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评价患者报告和临床医生报告的化疗诱导周围神经病变结局测量指标的心理测量学特性:COSMIN 系统综述方案。

Evaluation of the psychometric properties of patient-reported and clinician-reported outcome measures of chemotherapy-induced peripheral neuropathy: a COSMIN systematic review protocol.

机构信息

Faculty of Nursing, Université Laval, Quebec City, Quebec, Canada.

Oncology Division, Centre de recherche du CHU de Quebec-Universite Laval, Quebec City, Quebec, Canada.

出版信息

BMJ Open. 2022 Apr 6;12(4):e057950. doi: 10.1136/bmjopen-2021-057950.

Abstract

INTRODUCTION

Chemotherapy-induced peripheral neuropathy (CIPN) is a poorly understood side effect of many antineoplastic agents. Patients may experience sensory, motor and autonomic symptoms, negatively impacting quality of life. A gold-standard assessment methodology has yet to be determined, limiting efforts to identify effective agents to prevent or treat CIPN.

METHODS AND ANALYSIS

This is a protocol of a systematic review of psychometric analyses of CIPN Clinician Reported Outcome Measures (ClinROM) and Patient-Reported Outcome Measures (PROM) among adults receiving, or who had previously received chemotherapy for cancer. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) quality ratings will be compared across studies and across ClinROMs and PROMs. Studies reporting psychometric proprieties of CIPN ClinROMs and/or PROMs among adults aged ≥18 years will be eligible for inclusion, with no restriction on language or year of publication. MEDLINE, Embase, CINAHL and APA PsycINFO databases will be searched from inception to 31 December 2021. Study characteristics, measurement properties of the ClinROMs and/or PROMs and the CIPN definitions will be extracted. The Synthesis Without Meta-analysis guideline will be used to guide data synthesis. The COSMIN Risk of Bias checklist will be used by two independent raters to assess methodological quality. Subgroup analyses by age, chemotherapy type, and study timing in relation to the delivery of chemotherapy will be carried out where data are available. An adapted version of Outcome Measures in Rheumatology filter 2.1 will be used to provide a best-evidence synthesis of CIPN ClinROMs and PROMs and to recommend a CIPN assessment tool for clinical and research settings.

ETHICS AND DISSEMINATION

Ethical approval is not necessary to be obtained for this systematic review protocol. Results will be disseminated to clinicians and policy-makers by publication in a peer-reviewed journal and by presenting at relevant conferences.

PROSPERO REGISTRATION NUMBER

CRD42021278168.

摘要

简介

化疗引起的周围神经病(CIPN)是许多抗肿瘤药物的一种尚未被充分了解的副作用。患者可能会出现感觉、运动和自主症状,从而降低生活质量。目前还没有确定金标准评估方法,这限制了寻找有效药物来预防或治疗 CIPN 的努力。

方法与分析

这是一项系统评价的方案,评估了接受或曾接受过癌症化疗的成年人中 CIPN 临床报告结局测量(ClinROM)和患者报告结局测量(PROM)的心理测量学分析。将比较研究之间以及 ClinROM 和 PROM 之间的共识基于标准选择健康测量工具(COSMIN)质量评级。报告成年人 CIPN ClinROM 和/或 PROM 心理测量特性的研究,无论语言或出版年份如何,均符合纳入标准。将从建库开始至 2021 年 12 月 31 日检索 MEDLINE、Embase、CINAHL 和 APA PsycINFO 数据库。将提取研究特征、ClinROM 和/或 PROM 的测量特性以及 CIPN 定义。将使用无荟萃分析综合指南指导数据综合。将由两名独立评估员使用 COSMIN 偏倚风险检查表评估方法学质量。如果数据可用,将按年龄、化疗类型和与化疗实施时间的关系进行亚组分析。将使用改良版风湿病结局测量 2.1 过滤器对 CIPN ClinROM 和 PROM 进行最佳证据综合,并推荐用于临床和研究环境的 CIPN 评估工具。

伦理与传播

本系统评价方案无需获得伦理批准。研究结果将通过在同行评议期刊上发表和在相关会议上展示,向临床医生和决策者传播。

PROSPERO 注册号:CRD42021278168。

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