Oxley Catherine, Smith Olivia, Abbas Asim, Mierzwinski Mark, Davey Christine, Chitsabesan Praminthra, Chintapatla Srinivas
York Abdominal Wall Unit, York & Scarborough Teaching Hospitals NHS Foundation, Trust, Wigginton Road, York, YO31 8HE, UK.
School of Science, Technology and Health, York St. John University, York, UK.
Hernia. 2025 Jul 2;29(1):219. doi: 10.1007/s10029-025-03399-4.
Health-Related Quality of Life (HRQoL) is increasingly recognized as a key outcome measure in Complex Abdominal Wall Hernia (CAWH) surgery. However, selecting an appropriate HRQoL tool is challenging due to the variety of available instruments and their variable psychometric properties.
This scoping review systematically reviews and evaluates the six CAWH-specific HRQoL tools using the Consensus-based Standards for the Selection of Measurement Instruments (COSMIN) framework. The aim of this scoping review was to assess the clinical suitability and developmental robustness of CAWH-specific HRQoL instruments. This review does not assess post-operative HRQoL outcomes, but rather evaluates the design, content, and methodological quality of CAWH-specific tools themselves using the COSMIN framework.
A scoping review was conducted in accordance with PRISMA-ScR and informed by COSMIN and Joanna Briggs Institute (JBI) scoping methodology. Four databases (MEDLINE, EMBASE, Cochrane CENTRAL, ClinicalTrials.gov) were searched (March 2024) to identify studies that used or evaluated CAWH-specific HRQoL tools. Tools were assessed across key COSMIN domains: conceptual framework, psychometric properties, respondent burden, and patient involvement in development.
Six CAWH-specific HRQoL instruments were identified: CCS, HerQLes, EuraHS-QoL, AAS/mAAS, AHQ, and HERQL. While these tools demonstrated utility, none fully integrated patient perspectives from initial domain development, and all exhibited gaps in content and structural validity. Comparative psychometric data across tools were limited, further complicating selection.
Despite growing interest in measuring HRQoL in CAWH surgery, existing tools show important developmental limitations. While these tools demonstrate utility, none fully integrate patient perspectives throughout their development, and all exhibit gaps in content and structural validity. Additionally, comparative psychometric data remain limited, further complicating tool selection. Given these limitations, there is a clear need for further development-either by refining existing tools or creating a new, patient-informed HRQoL instrument that adheres to robust psychometric standards.
健康相关生活质量（HRQoL）日益被视为复杂腹壁疝（CAWH）手术的一项关键结局指标。然而，由于可用工具种类繁多且其心理测量特性各异，选择合适的HRQoL工具具有挑战性。
本范围综述使用基于共识的测量工具选择标准（COSMIN）框架，系统地回顾和评估六种特定于CAWH的HRQoL工具。本范围综述的目的是评估特定于CAWH的HRQoL工具的临床适用性和发展稳健性。本综述不评估术后HRQoL结局，而是使用COSMIN框架评估特定于CAWH的工具本身的设计、内容和方法学质量。
根据PRISMA-ScR进行范围综述，并参考COSMIN和乔安娜·布里格斯研究所（JBI）的范围综述方法。检索了四个数据库（MEDLINE、EMBASE、Cochrane CENTRAL、ClinicalTrials.gov）（2024年3月），以识别使用或评估特定于CAWH的HRQoL工具的研究。在COSMIN的关键领域对工具进行评估：概念框架、心理测量特性、应答者负担以及患者在工具开发中的参与度。
识别出六种特定于CAWH的HRQoL工具：CCS、HerQLes、EuraHS-QoL、AAS/mAAS、AHQ和HERQL。虽然这些工具显示出实用性，但在初始领域开发中均未充分整合患者观点，并且在内容和结构效度方面均存在差距。各工具间的比较心理测量数据有限，这使得选择更加复杂。
尽管对测量CAWH手术中的HRQoL的兴趣日益增加，但现有工具显示出重要的发展局限性。虽然这些工具显示出实用性，但在其整个开发过程中均未充分整合患者观点，并且在内容和结构效度方面均存在差距。此外，比较心理测量数据仍然有限，这使得工具选择更加复杂。鉴于这些局限性，显然需要进一步开发——要么改进现有工具，要么创建一种新的、以患者为导向的、符合稳健心理测量标准的HRQoL工具。
