Inform Physiotherapy and Pilates, Melbourne, Victoria, Australia.
Monash Rural Health, Monash University, Victoria, Australia and Through Life Physiotherapy, Warragul, Victoria, Australia.
Int J Evid Based Healthc. 2020 Jun;18(2):231-240. doi: 10.1097/XEB.0000000000000225.
To investigate the content and face validity of a patient-reported outcome measure used by Australian physiotherapists in the assessment of inflammatory conditions of the lactating breast.
Sixty one experts representing 'women who previously had inflammatory conditions of the lactating breast' (48%), 'clinicians' (38%) and 'academics' (8%) interested in women's health and 7% unidentified participants were invited to complete a three round Delphi study.
Ninety five percent of participants agreed that overall, the patient-reported outcome measure was appropriate for use in assessing and treating inflammatory conditions of the lactating breast. The item 'impact' was added to ensure the appropriate assessment of functional aspects of daily life. The item terminology used in the patient-reported outcome measure was simplified to 'pain', 'redness', 'hardness/tightness', 'temperature of affected area', 'sickness/wellness' and 'affected area. A clinician script was developed to ensure the patient-reported outcome measure has utility and consistency regardless of the experience of the women presenting with inflammatory conditions of the lactating breast or the clinician.
The resultant Breast Inflammatory Symptom Severity Index (BISSI) is a patient-reported outcome measure for use in the diagnosis and monitoring of clinical changes of symptoms associated with inflammatory conditions of the lactating breast including engorgement, blocked ducts and mastitis. It utilizes person-centred language and assesses symptoms considered important to both patient and clinician. The development of the clinician script facilitates utility regardless of the experience of either the woman with the inflammatory condition or the treating clinician.
调查澳大利亚物理治疗师在评估哺乳期乳房炎症性疾病时使用的患者报告结局测量工具的内容和表面有效性。
邀请 61 名代表“曾患有哺乳期乳房炎症性疾病的女性”（48%）、“临床医生”（38%）和“对女性健康感兴趣的学者”（8%）以及 7%未识别的参与者完成三轮 Delphi 研究。
95%的参与者一致认为，总体而言，患者报告结局测量工具适合用于评估和治疗哺乳期乳房炎症性疾病。添加了“影响”项，以确保对日常生活功能方面进行适当评估。简化了患者报告结局测量工具中使用的项目术语，改为“疼痛”、“红肿”、“硬结/紧绷”、“受影响区域的温度”、“不适/健康”和“受影响区域”。开发了临床医生脚本，以确保患者报告结局测量工具具有实用性和一致性，无论出现哺乳期乳房炎症性疾病的女性或临床医生的经验如何。
由此产生的乳房炎症症状严重程度指数（BISSI）是一种用于诊断和监测与哺乳期乳房炎症性疾病相关症状临床变化的患者报告结局测量工具，包括乳房肿胀、乳腺管堵塞和乳腺炎。它使用以患者为中心的语言，并评估了患者和临床医生都认为重要的症状。临床医生脚本的开发促进了实用性，无论患有炎症性疾病的女性或治疗临床医生的经验如何。
