J Orthop Sports Phys Ther. 2022 May;52(5):262-275. doi: 10.2519/jospt.2022.10727. Epub 2022 Feb 5.
To systematically review measurement properties, including acceptability, feasibility, and interpretability, and current uses of the Patient-Specific Functional Scale (PSFS).
Systematic review of a patient-reported outcome measure using the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) guidelines.
We searched 11 databases from January 2010 to July 2020 for articles on measurement properties or use of PSFS.
Published primary articles without language restrictions.
Two independent reviewers screened all records, extracted data, and performed risk of bias assessments using COSMIN guidelines. We qualitatively synthesized findings for each measurement property in musculoskeletal and nonmusculoskeletal conditions, and 2 reviewers independently performed Grading of Recommendations Assessment, Development and Evaluation assessments. This study was preregistered with the Open Science Framework (https://doi.org/10.17605/OSF.IO/42UZT).
Of the 985 articles screened, we included 57 articles on measurement properties and 255 articles on the use of PSFS. The PSFS had test-retest reliability in musculoskeletal (22 studies, 845 participants, low-to-moderate certainty) and nonmusculoskeletal conditions (6 studies, 197 participants, very low certainty), construct validity as a measure of physical function (21 studies, 2 945 participants, low-to-moderate certainty), and responsiveness (32 studies, 13 770 participants, moderate-to-high certainty). The standard error of measurement ranged from 0.35 to 1.5. The PSFS was used in 87 unique health conditions, some without prior evidence of validity.
The PSFS is an easy-to-use, reliable, and responsive scale in numerous musculoskeletal conditions, but the construct validity of PSFS remains uncertain. Further study of the measurement properties of the PSFS in nonmusculoskeletal conditions is necessary before clinical use. .
系统评价患者特异性功能量表（PSFS）的测量特性，包括可接受性、可行性和可解释性，以及当前的使用情况。
使用共识基础的健康测量仪器选择标准（COSMIN）指南对患者报告的结果测量工具进行系统评价。
我们从 2010 年 1 月至 2020 年 7 月，在 11 个数据库中检索了关于测量特性或 PSFS 使用的文章，无语言限制。
发表的无语言限制的主要文章。
两位独立的审查员筛选所有记录，使用 COSMIN 指南提取数据并进行偏倚风险评估。我们定性地综合了肌肉骨骼和非肌肉骨骼疾病中每种测量特性的结果，两位审查员独立进行了推荐评估、制定和评估的分级评估。本研究在开放科学框架（https://doi.org/10.17605/OSF.IO/42UZT）上进行了预先注册。
在筛选的 985 篇文章中，我们纳入了 57 篇关于测量特性的文章和 255 篇关于 PSFS 使用的文章。PSFS 在肌肉骨骼（22 项研究，845 名参与者，低到中等确定性）和非肌肉骨骼疾病（6 项研究，197 名参与者，非常低的确定性）中具有重测信度，作为身体功能测量的构念效度（21 项研究，2945 名参与者，低到中等确定性），和反应度（32 项研究，13770 名参与者，中到高度确定性）。测量误差的标准误差范围为 0.35 至 1.5。PSFS 已在 87 种独特的健康状况中使用，其中一些状况没有事先的有效性证据。
PSFS 在许多肌肉骨骼疾病中是一种易于使用、可靠和敏感的量表，但 PSFS 的构念效度仍不确定。在将 PSFS 用于非肌肉骨骼疾病的测量特性之前，需要进一步研究。
