Silvia Lahuerta-Martín, Daniel García-García, Ricardo Medrano-de-la-Fuente, María Teresa Mingo-Gómez, Sandra Jiménez-Del-Barrio, Luis Ceballos-Laita, Ignacio Hernando-Garijo, Lidwine B Mokkink
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PubMed, EMBASE, Web of Science and SCOPUS were systematically searched up to September 2024.</p><p><strong>Study selection: </strong>Two independent reviewers evaluated articles that examined any (subscale of) PROM that measure fatigue in people with SCI, and reported information about the development of the PROM or the evaluation of at least one measurement property.</p><p><strong>Data extraction: </strong>Data were extracted following the COSMIN guideline. The methodological quality of the included studies was evaluated with the Risk of Bias checklist and the results for each study were rated with the Criteria for good measurement properties. The evaluation of each PROM was conducted by summarizing the results of all the studies per measurement property. The quality of evidence was analyzed per measurement property per PROM using the GRADE approach.</p><p><strong>Data synthesis: </strong>Seventeen articles describing 18 (subscales of) PROMs for measuring fatigue were included. 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引用次数: 0
摘要
目的：系统回顾用于测量脊髓损伤（SCI）患者疲劳的患者报告结果测量（PROMs）的测量特性，以推荐最适合用于研究/临床实践的PROM。数据来源：本系统综述是按照COSMIN关于PROMs 2.0版本系统综述的指南进行的。系统检索PubMed、EMBASE、Web of Science和SCOPUS至2024年9月。研究选择：两名独立的审稿人评估了检测脊髓损伤患者疲劳程度的早膜损伤（子量表）的文章，并报告了早膜损伤的发展或至少一项测量特性的评估信息。数据提取：按照COSMIN指南提取数据。纳入研究的方法学质量用偏倚风险检查表进行评估，每个研究的结果用良好测量特性标准进行评分。通过总结每个测量属性的所有研究结果来对每个PROM进行评估。使用GRADE方法分析每个PROM的每个测量属性的证据质量。数据综合：包括17篇文章，描述了测量疲劳的18个PROMs（子量表）。关于PROMs测量脊髓损伤患者疲劳的测量特性，目前仅有3项高质量的研究。PROMIS疲劳SF7a和8a被评为足够，内容效度的证据质量中等。为PROMIS疲劳SF8a的结构效度和内部一致性获得了足够的高质量证据评级。对于测量不变性，分别获得了PROMIS疲劳SF7a和8a的低质量或极低质量证据的足够评级。其他prom在测量特性研究中显示出有限的证据质量。结论：在研究和临床实践中，PROMIS疲劳SF7a和8a是评估成人脊髓损伤患者疲劳的最合适的选择。
Measurement properties of patient-reported outcome measures for measuring fatigue in people with spinal cord injury: a systematic review.
Objective: To systematically review the measurement properties of patient-reported outcome measures (PROMs) for measuring fatigue in people with spinal cord injury (SCI) to recommend the most suitable PROM for use in research/clinical practice.
Data sources: This systematic review was conducted following the COSMIN guideline for systematic reviews of PROMs version 2.0. PubMed, EMBASE, Web of Science and SCOPUS were systematically searched up to September 2024.
Study selection: Two independent reviewers evaluated articles that examined any (subscale of) PROM that measure fatigue in people with SCI, and reported information about the development of the PROM or the evaluation of at least one measurement property.
Data extraction: Data were extracted following the COSMIN guideline. The methodological quality of the included studies was evaluated with the Risk of Bias checklist and the results for each study were rated with the Criteria for good measurement properties. The evaluation of each PROM was conducted by summarizing the results of all the studies per measurement property. The quality of evidence was analyzed per measurement property per PROM using the GRADE approach.
Data synthesis: Seventeen articles describing 18 (subscales of) PROMs for measuring fatigue were included. There were only 3 high-quality studies on measurement properties of PROMs measuring fatigue in people with SCI. The PROMIS Fatigue SF7a and 8a were rated as sufficient with moderate quality of evidence for content validity. Sufficient ratings with high-quality evidence were obtained for structural validity and internal consistency for the PROMIS Fatigue SF8a. For measurement invariance sufficient ratings with low or very low-quality evidence were obtained for PROMIS Fatigue SF7a and 8a, respectively. The other PROMs showed limited quality of evidence in the measurement properties studied.
Conclusions: The PROMIS Fatigue SF7a and 8a are the most suitable options to assess fatigue in adults with SCI in research and clinical practice.
期刊介绍：
The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities.
Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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