评估用于评估血液透析患者症状的患者报告结局测量工具的心理计量学特性：使用 COSMIN 指南进行的系统评价。
Evaluating the Psychometric Properties of Patient-Reported Outcome Measures for Assessing Symptoms in Hemodialysis: A Systematic Review Using COSMIN Guidelines.
机构信息
CINTESIS@RISE, Department of Education and Psychology (H.S., O.R.), University of Aveiro, Aveiro, Portugal.
CINTESIS@RISE, Department of Education and Psychology (H.S., O.R.), University of Aveiro, Aveiro, Portugal.
出版信息
J Pain Symptom Manage. 2024 Jan;67(1):e34-e57. doi: 10.1016/j.jpainsymman.2023.09.016. Epub 2023 Sep 19.
CONTEXT
Patient-reported outcome measures (PROMs) may have an important role in screening and monitoring for unpleasant symptoms in kidney failure. However, there is still little evidence on the psychometric properties of the measures available to assess physical and psychological symptoms in people on hemodialysis. This gap makes it difficult to decide which measure is the most appropriate for use in clinical practice and research with this population.
OBJECTIVES
This systematic review aimed to critically appraise, compare, and summarize the quality of the measurement properties of PROMs used to assess symptoms in adults on hemodialysis.
METHODS
The protocol for this review was registered in PROSPERO (CRD42023393441). The last database search update was performed on November 25, 2022. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines informed methodological quality assessment, data extraction, analysis, and synthesis.
RESULTS
Twenty-seven primary studies reported the measurement properties of 16 PROMs used to assess physical and psychological symptoms in adults on hemodialysis. Results showed that most measures lacked the necessary psychometric evidence to attest their suitability for this study population, and few underwent rigorous validation procedures. Overall, caveats were found on methodological quality and evidence of content validity and structural validity, and little data was available on responsiveness, measurement error, and cross-cultural validity.
CONCLUSION
The current systematic review provides the basis for identifying PROMs with potential utility for assessing symptoms in hemodialysis care. Several recommendations are presented to help guide future research aimed at improving the rigor of validation and/or translation procedures of existing (and future) measures using COSMIN guidelines.
背景
患者报告的结局测量（PROMs）在筛选和监测肾衰竭患者的不适症状方面可能具有重要作用。然而，目前仍然缺乏关于可用于评估血液透析患者身体和心理症状的测量工具的心理测量特性的证据。这一差距使得难以确定哪种测量工具最适合在该人群的临床实践和研究中使用。
目的
本系统评价旨在批判性地评价、比较和总结用于评估血液透析患者症状的 PROMs 的测量特性的质量。
方法
本研究的方案已在 PROSPERO（CRD42023393441）中注册。最后一次数据库搜索更新时间为 2022 年 11 月 25 日。共识基础的健康测量仪器选择标准（COSMIN）指南指导了方法学质量评估、数据提取、分析和综合。
结果
27 项原始研究报告了 16 种用于评估血液透析成人身体和心理症状的 PROM 的测量特性。结果表明，大多数测量工具缺乏必要的心理测量证据来证明其适合该研究人群，并且很少进行严格的验证程序。总体而言，在方法学质量以及内容有效性和结构有效性的证据方面存在缺陷，关于反应性、测量误差和跨文化有效性的数据很少。
结论
本系统评价为确定具有评估血液透析护理中症状潜力的 PROMs 提供了依据。提出了一些建议，以帮助指导未来的研究，旨在使用 COSMIN 指南提高现有（和未来）测量工具的验证和/或翻译程序的严谨性。
Zotero 插件