Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev, Denmark.
Hernia. 2021 Oct;25(5):1111-1120. doi: 10.1007/s10029-020-02322-3. Epub 2020 Oct 19.
To quantitatively assess the use of patient-reported outcome measures in studies involving patients undergoing inguinal hernia repair.
We performed a systematic literature search in Medline and EMBASE. We included all studies published between 2000 and 2019 that involved > 5 patients receiving inguinal hernia repair and evaluated a postoperative patient-reported outcome measure. Studies were stratified in 5-year intervals. We extracted data on which patient-reported outcome measure was used, its time of administration, study design, and the size and composition of the study population. Data were presented using descriptive statistics.
We included 929 studies that covered 81 different patient-reported outcome measures. Of these, the Short-Form 36 was the most commonly used generic instrument (14%), the Carolinas Comfort Scale was the most commonly used hernia-specific instrument (5%), and the Visual Analogue Scale was the most commonly used domain-specific instrument (70%). There was a proportional decrease in the use of generic instruments, from 24% of studies in 2000-2004 to only 14% of studies in 2015-2019. Conversely, there was an increase in the use of hernia-specific instruments, from 0% in 2000-2004 to 18% in 2015-2019.
There is heterogeneity in the use of patient-reported outcome measures in the field of inguinal hernia research. The use of hernia-specific instruments is increasing, the use of generic instruments is decreasing, and the use of domain-specific instruments remains consistently high. This study serves as a repository of all available patient-reported outcome measures relevant to patients undergoing inguinal hernia repair.
定量评估涉及腹股沟疝修补术患者的研究中使用患者报告结局测量的情况。
我们在 Medline 和 EMBASE 中进行了系统的文献检索。我们纳入了所有发表于 2000 年至 2019 年间、涉及接受腹股沟疝修补术的患者超过 5 例并评估术后患者报告结局测量的研究。研究按 5 年间隔分层。我们提取了使用的患者报告结局测量、实施时间、研究设计以及研究人群的规模和组成的数据。数据使用描述性统计呈现。
我们纳入了 929 项研究，涵盖了 81 种不同的患者报告结局测量。其中，短式健康调查 36 项量表是最常用的通用工具（14%），卡罗莱纳舒适度量表是最常用的疝特定工具（5%），视觉模拟量表是最常用的特定领域工具（70%）。通用工具的使用呈比例下降，从 2000-2004 年的研究中占 24%降至 2015-2019 年的研究中仅占 14%。相反，疝特定工具的使用有所增加，从 2000-2004 年的 0%增加到 2015-2019 年的 18%。
在腹股沟疝研究领域，患者报告结局测量的使用存在异质性。疝特定工具的使用正在增加，通用工具的使用正在减少，特定领域工具的使用仍然保持较高水平。本研究提供了与接受腹股沟疝修补术的患者相关的所有可用患者报告结局测量的知识库。
