Yang Shuhao, Yan Qing, Liu Fei, Yan Wei, Yuan Suzhen, Zhang Minli, Li Ya, Wu Zhangying, Xiang Tao, Wang Wenwen
Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Ave, Wuhan, 430030, Hubei, People's Republic of China.
Department of Obstetrics and Gynecology, The Affiliated Hospital of Guizhou Medical University, Guiyang, 550000, Guizhou, P.R. China.
BMC Womens Health. 2025 Jul 25;25(1):368. doi: 10.1186/s12905-025-03926-6.
Uterine fibroid constitutes a significant burden for affected women and research in this area has increasingly focused on patient-centered outcomes, with patient-reported outcome measures (PROMs) becoming crucial in related studies.
We aim to summarize the key aspects and PROMs utilized in previous studies, recommend suitable tools for effective evaluations, and emphasize critical areas for future research.
A literature search was conducted in the Medline, CINAHL, Embase, and Web of Science databases, covering the period from inception through October 2024.
75 studies met the criteria for inclusion and these studies highlight that PROMs utilized in research associated with uterine fibroids encompass a wide range of evaluations, spanning from quality of life, menstrual details, psychological well-being, pelvic floor conditions, pain intensity, menopause symptoms, to sexual function, body image, and other related assessments. Despite using various PROMs in published studies, current clinical trials on uterine fibroids mainly rely on general questionnaires, employing questionnaires specifically designed for uterine fibroids.
By summarizing the research, we provide an overview of existing PROMs for uterine fibroids, revealing a gap due to the lack of specific PROMs. This review contributes to uterine fibroid research by promoting accurate assessments, leading to better treatment options and enhanced patient quality of life.
子宫肌瘤给受影响的女性带来了沉重负担,该领域的研究越来越关注以患者为中心的结果,患者报告结局测量(PROMs)在相关研究中变得至关重要。
我们旨在总结先前研究中使用的关键方面和PROMs,推荐有效的评估工具,并强调未来研究的关键领域。
在Medline、CINAHL、Embase和Web of Science数据库中进行文献检索,涵盖从数据库建立到2024年10月的时间段。
75项研究符合纳入标准,这些研究表明,与子宫肌瘤相关研究中使用的PROMs涵盖了广泛的评估,从生活质量、月经细节、心理健康、盆底状况、疼痛强度、更年期症状到性功能、身体形象及其他相关评估。尽管已发表的研究中使用了各种PROMs,但目前关于子宫肌瘤的临床试验主要依赖通用问卷,专门为子宫肌瘤设计的问卷使用较少。
通过总结研究,我们概述了现有的子宫肌瘤PROMs,揭示了由于缺乏特定PROMs而存在的差距。本综述通过促进准确评估,为子宫肌瘤研究做出贡献,从而带来更好的治疗选择并提高患者生活质量。