一项评估眼表疾病患者报告结果测量质量的系统综述。

IF 5.9 1区 医学 Q1 OPHTHALMOLOGY Ocular Surface Pub Date : 2025-01-01 DOI:10.1016/j.jtos.2024.11.011
Pawan Baral, Sheela Kumaran, Fiona Stapleton, Konrad Pesudovs
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引用次数: 0

摘要

目的:确定和评估目前可用的经过验证的患者报告结果测量(PROMs)的质量,用于测量眼表疾病(OSDs)对生活质量(QoL)的影响。方法:在PubMed、Embase、Scopus、Cochrane Library和Web of Science数据库中进行文献检索。本文纳入了有关眼表疾病特异性PROMs的开发、验证和使用的文章进行综述。这些研究是根据所针对的目标人群进行分类的。提取了内容识别、选择、心理测量特性、效度和信度方面的数据。采用已建立的眼科PROMs质量评价标准对这些数据进行评价。此外,我们亦检讨了有关文件的内容。结果:我们确定了67项符合纳入标准的研究。这些研究使用了34种独特的PROM,包括16种干眼特异性PROM, 4种隐形眼镜特异性PROM, 1种睑板腺功能障碍特异性PROM, 1种眼炎特异性PROM, 5种Sjögren综合征特异性PROM, 4种通用PROM, 1种计算机视觉特异性PROM, 1种眼痛特异性PROM和1种骨髓移植特异性PROM,用于眼移植物抗宿主病。为验证而进行的心理测量特性测试并不常见。大多数报告的数据仅限于内部一致性、收敛性和已知组效度。大多数(34个中的25个)PROMs不涉及患者进行内容开发。24个prom仅测量症状,其余9个prom包含来自其他QoL域的项目。结论:本文综述了现有的用于OSD的prom的现状。对prom的评估显示了一些优势,但也强调了许多局限性。未涉及患者进行早膜损伤的研究,内容有限,不充分的报告或较差的心理测量特性,以及多维度问题是主要的局限性。基于此,我们不能推荐一个最佳的PROM来测量osd特定的QoL。这篇综述强调了开发高质量PROM的必要性,并提出了未来研究的方向。
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A systematic review assessing the quality of patient reported outcome measures in ocular surface disease

Objective

To identify and assess the quality of currently available validated patient reported outcome measures (PROMs) used to measure the quality of life (QoL) impacts of ocular surface diseases (OSDs).

Methods

A literature search was performed in the PubMed, Embase, Scopus, Cochrane Library, and Web of Science databases. Articles reporting on the development, validation, and use of PROMs specific to ocular surface diseases were included for review. The studies were classified based on the target population for which they were developed. Data on content identification, selection, psychometric properties, validity, and reliability were extracted. These data were assessed using the established quality assessment criteria for ophthalmic PROMs. A review of the contents of the PROMs was also performed.

Results

We identified 67 studies that met the inclusion criteria. These studies used 34 unique PROMs including 16 dry eye specific PROMs, 4 contact lens specific PROMs, 1 meibomian gland dysfunction specific PROM, 1 blepharitis specific PROM, 5 Sjögren Syndrome specific PROMs, 4 generic PROMs, 1 computer vision specific PROM, 1 ocular pain specific PROM and 1 bone marrow transplant specific PROM used in ocular graft versus host disease. Testing of psychometric properties for validation was uncommon. Most of the reported data were limited to internal consistency, convergent, and known group validity. The majority (25 out of 34) of the PROMs did not involve patients for content development. Twenty-four PROMs measured symptoms only and the remaining 9 PROMs had items from other QoL domains.

Conclusion

This review provides a current evaluation of extant PROMs for OSD. The assessment of PROMs displayed some strengths but highlighted numerous limitations. Not involving patients for the development of PROM, limited content, inadequately reported or poor psychometric properties, and issues with multidimensionality were the main limitations. Based on this we cannot recommend a single best PROM for measuring OSD-specific QoL. This review underscores the need for the development of a higher quality PROM and suggest directions for future research.
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来源期刊
Ocular Surface
Ocular Surface 医学-眼科学
CiteScore
11.60
自引率
14.10%
发文量
97
审稿时长
39 days
期刊介绍: The Ocular Surface, a quarterly, a peer-reviewed journal, is an authoritative resource that integrates and interprets major findings in diverse fields related to the ocular surface, including ophthalmology, optometry, genetics, molecular biology, pharmacology, immunology, infectious disease, and epidemiology. Its critical review articles cover the most current knowledge on medical and surgical management of ocular surface pathology, new understandings of ocular surface physiology, the meaning of recent discoveries on how the ocular surface responds to injury and disease, and updates on drug and device development. The journal also publishes select original research reports and articles describing cutting-edge techniques and technology in the field. Benefits to authors We also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services. Please see our Guide for Authors for information on article submission. If you require any further information or help, please visit our Support Center
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