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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
BJOG: An International Journal of Obstetrics & Gynaecology ( IF 4.7 ) Pub Date : 2024-10-04 , DOI: 10.1111/1471-0528.17971
Sarah J. Conrad, Stéphanie Bernard, Douglas P. Gross, Linda McLean

BackgroundPatient‐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.ObjectiveTo 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 StrategyFive databases were searched from inception to December 2023.Selection CriteriaStudies 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 AnalysisMethodological quality and measurement quality were assessed using the COSMIN risk of bias (ROB) checklist and the COSMIN criteria for good measurement properties.Main ResultsA 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.ConclusionThis original work identified a gap in evidence regarding the measurement qualities of identified PROMs used in the POP population.

中文翻译:


患者报告的盆腔器官脱垂结果测量:使用基于 COnsensus 的标准选择健康测量工具 (COSMIN) 检查表的系统评价



背景建议患者报告的结果测量 (PROM) 来衡量健康状况或干预效果的影响,因为它们旨在捕捉对患者最有意义的内容。几种 PROM 用于评估盆腔器官脱垂 (POP) 相关领域,但尚未通过对方法学质量和证据质量的严格分析来充分探索这些仪器的测量特性。目的根据 COSMIN 指南对用于评估 POP 相关结构域的 PROM 的测量特性进行系统评价。检索策略从建库到 2023 年 12 月检索了五个数据库。纳入排除标准如果研究涉及 (1) 至少一组被诊断患有或出现 POP 症状的女性成年人;(2) 自我报告的结果测量(PROM、问卷)以评估 POP 相关领域;(3) 至少一个测量属性。资料收集与分析使用 COSMIN 偏倚风险 (ROB) 检查表和 COSMIN 标准评估方法学质量和测量质量,以获得良好的测量特性。主要结果共纳入 13 例 PROM。BIPOP 的内容效度 ROB 最低。POP-SS 是唯一具有足够结构有效性和反应性证据的 PROM,可用于手术和保守治疗环境。结论这项原始工作确定了 POP 人群中使用的已确定 PROM 的测量质量的证据差距。
更新日期:2024-10-04
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