Outcome measurement instruments

  • 文章类型: Journal Article
    目的:系统评价和比较结果测量仪器(OMIs)的测量特性在OMI选择中起着重要作用。较早的审查质量概述(2007年,2014年)证明了与科学标准保持一致的重大担忧。本概述旨在调查最近对OMI的系统评价的质量是否符合当前的科学标准。
    方法:通过2022年3月17日在MEDLINE和EMBASE进行的系统文献检索,随机选择了从2021年6月1日起发表的100篇OMI系统综述。系统审查的质量由两名独立审查者评估。早期研究提供了更新的数据提取表,并将结果与这些早期研究的结果进行了比较。
    结果:四分之一的评论有一个不明确的研究问题或目的,在22%的评论中,搜索策略与目标不符。一半的评论有一个不全面的搜索策略,因为不包括相关的搜索条件。在63%的审查中(2014年为41%,2007年为30%)进行了偏见风险评估。在73%的评论(一些)中,对测量属性进行了评估(2014年为58%,2007年为55%)。在60%的评论中,数据是(部分)合成的(2014年为42%,2007年为7%);大多数子量表没有单独进行测量特性和数据合成的评估。仅有33%的综述对总体证据质量进行了确定性评估(2014年和2007年未进行评估)。大多数人(58%)没有就使用哪个OMI(不)提出任何建议。
    结论:尽管偏差风险评估有了明显的改善,测量性能评估和数据综合,指定研究问题,执行搜索策略和执行确定性评估仍然很差。为了确保OMI的系统审查符合当前的科学标准,需要更一致地进行和报告OMI的系统审查。
    OBJECTIVE: Systematic reviews evaluating and comparing the measurement properties of outcome measurement instruments (OMIs) play an important role in OMI selection. Earlier overviews of review quality (2007, 2014) evidenced substantial concerns with regards to alignment to scientific standards. This overview aimed to investigate whether the quality of recent systematic reviews of OMIs lives up to the current scientific standards.
    METHODS: One hundred systematic reviews of OMIs published from June 1, 2021 onwards were randomly selected through a systematic literature search performed on March 17, 2022 in MEDLINE and EMBASE. The quality of systematic reviews was appraised by two independent reviewers. An updated data extraction form was informed by the earlier studies, and results were compared to these earlier studies\' findings.
    RESULTS: A quarter of the reviews had an unclear research question or aim, and in 22% of the reviews the search strategy did not match the aim. Half of the reviews had an incomprehensive search strategy, because relevant search terms were not included. In 63% of the reviews (compared to 41% in 2014 and 30% in 2007) a risk of bias assessment was conducted. In 73% of the reviews (some) measurement properties were evaluated (58% in 2014 and 55% in 2007). In 60% of the reviews the data were (partly) synthesized (42% in 2014 and 7% in 2007); evaluation of measurement properties and data syntheses was not conducted separately for subscales in the majority. Certainty assessments of the quality of the total body of evidence were conducted in only 33% of reviews (not assessed in 2014 and 2007). The majority (58%) did not make any recommendations on which OMI (not) to use.
    CONCLUSIONS: Despite clear improvements in risk of bias assessments, measurement property evaluation and data synthesis, specifying the research question, conducting the search strategy and performing a certainty assessment remain poor. To ensure that systematic reviews of OMIs meet current scientific standards, more consistent conduct and reporting of systematic reviews of OMIs is needed.
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  • 文章类型: Journal Article
    罕见的神经系统疾病(RNCs)包括各种疾病,这些疾病的进展和症状不同,但通常包括肌肉无力,感觉和平衡障碍以及协调自愿运动的困难。这可能会限制整体体力活动,因此,建议采取干预措施来解决这个问题。这项研究的目的是为有RNC的人的身体活动干预提供核心结果测量集。我们遵循既定的指导方针来制定核心成果集。在一系列利益相关者研讨会上进行的广泛讨论导致了以下共识:(1)身体健康;(2)心理健康和(3)应在干预措施中评估对日常活动的参与。通过对患有RNC的人的身体活动干预措施的范围审查,进一步提出了建议。从审查中确定了近200项成果指标,特别侧重于活动或职能(例如g,下肢功能,执行日常任务的能力),但对基于参与的结果的考虑有限(例如,社交互动,工作和休闲)。后续搜索确定了两个与优先领域相匹配的工具:牛津参与和活动问卷和身体活动的自我效能感来源。我们提出这些量表作为评估结果的衡量标准,这些结果在评估有RNC的人的身体活动干预时与评估特别相关。现在需要在罕见的神经系统疾病中进行验证工作,以告知在未来的临床试验中应用该核心结果集,以促进结果和荟萃分析的综合。
    Rare neurological conditions (RNCs) encompass a variety of diseases that differ in progression and symptoms but typically include muscle weakness, sensory and balance impairment and difficulty with coordinating voluntary movement. This can limit overall physical activity, so interventions to address this are recommended. The aim of this study was to agree a core outcome measurement set for physical activity interventions in people living with RNCs. We followed established guidelines to develop core outcome sets. Broad ranging discussions in a series of stakeholder workshops led to the consensus that (1) physical well-being; (2) psychological well-being and (3) participation in day-to-day activities should be evaluated in interventions. Recommendations were further informed by a scoping review of physical activity interventions for people living with RNCs. Nearly 200 outcome measures were identified from the review with a specific focus on activities or functions (e.g, on lower limb function, ability to perform daily tasks) but limited consideration of participation based outcomes (e.g., social interaction, work and leisure). Follow on searches identified two instruments that matched the priority areas: the Oxford Participation and Activities Questionnaire and the Sources of Self-Efficacy for Physical Activity. We propose these scales as measures to assess outcomes that are particularly relevant to assess when evaluating physical activity interventions mong people with RNCs. Validation work across rare neurological conditions is now required to inform application of this core outcome set in future clinical trials to facilitate syntheses of results and meta-analyses.
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  • 文章类型: Journal Article
    异基因造血干细胞移植(HSCT)与治疗相关死亡率增加有关,身体活力的丧失,生活质量受损。未来的研究将研究多学科康复干预措施在缓解这些问题方面的作用。然而,该领域已发表的研究表明,在选定的结果和使用的结果测量工具方面存在相当大的异质性。本范围审查的目的是提供研究中使用的结果和结果测量工具的概述,这些研究检查了同种异体HSCT治疗患者的康复干预措施的效果。
    我们进行了范围审查,包括随机对照试验,试点研究,和可行性研究报告发表至2022年2月28日。
    我们纳入了n=39项研究,其中n=84个不同的结局被使用227次,n=125个不同的仪器被用于测量.
    使用同种异体HSCT治疗的血液系统恶性肿瘤患者的康复领域的研究受到过度结局的阻碍。不一致的结果术语,以及测量仪器在设置和计时方面的使用不一致。在选择测量仪器和测量计时方法时,该领域的研究人员应就使用感兴趣的结果的通用术语和同质性达成共识。
    Allogeneic hematopoietic stem cell transplantation (HSCT) is associated with increased treatment-related mortality, loss of physical vitality, and impaired quality of life. Future research will investigate the effects of multidisciplinary rehabilitative interventions in alleviating these problems. Nevertheless, published studies in this field show considerable heterogeneity in selected outcomes and the outcome measurement instruments used. The purpose of this scoping review is to provide an overview of the outcomes and outcome measurement instruments used in studies examining the effects of rehabilitative interventions for patients treated with allogeneic HSCT.
    We conducted a scoping review that included randomized controlled trials, pilot studies, and feasibility studies published up to 28 February 2022.
    We included n = 39 studies, in which n = 84 different outcomes were used 227 times and n = 125 different instruments were used for the measurements.
    Research in the field of rehabilitation for patients with haematological malignancies treated with allogeneic HSCT is hampered by the excess outcomes used, the inconsistent outcome terminology, and the inconsistent use of measurement instruments in terms of setting and timing. Researchers in this field should reach a consensus with regard to the use of a common terminology for the outcomes of interest and a homogeneity when selecting measurement instruments and measurement timing methods.
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  • 文章类型: Journal Article
    对结果测量工具的系统审查是基于证据选择这些工具的重要工具。COSMIN(基于共识的健康测量指标选择标准)制定了一项全面而广泛的指南,对结果测量仪器进行系统审查,但是在发表的评论中经常缺少关键信息。这就妨碍了对成果测量仪器质量的评价,影响知识用户关于其适当性的决定,并损害了评论结果的可重复性和可解释性。为了方便,透明,以及对结果测量工具的系统评价的一致报告,将扩展PRISMA(系统评价和荟萃分析的首选项目报告)2020指南:PRISMA-COSMIN指南.
    PRISMA-COSMIN指南将根据EQUATOR(增强卫生研究的质量和透明度)网络报告指南制定的建议制定。首先,将通过环境文献扫描和专家咨询创建候选报告项目列表。第二,一项国际德尔菲研究将由系统综述作者进行,生物统计学家,流行病学家,心理测量医生/临床医生,报告指南开发人员,杂志编辑和患者,看护者,和公众。德尔菲小组成员将以5分制对候选项目进行评级,建议其他候选项目,并就项目措辞和可理解性提供反馈。第三,PRISMA-COSMIN指南和用户手册草案将通过将其应用于几个疾病领域的系统评价来评估其相关性,全面性,和可理解性,以及可用性和用户满意度。第四,将举行一次共识会议,通过圆桌讨论和投票最终确定PRISMA-COSMIN准则。最后,将编写用户手册,并通过出版物传播PRISMA-COSMIN最终指南,会议,时事通讯,和相关网站。此外,将邀请相关期刊和组织认可和实施PRISMA-COSMIN。在整个项目中,将进行评估,以确定涉及患者/公共合作伙伴并采用虚拟流程的障碍和促进者。
    PRISMA-COSMIN指南将确保成果测量仪器的系统评价报告是完整和翔实的,增强它们的可重复性,易用性,和吸收。
    Systematic reviews of outcome measurement instruments are important tools in the evidence-based selection of these instruments. COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) has developed a comprehensive and widespread guideline to conduct systematic reviews of outcome measurement instruments, but key information is often missing in published reviews. This hinders the appraisal of the quality of outcome measurement instruments, impacts the decisions of knowledge users regarding their appropriateness, and compromises reproducibility and interpretability of the reviews\' findings. To facilitate sufficient, transparent, and consistent reporting of systematic reviews of outcome measurement instruments, an extension of the PRISMA (Preferred Reporting of Items for Systematic reviews and Meta-Analyses) 2020 guideline will be developed: the PRISMA-COSMIN guideline.
    The PRISMA-COSMIN guideline will be developed in accordance with recommendations for reporting guideline development from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. First, a candidate reporting item list will be created through an environmental literature scan and expert consultations. Second, an international Delphi study will be conducted with systematic review authors, biostatisticians, epidemiologists, psychometricians/clinimetricians, reporting guideline developers, journal editors as well as patients, caregivers, and members of the public. Delphi panelists will rate candidate items for inclusion on a 5-point scale, suggest additional candidate items, and give feedback on item wording and comprehensibility. Third, the draft PRISMA-COSMIN guideline and user manual will be iteratively piloted by applying it to systematic reviews in several disease areas to assess its relevance, comprehensiveness, and comprehensibility, along with usability and user satisfaction. Fourth, a consensus meeting will be held to finalize the PRISMA-COSMIN guideline through roundtable discussions and voting. Last, a user manual will be developed and the final PRISMA-COSMIN guideline will be disseminated through publications, conferences, newsletters, and relevant websites. Additionally, relevant journals and organizations will be invited to endorse and implement PRISMA-COSMIN. Throughout the project, evaluations will take place to identify barriers and facilitators of involving patient/public partners and employing a virtual process.
    The PRISMA-COSMIN guideline will ensure that the reports of systematic reviews of outcome measurement instruments are complete and informative, enhancing their reproducibility, ease of use, and uptake.
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  • 文章类型: Journal Article
    背景:神经源性膀胱(NGB)是一种慢性和致残性疾病,患病率很高,给患者及其家庭造成经济负担,降低患者的生活质量。研究人员对不同干预措施治疗NGB的有效性和安全性进行了大量临床试验。已发表的NGB临床试验通常存在结果指标报告不一致和不规则的问题。为了促进NGB的未来研究,需要核心结果集(COS),这有助于将结果转化为高质量的证据。
    方法:这个混合方法项目分为四个阶段:在第1阶段,对文献进行范围审查,以确定临床试验中报告的结果,并对干预措施的临床试验进行系统评价NGB;在第2阶段,使用访谈获取NGB患者观点的定性组成部分,家庭,和他们的照顾者;在第3阶段,在利益相关者中进行德尔菲调查,以优先考虑核心成果;在第4阶段,进行面对面的共识会议,讨论并商定最终的NBGCOS。
    结论:我们将开发一种COS,该COS将在未来的NGB临床试验中报告。
    背景:有效性试验中的核心成果措施(COMET)倡议数据库注册:http://www.comet-initiative.org/studies/details/1985。2022年1月02日注册。INPLASYINPLASY202210007。
    BACKGROUND: Neurogenic bladder (NGB) is a chronic and disabling condition with a high prevalence rate, which can cause economic burden on patients and their families and reduce the quality of life of patients. Researchers have carried out a large number of clinical trials on the effectiveness and safety of different interventions for the treatment of NGB. The published clinical trials of NGB generally suffered from inconsistent and irregular reporting of outcome indicators. To facilitate future research studies of NGB, a core outcome set (COS) is required, which helps translate the results into high-quality evidence.
    METHODS: This mixed-method project has four phases instrument: in phase 1, a scoping review of the literature to identify outcomes that have been reported in clinical trials and systematic reviews of clinical trials of interventions for NGB; in phase 2, a qualitative component using interviews to obtain the views of NGB patients, families, and their caregivers; in phase 3, Delphi survey among stakeholders to prioritize the core outcomes; and in phase 4, a face-to-face consensus meeting to discuss and agree on the final NBG COS.
    CONCLUSIONS: We will develop a COS that should be reported in future clinical trials of NGB.
    BACKGROUND: Core Outcome Measures in Effectiveness Trials (COMET) Initiative database registration: http://www.comet-initiative.org/studies/details/1985 . Registered on 02 January 2022. INPLASY  INPLASY202210007.
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  • 文章类型: Journal Article
    在过去的几十年中,对化脓性汗腺炎(HS)的研究兴趣呈指数增长。几个小组致力于开发新的分数,以解决目前在HS试验中使用的现有研究者评估和患者报告的结果测量的缺点。临床实践和研究。在临床试验环境中,HiSCR的缺点已经变得明显;主要是,缺乏对排水隧道的动态测量。新开发的(二分法)IHS4和HASI-R得到了充分的验证数据的支持,并且是成为HS临床试验新的主要结果指标的良好竞争者。患者报告的结果,以及医生报告的措施,由SupuraTivacORe结果集国际合作(历史)开发。例如,化脓性汗腺炎生活质量(HiSQOL)评分是一种经过验证的HS特异性生活质量的衡量标准,已被用于许多HS试验.通过0-10数字评定量表测量疼痛的幅度是公认的;然而,仍然需要达成共识,以确保对文书的一致管理和解释。在多天而不是在一个时间点的纵向测量,例如疼痛指数可以提供增加的可靠性和减少的召回偏差。最终,这些新开发的评分和工具可以纳入标准化注册中,用于常规临床实践.
    Research interest in Hidradenitis Suppurativa (HS) has grown exponentially over the past decades. Several groups have worked to develop novel scores that address the drawbacks of existing investigator-assessed and patient-reported outcome measures currently used in HS trials, clinical practice and research. In clinical trial settings, the drawbacks of the HiSCR have become apparent; mainly, it is lack of a dynamic measurement of draining tunnels. The newly developed (dichotomous) IHS4 and HASI-R are backed up by adequate validation data and are good contenders to become the new primary outcome measure in HS clinical trials. Patient-reported outcomes, as well as physician reported measures, are being developed by the HIdradenitis SuppuraTiva cORe outcomes set International Collaboration (HISTORIC). For example, the Hidradenitis Suppurativa Quality of Life (HiSQOL) score is a validated measure of HS-specific quality of life and is already being used in many HS trials. Magnitude of pain measurement via a 0-10 numerical rating scale is well-established; however, consensus is still required to ensure consistent administration and interpretation of the instrument. A longitudinal measurement over multiple days rather than at one time point, such as for example the Pain Index could provide increased reliability and reduced recall bias. Ultimately, these newly developed scores and tools can be included in a standardized registry to be used in routine clinical practice.
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  • 文章类型: Journal Article
    BACKGROUND: OMERACT uses an evidence-based framework known as the \'OMERACT Filter Instrument Selection Algorithm\' (OFISA) to guide decisions in the assessment of outcome measurement instruments for inclusion in a core outcome set for interventional and observational clinical trials.
    METHODS: A group of OMERACT imaging and patient-centered outcome methodologists worked with imaging outcome groups to facilitate the selection of imaging outcome measurement instruments using the OFISA approach. The lessons learned from this work influenced the evolution to Filter 2.2 and necessitated changes to OMERACT\'s documentation and processes.
    RESULTS: OMERACT has revised documentation and processes to incorporate the evolution of instrument selection to Filter 2.2. These revisions include creation of a template for detailed definitions of the target domain which is a necessary first step for instrument selection, modifications to the Summary of Measurement Properties (SOMP) table to account for sources of variability, and development of standardized reporting tables for each measurement property.
    CONCLUSIONS: OMERACT Filter 2.2 represents additional modifications of the OMERACT guide for working groups in their rigorous assessment of measurement properties of instruments of various types, including imaging outcome measurement instruments. Enhanced reporting aims to increase the transparency of the evidence base leading to judgements for the endorsement of instruments in core outcome sets.
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  • 文章类型: Journal Article
    Imaging is one of the most rapidly evolving fields in medicine. Unfortunately, many imaging technologies have been applied as measurement instruments without rigorous evaluation of the evidence supporting their truth, discriminatory capability and feasibility for that context of use. The Outcome Measures in Rheumatology (OMERACT) Filter 2.1 Instrument Selection Algorithm (OFISA) is used to evaluate such evidence for use of an instrument in a research setting. The objectives of this work are to: [1] define and describe the key conceptual aspects that are essential for the evaluation of imaging as an outcome measurement instrument and [2] describe how these aspects can be assessed through OFISA.
    Experts in imaging and/or methodology met to formalize concepts and define key steps. These concepts were discussed with a team of patient research partners with interest in imaging to refine technical and methodological aspects into comprehensible information. A workshop was held at OMERACT2020 and feedback was incorporated into existing OMERACT process for domain and instrument selection.
    Three key lessons were identified: (1) a clear definition of the domain we want to measure is a necessary prerequisite to the selection of a good instrument, (2) the sources of variability that can directly influence the instrument should be clearly identified, (3) incorporating these first two lessons into OFISA improves the quality of every instrument selection process.
    The incorporation of these lessons in the updated OMERACT Filter (now 2.2) will improve the quality of the selection process for all types of outcome measurement instruments.
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  • 文章类型: Journal Article
    OBJECTIVE: Although neuropsychiatric involvement in Systemic Lupus Erythematosus (NPSLE) is one of the most complex and troubling manifestations of the disease, validated outcome instruments to be used as sensitive endpoints in controlled clinical trials are lacking. We set out a systematic literature review (SLR) to identify outcome measurement instruments and domains used to assess NPSLE.
    METHODS: The Preferred Reporting Items for systematic reviews and Meta-analysis (PRISMA) guidelines were used. Articles available in English (1967-2020), listed in PubMed, EMBASE, PsycINFO, Cochrane Library and EULAR outcome measures library were screened. All domains and outcome measurement instruments were characterized according to the OMERACT Filter 2.1, considering core areas (manifestations/abnormalities, life impact, death/lifespan, societal/resource use) and contextual factors.
    RESULTS: Of 3,392 abstracts evaluated, 83 studies were included in the SLR (15,974 patients, females 89.9%). Eligible studies included domains and instruments pertinent to all core areas defined by OMERACT, except for \"societal/resource use\". The most common core areas were \"manifestations/abnormalities\", covering 10 domains pertinent to laboratory and instrumental markers, indexes and neuropsychiatric dimension (cognitive, neurologic and psychiatric field), and \"life impact\", covering 7 domains related to physical function (from both the perspective of the patient and the physician), pain and quality of life.
    CONCLUSIONS: Our study revealed great heterogeneity in the instruments derived from populations with NPSLE and none of these had high-quality evidence. This supports the need to develop and further validate a core domain set and outcome measurement instruments to promote clinical research in this field, enhancing comparability across studies.
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  • 文章类型: Journal Article
    Scores on an outcome measurement instrument depend on the type and settings of the instrument used, how instructions are given to patients, how professionals administer and score the instrument, etc. The impact of all these sources of variation on scores can be assessed in studies on reliability and measurement error, if properly designed and analyzed. The aim of this study was to develop standards to assess the quality of studies on reliability and measurement error of clinician-reported outcome measurement instruments, performance-based outcome measurement instrument, and laboratory values.
    We conducted a 3-round Delphi study involving 52 panelists.
    Consensus was reached on how a comprehensive research question can be deduced from the design of a reliability study to determine how the results of a study inform us about the quality of the outcome measurement instrument at issue. Consensus was reached on components of outcome measurement instruments, i.e. the potential sources of variation. Next, we reached consensus on standards on design requirements (n = 5), standards on preferred statistical methods for reliability (n = 3) and measurement error (n = 2), and their ratings on a four-point scale. There was one term for a component and one rating of one standard on which no consensus was reached, and therefore required a decision by the steering committee.
    We developed a tool that enables researchers with and without thorough knowledge on measurement properties to assess the quality of a study on reliability and measurement error of outcome measurement instruments.
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