识别和评价痤疮治疗满意度的患者报告结局测量指标:系统评价。
Identifying and appraising patient-reported outcome measures on treatment satisfaction in acne: a systematic review.
机构信息
Dermatology Department, Leiden University Medical Centre, Leiden, the Netherlands.
Skin Patients Netherlands (Huidpatiënten Nederland), Nieuwegein, the Netherlands.
出版信息
Br J Dermatol. 2021 Jul;185(1):36-51. doi: 10.1111/bjd.19675. Epub 2020 Dec 28.
BACKGROUND
After dermatitis, acne is the next skin disease to contribute most to the burden of skin diseases worldwide. Recently, seven core outcome domains have been identified, which together form an Acne Core Outcome Set (ACORN). One of these was satisfaction with acne treatment.
OBJECTIVES
To identify studies that described the development of patient-reported outcome measures (PROMS), evaluated one or more measurement properties of a PROM, or evaluated the interpretability of a PROM in patients with acne regarding treatment satisfaction.
METHODS
The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) search strategy for identifying PROMS on acne treatment satisfaction was used. We searched PubMed, MEDLINE, Embase, LILACS, Web of Science, Cochrane Library, Emcare, PsycINFO and Academic Search premier (June 2020). Study selection, data extraction and assessment of methodological quality according to COSMIN guidance were carried out independently by two authors.
RESULTS
Only one study could be included, describing the development of a treatment satisfaction measure in patients with acne. The development was assessed as inadequate and data on measurement properties were lacking. Additionally, we found 188 studies reporting treatment satisfaction solely as an outcome, using a wide variety of methods, none of them standardized or validated.
CONCLUSIONS
We could not find a PROM on treatment satisfaction to recommend for a core outcome set in acne. There is an unmet need for a PROM on treatment satisfaction in acne that is robustly developed, designed and validated.
背景
在皮炎之后,痤疮是对全球皮肤病负担贡献第二大的皮肤病。最近,已经确定了七个核心结局领域,它们共同构成了痤疮核心结局集(ACORN)。其中之一是对痤疮治疗的满意度。
目的
确定描述患者报告结局测量(PROM)开发、评估 PROM 的一个或多个测量特性或评估痤疮患者治疗满意度的 PROM 可解释性的研究。
方法
使用共识基础的健康测量仪器选择标准(COSMIN)搜索策略来确定关于痤疮治疗满意度的 PROM。我们在 2020 年 6 月在 PubMed、MEDLINE、Embase、LILACS、Web of Science、Cochrane 图书馆、Emcare、PsycINFO 和 Academic Search premier 中进行了搜索。两名作者独立进行了研究选择、数据提取和根据 COSMIN 指南评估方法学质量。
结果
仅纳入了一项描述痤疮患者治疗满意度测量开发的研究。该研究的开发被评估为不充分,并且缺乏测量特性的数据。此外,我们发现了 188 项仅将治疗满意度作为结果报告的研究,使用了各种各样的方法,没有一种方法是标准化或验证过的。
结论
我们没有找到推荐用于痤疮核心结局集的治疗满意度 PROM。痤疮患者对治疗满意度的 PROM 存在未满足的需求,需要进行稳健的开发、设计和验证。