Furumaya Alicia, Nooijen Lynn E, Haring Martijn P D, van Oers Hedy A, van Beneden Marlou, van Rosmalen Belle V, Takkenberg R Bart, Kazemier Geert, Besselink Marc G, de Meijer Vincent E, Erdmann Joris I
Department of Surgery, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam, The Netherlands.
J Patient Rep Outcomes. 2022 Dec 9;6(1):124. doi: 10.1186/s41687-022-00531-1.
Patient reported outcome measures (PROMs) may be useful for patients with benign liver tumours and cysts (BLTC) to evaluate the impact of treatment and/or guide shared decision making. Yet, a set of PROMs relevant to patients with BLTC is currently unavailable. In this study, we selected a PROMs set for patients with BLTC.
Potentially relevant patient reported outcomes (PROs) were selected by psychologist-researchers based on keywords used or suggested by participants of two virtual focus groups meetings consisting of thirteen female BLTC patients with a median age of 50 years. Subsequently, patients were asked to report their most relevant PROs. PROMs identified by systematic literature review and computerized adaptive tests (CATs) in the Patient-Reported Outcomes Measurement Information System (PROMIS) were considered in selecting the final PROMs set to assess relevant outcomes.
The most important PROs were: insecurity/anxiety (11/12 patients), pain (9/12 patients), fatigue (8/12 patients), and limitations in daily life (5/12 patients). The literature review included 23 studies, which used various generic and disease-specific PROMs, often not measuring (all) relevant PROs. The final selected PROMs set included numerical rating scales for pain, two questions on overall health and quality of life and four PROMIS CATs.
A PROMs set generically and efficiently measuring outcomes relevant for patients with BLTC was developed and may be used in future research and clinical practice.
患者报告结局指标(PROMs)可能有助于评估良性肝脏肿瘤和囊肿(BLTC)患者的治疗效果及指导共同决策。然而,目前尚无一套适用于BLTC患者的PROMs。在本研究中,我们为BLTC患者选择了一套PROMs。
心理学研究人员根据由13名年龄中位数为50岁的女性BLTC患者组成的两个虚拟焦点小组会议参与者使用或建议的关键词,选择潜在相关的患者报告结局(PROs)。随后,要求患者报告其最相关的PROs。在选择最终的PROMs集以评估相关结局时,考虑了通过系统文献综述和患者报告结局测量信息系统(PROMIS)中的计算机自适应测试(CATs)确定的PROMs。
最重要的PROs为:不安全感/焦虑(11/12名患者)、疼痛(9/12名患者)、疲劳(8/12名患者)和日常生活受限(5/12名患者)。文献综述纳入了23项研究,这些研究使用了各种通用和疾病特异性的PROMs,但往往未测量(所有)相关的PROs。最终选定的PROMs集包括疼痛数字评定量表、关于总体健康和生活质量的两个问题以及四个PROMIS CATs。
开发了一套能全面且有效地测量与BLTC患者相关结局的PROMs,可用于未来的研究和临床实践。