Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
Caring Futures Institute, College of Nursing and Health Science, Flinders University, Adelaide, SA, Australia.
JBI Evid Synth. 2023 Oct 1;21(10):2082-2091. doi: 10.11124/JBIES-22-00347.
This review will identify and appraise existing evidence on the measurement properties of utility-based health-related quality-of-life (HRQoL) measures used in cardiac rehabilitation programs. The review will map the measure domains against the International Classification of Functioning, Disability and Health and the International Consortium of Health Outcome Measures domains for cardiovascular disease.
Improving HRQoL is an international key indicator for delivering high-quality and person-centered secondary prevention programs. Many instruments and measures assess HRQoL in individuals undergoing cardiac rehabilitation. Utility-based measures are suitable for calculating quality-adjusted life years, a required outcome metric in cost-utility analysis. Cost-utility analysis requires the use of utility-based HRQoL measures. However, there is no consensus on which utility-based measure is best for populations undergoing cardiac rehabilitation.
Eligible studies will include patients aged ≥18 years with cardiovascular disease who are undergoing cardiac rehabilitation. Empirical studies that assess quality of life or HRQoL using a utility-based, health-related, patient-reported outcome measure or a measure accompanied by health state utilities will be eligible. Studies must report at least 1 of the following measurement properties: reliability, validity, responsiveness.
This review will follow the JBI methodology for systematic reviews of measurement properties. The following databases will be searched from inception to the present: MEDLINE, Emcare, Embase, Scopus, CINAHL, Web of Science Core Collection, Informit, PsyclNFO, REHABDATA, and the Cochrane Library. Studies will be critically appraised using the The COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) risk of bias checklist. The review will be reported in line with the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines.
PROSPERO CRD42022349395.
本综述旨在确定和评估用于心脏康复计划的基于效用的健康相关生活质量（HRQoL）测量工具的现有测量特性证据。该综述将根据国际功能、残疾和健康分类和国际心血管健康结果测量联盟的领域，对测量领域进行映射。
提高 HRQoL 是提供高质量和以患者为中心的二级预防计划的国际关键指标。许多工具和措施评估接受心脏康复的个体的 HRQoL。基于效用的测量方法适用于计算质量调整生命年，这是成本效用分析中的必需结果指标。成本效用分析需要使用基于效用的 HRQoL 测量方法。然而，对于接受心脏康复的人群，哪种基于效用的测量方法最好还没有共识。
合格的研究将包括年龄≥18 岁的患有心血管疾病并正在接受心脏康复的患者。合格的研究将包括使用基于效用的、与健康相关的、患者报告的结果测量或附有健康状态效用的测量方法评估生活质量或 HRQoL 的实证研究。研究必须报告至少以下测量特性中的 1 项：可靠性、有效性、反应性。
本综述将遵循 JBI 系统评价测量特性的方法。将从成立到现在搜索以下数据库：MEDLINE、Emcare、Embase、Scopus、CINAHL、Web of Science 核心合集、Informit、PsyclNFO、REHABDATA 和 Cochrane 图书馆。使用共识基础的健康状态测量工具选择标准（COSMIN）偏倚风险检查表对研究进行批判性评估。该综述将按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行报告。
PROSPERO CRD42022349395。
