PROMIS-29和SF-36工具在慢性肌肉骨骼疼痛患者中的反应性比较。

IF 1.5 4区 医学 Q3 ORTHOPEDICS Journal of Orthopaedic Science Pub Date : 2024-10-07 DOI:10.1016/j.jos.2024.09.004
Wannisa Kumban, Rotsalai Kanlayanaphotporn, Kornkanok Khutok
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引用次数: 0

摘要

背景:慢性肌肉骨骼疼痛(CMP)会影响与健康相关的生活质量(HRQoL)。有几种问卷被广泛用于评估 HRQoL,如患者报告结果测量信息系统 29 项健康档案(PROMIS-29)和 36 项简表健康调查(SF-36)。本研究旨在评估和比较 PROMIS-29 和 SF-36 在 CMP 患者中的响应性:这项前瞻性研究收集了 215 名 CMP 患者的数据。方法:该前瞻性研究收集了 215 名 CMP 患者的数据,参与者在基线和 4 周随访时均填写了这两份问卷,并使用了全球效果感知量表(GPE)。内部和外部反应性方法评估了问卷的反应性。效应大小(ES)和标准化响应平均值(SRM)评估了内部响应性。外部响应度通过斯皮尔曼相关系数(r)和接收者工作曲线下面积(AUC)进行测量。结果显示,PROMIS-29 和 SF-36 的响应性在相似的结构中进行了比较:PROMIS-29在疲劳(ES = -0.79,SRM = -0.64)、疼痛干扰(ES = -0.94,SRM = -0.64)和疼痛强度分量表(ES =-1.25,SRM =-1.16)方面的反应性分别为中等和较大。SF-36 身体疼痛显示出中等程度的反应性(ES = 0.73,SRM = 0.60)。Spearman相关性显示,GPE与PROMIS-29身体功能(r = 0.31)、疲劳(r = -0.36)和疼痛强度(r = 0.45)的变化分值呈中度相关,而GPE与SF-36的变化分值呈弱度相关(r = 0.15-0.26)。此外,PROMIS-29疲劳和疼痛强度量表的AUC分别为0.701和0.725,表明其具有较好的区分能力:结论:PROMIS-29和SF-36在评估CMP患者身体健康的疼痛域和心理健康的PROMIS-29疲劳域方面反应最为灵敏。PROMIS-29 的结果优于 SF-36。其他评估工具也可考虑与 HRQoL 相关的其他领域。
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Comparative responsiveness of the PROMIS-29 and SF-36 instruments in individuals with chronic musculoskeletal pain.

Background: Chronic musculoskeletal pain (CMP) impacts Health-Related Quality of Life (HRQoL). Several questionnaires are widely used for evaluating the HRQoL, such as Patient Reported Outcomes Measurement Information System 29-item Health Profile (PROMIS-29) and 36-Item Short Form Health Survey (SF-36). This study aimed to assess and compare the responsiveness of PROMIS-29 and SF-36 in individuals with CMP.

Methods: The prospective study collected data from 215 patients with CMP. The participants completed both questionnaires at baseline and a 4-week follow-up with the global perceived effect (GPE) scale. The internal and external responsiveness methods evaluated the responsiveness of the instruments. The effect size (ES) and standardized response mean (SRM) assessed the internal responsiveness. External responsiveness was measured by Spearman's correlation coefficients (r) and area under the receiver operating curve (AUC). The responsiveness of the PROMIS-29 and SF-36 were compared in similar constructs.

Results: The PROMIS-29 demonstrated responsiveness as moderate in fatigue (ES = -0.79, SRM = -0.64), moderate to large in pain interference (ES = -0.94, SRM = -0.64), and large effect in pain intensity subscale (ES = -1.25, SRM = -1.16). The SF-36 bodily pain exhibited moderate responsiveness (ES = 0.73, SRM = 0.60). Spearman's correlation showed moderate between GPE and change scores of PROMIS-29 physical function (r = 0.31), fatigue (r = -0.36), pain intensity (r = 0.45), and weak between GPE and changes score of SF-36 (r = 0.15-0.26). Besides, the AUC of the PROMIS-29 fatigue, and pain intensity scale were 0.701 and 0.725, respectively, indicating superior discriminative ability.

Conclusions: The PROMIS-29 and SF-36 were the most responsive in assessing the pain domain for physical health and PROMIS-29 fatigue domain for mental health among individuals with CMP. The PROMIS-29 demonstrated superior results compared to the SF-36. Other domains related to HRQoL could be considered in other assessment instruments.

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来源期刊
Journal of Orthopaedic Science
Journal of Orthopaedic Science 医学-整形外科
CiteScore
3.00
自引率
0.00%
发文量
290
审稿时长
90 days
期刊介绍: The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.
期刊最新文献
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