Fox Rina S, Peipert John Devin, Vera-Llonch Montserrat, Phillips Glenn, Cella David
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Global Health Economics and Outcomes Research, Akcea Therapeutics, Cambridge, MA, USA.
Expert Rev Cardiovasc Ther. 2020 Apr;18(4):231-238. doi: 10.1080/14779072.2020.1748011. Epub 2020 Apr 4.
: FCS significantly affects health-related quality of life (HRQOL). Legacy patient-reported outcome measures are often not sensitive to FCS's impact. NIH PROMIS and Neuro-QoL measures may accurately capture HRQOL in FCS patients. This study assessed a broad range of PROMIS and Neuro-QoL measures covering physical, mental, and social HRQOL to determine their suitability for the FCS population.: Adult FCS patients in the United States (= 25) were recruited to an online survey study and completed several PROMIS short forms and Neuro-QoL computer adaptive tests.: Scores were more than 0.5 standard deviations () worse than the normative mean on 10 of 16 normed measures, and more than 0.75 s worse than the normative mean on two measures. Responses at the floor and ceiling were occasionally observed, marginal reliabilities were strong, and significant differences across performance status (s < 0.05) provided preliminary support for construct validity. The measures correlated with each other strongly and as expected.: Results support the ability of PROMIS and Neuro-QoL measures to detect HRQOL impairment among patients with FCS. PROMIS and Neuro-QoL measures captured the functional impact and symptom burden associated with FCS, and the broad range of symptom severity experienced by patients with FCS.
功能性慢性疼痛综合征(FCS)显著影响健康相关生活质量(HRQOL)。传统的患者报告结局指标通常对FCS的影响不敏感。美国国立卫生研究院(NIH)的患者报告结局测量信息系统(PROMIS)和神经生活质量(Neuro-QoL)指标可能准确反映FCS患者的HRQOL。本研究评估了一系列广泛的PROMIS和Neuro-QoL指标,涵盖身体、心理和社会HRQOL,以确定它们对FCS人群的适用性。
招募了美国25名成年FCS患者参与一项在线调查研究,并让他们完成了几份PROMIS简表和Neuro-QoL计算机自适应测试。
在16项标准化指标中的10项上,得分比标准均值差超过0.5个标准差(SD),在两项指标上比标准均值差超过0.75个SD。偶尔会观察到得分处于最低值和最高值的情况,边际信度较强,不同表现状态之间的显著差异(p < 0.05)为结构效度提供了初步支持。这些指标之间的相关性很强,且符合预期。
结果支持PROMIS和Neuro-QoL指标检测FCS患者HRQOL损害的能力。PROMIS和Neuro-QoL指标反映了与FCS相关的功能影响和症状负担,以及FCS患者所经历的广泛症状严重程度。