and developmental robustness of CAWH-specific HRQoL instruments. This review does not assess post-operative HRQoL outcomes, but rather evaluates the design, content, and methodological quality of CAWH-specific tools themselves using the COSMIN framework.

Methods: A scoping review was conducted in accordance with PRISMA-ScR and informed by COSMIN and Joanna Briggs Institute (JBI) scoping methodology. Four databases (MEDLINE, EMBASE, Cochrane CENTRAL, ClinicalTrials.gov) were searched (March 2024) to identify studies that used or evaluated CAWH-specific HRQoL tools. Tools were assessed across key COSMIN domains: conceptual framework, psychometric properties, respondent burden, and patient involvement in development.

Results: Six CAWH-specific HRQoL instruments were identified: CCS, HerQLes, EuraHS-QoL, AAS/mAAS, AHQ, and HERQL. While these tools demonstrated utility, none fully integrated patient perspectives from initial domain development, and all exhibited gaps in content and structural validity. Comparative psychometric data across tools were limited, further complicating selection.

Conclusion: Despite growing interest in measuring HRQoL in CAWH surgery, existing tools show important developmental limitations. While these tools demonstrate utility, none fully integrate patient perspectives throughout their development, and all exhibit gaps in content and structural validity. Additionally, comparative psychometric data remain limited, further complicating tool selection. Given these limitations, there is a clear need for further development-either by refining existing tools or creating a new, patient-informed HRQoL instrument that adheres to robust psychometric standards.

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查看原文本刊更多论文

一项关于复杂腹壁疝生活质量工具的关键cosmin范围审查：为患者驱动的工具开发提供案例。

背景：与健康相关的生活质量（HRQoL）越来越被认为是复杂腹壁疝（CAWH）手术的关键结果指标。然而，选择一个合适的HRQoL工具是具有挑战性的，因为各种可用的工具和他们的可变心理测量特性。目的：本综述使用基于共识的测量工具选择标准（COSMIN）框架系统地回顾和评估了6种cawh特异性HRQoL工具。本综述的目的是评估cawh特异性HRQoL仪器的临床适用性和发展稳健性。本综述不评估术后HRQoL结果，而是使用COSMIN框架评估cawh特异性工具本身的设计、内容和方法学质量。方法：根据PRISMA-ScR进行范围审查，并由COSMIN和Joanna Briggs Institute （JBI）范围审查方法学告知。检索四个数据库（MEDLINE， EMBASE, Cochrane CENTRAL, ClinicalTrials.gov）以确定使用或评估cawh特异性HRQoL工具的研究（2024年3月）。评估了COSMIN关键领域的工具：概念框架、心理测量特性、被调查者负担和患者参与开发。结果：鉴定出6种cah特异性HRQoL仪器：CCS、HerQLes、EuraHS-QoL、AAS/mAAS、AHQ和HERQL。虽然这些工具展示了实用性，但没有一个从最初的领域开发中完全整合了患者的观点，并且在内容和结构有效性方面都表现出差距。跨工具的比较心理测量数据有限，进一步使选择复杂化。结论：尽管人们对CAWH手术中HRQoL的测量越来越感兴趣，但现有的工具显示出重要的发展局限性。虽然这些工具显示出实用性，但没有一个工具在开发过程中充分整合了患者的观点，并且在内容和结构有效性方面都存在差距。此外，比较心理测量数据仍然有限，进一步使工具选择复杂化。鉴于这些局限性，显然需要进一步发展——要么改进现有工具，要么创建一种新的、患者知情的HRQoL仪器，坚持健全的心理测量标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.