上肢关节炎患者的患者报告结果测量:系统综述。

IF 1.9 Q2 ORTHOPEDICS
Armaghan Dabbagh, Christina Ziebart, Rochelle Furtado, Eleni C Boutsikari, Joy C MacDermid
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引用次数: 0

摘要

背景:关节炎导致残疾,影响患者的身心健康:关节炎会导致残疾,影响患者的身心健康:综述有关上肢关节炎患者的患者报告结果测量指标(PROMs)测量特性的证据:设计:系统综述(SR)概述:我们对 6 个数据库进行了电子检索,检索了与上肢关节炎患者 PROM 相关的任何测量属性的 SR。两位作者使用AMSTAR对纳入的SR进行了偏倚风险(ROB)评级。我们从每份研究报告中提取了有关测量属性的数据:从纳入的 6 个 SR 中,有 6 个 PROM(关节炎影响测量量表 [AIMS]、AIMS-2、AIMS-简表、Cedars-Sinai 类风湿关节炎健康相关生活质量(CSHQ-RA)、修订版 CSHQ-RA 和风湿病对一般健康和生活方式的影响)在 2 个或更多 SR 中进行了评估。纳入的SR的ROB从中度到高度不等。我们发现低到中等质量的证据表明 AIMS 具有良好的结构和标准效度、可接受的内容效度以及良好的响应性。我们发现,CSHQ-RA 具有良好的内部一致性、测试-再测可靠性和构建效度等方面的中低质量证据:我们发现所纳入的SR中,关于关节炎患者上肢PROM的ROB为中到高水平。更多的证据表明,上肢关节炎的特殊性体现在不常用的测量方法与上肢病症中使用的经过良好验证的测量方法之间,而且这些测量方法也是当前核心数据集所推荐的。这些因素表明,在针对关节炎患者提出建议之前,急需开展更多研究,以改善证据的范围和质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Reported Outcome Measures for Patients with Upper Extremity Arthritis: Overview of Systematic Reviews.

Background: Arthritis leads to disabilities impacting patients' physical and mental health.

Objective: To synthesize the evidence on measurement properties of the patient-reported outcome measures (PROMs) for people with upper extremity arthritis.

Design: Overview of systematic reviews (SRs).

Methods: We performed an electronic search of 6 databases to retrieve SRs looking at any measurement property related to PROMs for people with upper extremity arthritis. Two authors rated the risk of bias (ROB) of the included SRs using AMSTAR. We extracted data on measurement properties from each SR.

Results: From 6 included SRs, 6 PROMs (Arthritis Impact Measurement Scale [AIMS], AIMS-2, AIMS-Short Form, Cedars-Sinai Health-Related Quality of Life for Rheumatoid Arthritis (CSHQ-RA), Revised CSHQ-RA, and Influence of Rheumatic Disease on General Health and Lifestyle) were evaluated in 2 or more SRs. The ROB of the included SRs ranged from moderate to high. Low- to moderate-quality evidence was found of good construct and criterion validity, acceptable content validity, and good responsiveness of the AIMS. We found low- to moderate-quality evidence of good internal consistency, test-retest reliability, and construct validity of the CSHQ-RA.

Conclusion: We found a moderate to high ROB in the included SRs on the upper extremity PROMs for patients with arthritis. More evidence was specific to upper extremity arthritis in measures not in common use versus well-validated measures used in upper extremity conditions and recommended in current core sets. These factors suggest an urgent need for additional research to improve the scope and quality of evidence before recommendations can be made specific to patients with arthritis.

Registration number: on PROSPERO CRD 42019137491.

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来源期刊
CiteScore
4.40
自引率
0.00%
发文量
14
审稿时长
8 weeks
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