Phillips Pat, Rooney Gill, Wilson Emma, Michaels Jonathan
Sheffield Teaching Hospitals NHS Trust, Sheffield, United Kingdom.
The School of Health & Related Research, The University of Sheffield, Sheffield, United Kingdom.
J Vasc Nurs. 2021 Dec;39(4):120-125. doi: 10.1016/j.jvn.2021.09.001. Epub 2021 Oct 24.
To identify the most appropriate patient reported outcome measure (PROM) to quantify anxiety of participants in the United Kingdom (UK) National Abdominal Aortic Aneurysm Screening Programme (NAAASP).
Comprehensive electronic searches were undertaken to identify studies reporting development or validation of PROMs used in the measurement of anxiety in screened populations. Study selection, data extraction and analysis were conducted independently by two reviewers; the "COnsensus-based Standards for the selection of health Measurement INstruments" (COSMIN) classification of measurement properties was used in the evaluation of included PROMs enabling a recommendation to be made for the most appropriate PROM for use in the NAAASP.
The systematic review identified three PROMS that met the specified quality criteria and of these the Psychological Consequences of Screening questionnaire (PCQ) was judged to be the most appropriate PROM for use in populations undergoing screening for abdominal aortic aneurysm (AAA). Though the PCQ was developed for use in breast screening the individual items are appropriate to a population undergoing screening for AAA with minimal modification.
The review was undertaken as part of a wider research initiative aiming to introduce routine measurement of anxiety alongside the UK NAAASP. A significant number of individuals participating in this screening programme will have an AAA that will never progress to a stage where it will directly cause ill health or require treatment. For these individuals the knowledge that they have an AAA could create anxiety that has a significant impact on quality of life, there is a potential for this to outweigh the benefits of screening and surveillance.
In the absence of a PROM with proven validity and reliability in populations undergoing AAA screening the PCQ is a pragmatic choice as a measure of anxiety in this population and appropriate for the purposes of the NAAASP.
确定最合适的患者报告结局指标（PROM），以量化英国国家腹主动脉瘤筛查计划（NAAASP）参与者的焦虑程度。
进行全面的电子检索，以识别报告在筛查人群中用于测量焦虑的PROMs的开发或验证的研究。由两名评审员独立进行研究选择、数据提取和分析；在评估纳入的PROMs时，使用了基于共识的健康测量工具选择标准（COSMIN）对测量属性的分类，从而能够推荐最适合在NAAASP中使用的PROM。
系统评价确定了三项符合指定质量标准的PROMs，其中筛查问卷的心理后果（PCQ）被认为是最适合用于接受腹主动脉瘤（AAA）筛查人群的PROM。尽管PCQ是为乳腺筛查而开发的，但个别项目只需进行最小程度的修改就适用于接受AAA筛查的人群。
该评价是作为一项更广泛研究计划的一部分进行的，该计划旨在将焦虑的常规测量引入英国NAAASP。大量参与该筛查计划的个体患有AAA，但这种疾病永远不会发展到直接导致健康问题或需要治疗的阶段。对于这些个体而言，知道自己患有AAA可能会产生焦虑，对生活质量产生重大影响，这种焦虑有可能超过筛查和监测的益处。
在缺乏在接受AAA筛查的人群中已证实有效性和可靠性的PROM的情况下，PCQ是作为该人群焦虑测量的务实选择，适用于NAAASP的目的。
