Jamjoom Abdulhakim B, Gahtani Abdulhadi Y, Alzahrani Moajeb T, Baydhi Laila M, Albeshri Ahmad S, Sharab Momen
Neurosurgery, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU.
Neurosurgery, King Abdulaziz Medical City Western Region, Jeddah, SAU.
Cureus. 2023 Oct 1;15(10):e46303. doi: 10.7759/cureus.46303. eCollection 2023 Oct.
Patient-reported outcome measures (PROMs) are standardized tools commonly applied in research and healthcare appraisal. Most were developed in English and the cross-cultural adaptation (CCA) and validation of their translated versions remain topics of contemporary research appeal. This review aimed to identify the Arabic-translated PROMs that were utilized in spine research and to assess the methodological qualities of their studies. The PubMed database was searched, and all relevant publications were identified. The CCA and measurement properties were assessed using the guidelines described by Oliveria and Terwee respectively. Thirty studies that validated the Arabic versions of 26 PROMs were found suitable. The tools that had the highest total citation numbers were Neck Disability Index, Ronald-Morris Disability Questionnaire, Oswestry Disability Index, Fear Avoidance Beliefs Questionnaire, Scoliosis Research Society-22, Back Beliefs Questionnaire, Quebec Back Pain Disability Scale, and McGill Pain Questionnaire-Short Form. The Arabic versions of Short Form-36 (SF-36), Visual Analogue Scale (VAS), and EuroQol-5D (EQ-5D) were not included due to lack of validation in spine research. All the articles were published from 2007 to 2023 (median 2019) and their journal's impact factor and citation numbers were relatively modest (mean 2 and 6.5 respectively). Most patients had low back pain (19 articles), were recruited from physiotherapy and rehabilitation departments (18 articles) and came from the Kingdom of Saudi Arabia (12 articles). The quality of the CCA of the Arabic versions was rated good in forward translation, synthesis, back translation, and expert committee review but less so in pretesting and submission. The measurement properties of the studies were considered good quality in internal consistency, reliability, structural validity and cross-cultural validity but less so in content validity, error measurement, responsiveness and floor/ceiling effect. In conclusion, with a few exceptions, most of the widely utilized PROMs in spine research have validated Arabic versions. The methodological quality of the studies was good apart from a few shortages that could be improved upon by further research. Work should be done to address the validation of Arabic versions of SF-36, VAS and EQ-5D in spine research. PROMs are valuable in systematizing subjective outcomes. Their usage in research and clinical settings in any validated language should be highly encouraged.
患者报告结局测量指标（PROMs）是常用于研究和医疗评估的标准化工具。大多数PROMs是用英文开发的，其翻译版本的跨文化调适（CCA）和验证仍然是当代研究的热门话题。本综述旨在确定脊柱研究中使用的阿拉伯语翻译的PROMs，并评估其研究的方法学质量。检索了PubMed数据库，并识别了所有相关出版物。分别使用Oliveria和Terwee描述的指南评估CCA和测量属性。发现30项验证26种PROMs阿拉伯语版本的研究是合适的。总引用次数最高的工具是颈部残疾指数、罗纳德 - 莫里斯残疾问卷、奥斯威斯利残疾指数、恐惧回避信念问卷、脊柱侧弯研究协会 - 22、背部信念问卷、魁北克背痛残疾量表和麦吉尔疼痛问卷简表。由于在脊柱研究中缺乏验证，简短健康调查问卷（SF - 36）、视觉模拟量表（VAS）和欧洲五维度健康量表（EQ - 5D）的阿拉伯语版本未被纳入。所有文章发表于2007年至2023年（中位数为2019年），其期刊的影响因子和引用次数相对较低（分别平均为2和6.5）。大多数患者患有腰痛（19篇文章），从物理治疗和康复科招募（18篇文章），来自沙特阿拉伯王国（12篇文章）。阿拉伯语版本的CCA质量在正向翻译、综合、回译和专家委员会审查中被评为良好，但在预测试和提交方面则较差。研究的测量属性在内部一致性、可靠性、结构效度和跨文化效度方面被认为质量良好，但在内容效度、误差测量、反应度和地板/天花板效应方面则较差。总之，除了少数例外，脊柱研究中大多数广泛使用的PROMs都有经过验证的阿拉伯语版本。除了一些可以通过进一步研究改进的不足之外，研究的方法学质量良好。应开展工作以解决脊柱研究中SF - 36、VAS和EQ - 5D阿拉伯语版本的验证问题。PROMs在系统化主观结局方面很有价值。应大力鼓励在任何经过验证的语言的研究和临床环境中使用它们。
