骨盆器官脱垂的患者报告结果测量方法:使用基于共识的健康测量工具选择标准(COSMIN)核对表进行的系统性回顾。

IF 4.7 1区 医学 Q1 OBSTETRICS & GYNECOLOGY
Sarah J Conrad, Stéphanie Bernard, Douglas P Gross, Linda McLean
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引用次数: 0

摘要

背景:建议采用患者报告结果测量法(PROMs)来测量健康状况的影响或干预效果,因为这些方法旨在捕捉对患者最有意义的信息。有几种 PROMs 被用于评估与盆腔器官脱垂(POP)相关的领域,但这些工具的测量特性尚未通过对方法学质量和证据质量的严格分析得到充分探讨:根据 COSMIN 指南,对用于评估 POP 相关领域的 PROM 的测量特性进行系统性综述:筛选标准:符合条件的研究包括:(1) 至少一组被诊断患有或出现 POP 症状的成年女性;(2) 用于评估 POP 相关领域的自我报告结果测量方法(PROMs、调查问卷);(3) 至少一种测量特性:数据收集与分析:采用COSMIN偏倚风险(ROB)清单和COSMIN良好测量属性标准对方法学质量和测量质量进行评估:主要结果:共纳入了 13 项 PROM。BIPOP 的内容有效性 ROB 最低。POP-SS是唯一一个有充分证据表明具有足够的构建有效性和响应性的PROM,可用于手术和保守治疗:这项原创性工作确定了在用于 POP 群体的已确定 PROM 的测量质量方面存在的证据差距。
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 Pelvic Organ Prolapse: A Systematic Review Using the COnsensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) Checklist.

Background: Patient-reported outcome measures (PROMs) are recommended to measure the impact of a health condition or intervention effectiveness as they aim to capture what is most meaningful to patients. Several PROMs are used to evaluate pelvic organ prolapse (POP)-related domains, yet the measurement properties of these instruments have not been fully explored with a rigorous analysis of the methodological quality and quality of evidence.

Objective: To conduct a systematic review reporting on the measurement properties of PROMs used for the assessment of POP-related domains in accordance with the COSMIN guidelines.

Search strategy: Five databases were searched from inception to December 2023.

Selection criteria: Studies were eligible if they involved (1) at least one group of female adults diagnosed with or presenting with symptoms of POP; (2) a self-reported outcome measure (PROMs, questionnaires) to evaluate POP-related domains; and (3) at least one measurement property.

Data collection and analysis: Methodological quality and measurement quality were assessed using the COSMIN risk of bias (ROB) checklist and the COSMIN criteria for good measurement properties.

Main results: A total of 13 PROMs were included. The BIPOP had the lowest ROB for Content Validity. The POP-SS was the only PROM with sufficient evidence of adequate construct validity and responsiveness to be used in both surgical and conservative management settings.

Conclusion: This original work identified a gap in evidence regarding the measurement qualities of identified PROMs used in the POP population.

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来源期刊
CiteScore
10.90
自引率
5.20%
发文量
345
审稿时长
3-6 weeks
期刊介绍: BJOG is an editorially independent publication owned by the Royal College of Obstetricians and Gynaecologists (RCOG). The Journal publishes original, peer-reviewed work in all areas of obstetrics and gynaecology, including contraception, urogynaecology, fertility, oncology and clinical practice. Its aim is to publish the highest quality medical research in women''s health, worldwide.
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