Navigating the future landscape of uterine fibroid research: a comprehensive summary of patient-centered outcome measures and implications.

Abstract

Background: Uterine fibroid constitutes a significant burden for affected women and research in this area has increasingly focused on patient-centered outcomes, with patient-reported outcome measures (PROMs) becoming crucial in related studies.

Objectives: We aim to summarize the key aspects and PROMs utilized in previous studies, recommend suitable tools for effective evaluations, and emphasize critical areas for future research.

Method: A literature search was conducted in the Medline, CINAHL, Embase, and Web of Science databases, covering the period from inception through October 2024.

Main results: 75 studies met the criteria for inclusion and these studies highlight that PROMs utilized in research associated with uterine fibroids encompass a wide range of evaluations, spanning from quality of life, menstrual details, psychological well-being, pelvic floor conditions, pain intensity, menopause symptoms, to sexual function, body image, and other related assessments. Despite using various PROMs in published studies, current clinical trials on uterine fibroids mainly rely on general questionnaires, employing questionnaires specifically designed for uterine fibroids.

Conclusion: By summarizing the research, we provide an overview of existing PROMs for uterine fibroids, revealing a gap due to the lack of specific PROMs. This review contributes to uterine fibroid research by promoting accurate assessments, leading to better treatment options and enhanced patient quality of life.