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Patient-reported outcome measures for hip-related pain: a review of the available evidence and a consensus statement from the International Hip-related Pain Research Network, Zurich 2018
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2020-02-17 , DOI: 10.1136/bjsports-2019-101456 Franco M Impellizzeri 1 , Denise M Jones 2 , Damian Griffin 3 , Marcie Harris-Hayes 4, 5 , Kristian Thorborg 6 , Kay M Crossley 2 , Michael P Reiman 7 , Mark James Scholes 2 , Eva Ageberg 8 , Rintje Agricola 9 , Mario Bizzini 10 , Nancy Bloom 11, 12 , Nicola C Casartelli 10, 13 , Laura E Diamond 14 , Hendrik Paulus Dijkstra 15, 16 , Stephanie Di Stasi 17 , Michael Drew 18 , Daniel Jonah Friedman 19 , Matthew Freke 20 , Boris Gojanovic 21, 22 , Joshua J Heerey 2 , Per Hölmich 6 , Michael A Hunt 23 , Lasse Ishøi 6 , Ara Kassarjian 24, 25 , Matthew King 2 , Peter R Lawrenson 26 , Michael Leunig 27 , Cara L Lewis 28 , Kristian Marstrand Warholm 29 , Sue Mayes 2, 30 , Håvard Moksnes 31 , Andrea Britt Mosler 2 , May Arna Risberg 32, 33 , Adam Semciw 2 , Andreas Serner 34 , Pim van Klij 9 , Tobias Wörner 35 , Joanne Kemp 2
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2020-02-17 , DOI: 10.1136/bjsports-2019-101456 Franco M Impellizzeri 1 , Denise M Jones 2 , Damian Griffin 3 , Marcie Harris-Hayes 4, 5 , Kristian Thorborg 6 , Kay M Crossley 2 , Michael P Reiman 7 , Mark James Scholes 2 , Eva Ageberg 8 , Rintje Agricola 9 , Mario Bizzini 10 , Nancy Bloom 11, 12 , Nicola C Casartelli 10, 13 , Laura E Diamond 14 , Hendrik Paulus Dijkstra 15, 16 , Stephanie Di Stasi 17 , Michael Drew 18 , Daniel Jonah Friedman 19 , Matthew Freke 20 , Boris Gojanovic 21, 22 , Joshua J Heerey 2 , Per Hölmich 6 , Michael A Hunt 23 , Lasse Ishøi 6 , Ara Kassarjian 24, 25 , Matthew King 2 , Peter R Lawrenson 26 , Michael Leunig 27 , Cara L Lewis 28 , Kristian Marstrand Warholm 29 , Sue Mayes 2, 30 , Håvard Moksnes 31 , Andrea Britt Mosler 2 , May Arna Risberg 32, 33 , Adam Semciw 2 , Andreas Serner 34 , Pim van Klij 9 , Tobias Wörner 35 , Joanne Kemp 2
Affiliation
Hip-related pain is a well-recognised complaint among active young and middle-aged active adults. People experiencing hip-related disorders commonly report pain and reduced functional capacity, including difficulties in executing activities of daily living. Patient-reported outcome measures (PROMs) are essential to accurately examine and compare the effects of different treatments on disability in those with hip pain. In November 2018, 38 researchers and clinicians working in the field of hip-related pain met in Zurich, Switzerland for the first International Hip-related Pain Research Network meeting. Prior to the meeting, evidence summaries were developed relating to four prioritised themes. This paper discusses the available evidence and consensus process from which recommendations were made regarding the appropriate use of PROMs to assess disability in young and middle-aged active adults with hip-related pain. Our process to gain consensus had five steps: (1) systematic review of systematic reviews; (2) preliminary discussion within the working group; (3) update of the more recent high-quality systematic review and examination of the psychometric properties of PROMs according to established guidelines; (4) formulation of the recommendations considering the limitations of the PROMs derived from the examination of their quality; and (5) voting and consensus. Out of 102 articles retrieved, 6 systematic reviews were selected and assessed for quality according to AMSTAR 2 (A MeaSurement Tool to Assess systematic Reviews). Two showed moderate quality. We then updated the most recent review. The updated literature search resulted in 10 additional studies that were included in the qualitative synthesis. The recommendations based on evidence summary and PROMs limitations were presented at the consensus meeting. The group makes the following recommendations: (1) the Hip and Groin Outcome Score (HAGOS) and the International Hip Outcome Tool (iHOT) instruments (long and reduced versions) are the most appropriate PROMs to use in young and middle-aged active adults with hip-related pain; (2) more research is needed into the utility of the HAGOS and the iHOT instruments in a non-surgical treatment context; and (3) generic quality of life measures such as the EuroQoL-5 Dimension Questionnaire and the Short Form Health Survey-36 may add value for researchers and clinicians in this field. We conclude that as none of the instruments shows acceptable quality across various psychometric properties, more methods studies are needed to further evaluate the validity of these PROMS—the HAGOS and iHOT—as well as the other (currently not recommended) PROMS.
中文翻译:
患者报告的髋关节相关疼痛结果测量:对现有证据的回顾和国际髋关节相关疼痛研究网络的共识声明,苏黎世 2018
髋关节相关疼痛是活跃的年轻和中年活跃成年人中公认的主诉。患有髋关节相关疾病的人通常会报告疼痛和功能下降,包括难以进行日常生活活动。患者报告的结果测量 (PROM) 对于准确检查和比较不同治疗对髋部疼痛患者残疾的影响至关重要。2018 年 11 月,38 位从事髋关节相关疼痛领域的研究人员和临床医生在瑞士苏黎世举行了首届国际髋关节相关疼痛研究网络会议。在会议之前,制定了与四个优先主题相关的证据摘要。本文讨论了现有的证据和共识过程,从中提出了关于适当使用 PROM 来评估患有髋关节相关疼痛的年轻和中年活跃成年人的残疾的建议。我们达成共识的过程有五个步骤:(1)系统评价的系统评价;(2) 工作组内的初步讨论;(3) 根据既定指南更新最新的高质量系统评价和对 PROM 的心理测量特性的检查;(4) 考虑到 PROM 的质量检查所得出的局限性,制定建议;(5) 投票和共识。在检索到的 102 篇文章中,选择了 6 篇系统评价并根据 AMSTAR 2(一种评估系统评价的测量工具)进行质量评估。两个表现出中等质量。然后我们更新了最新的评论。更新的文献检索导致 10 项额外研究被纳入定性综合。在共识会议上提出了基于证据总结和 PROM 限制的建议。该小组提出以下建议:(1) 髋关节和腹股沟结果评分 (HAGOS) 和国际髋关节结果工具 (iHOT) 工具(长版和简化版)是最适合年轻和中年活跃成年人使用的 PROM与髋部相关的疼痛; (2) 需要对 HAGOS 和 iHOT 仪器在非手术治疗环境中的效用进行更多研究;(3) 通用生活质量指标,例如 EuroQoL-5 Dimension Questionnaire 和 Short Form Health Survey-36,可为该领域的研究人员和临床医生增加价值。我们得出的结论是,由于没有一种仪器在各种心理测量特性上显示出可接受的质量,因此需要更多的方法研究来进一步评估这些 PROMS——HAGOS 和 iHOT——以及其他(目前不推荐的)PROMS 的有效性。
更新日期:2020-02-17
中文翻译:
患者报告的髋关节相关疼痛结果测量:对现有证据的回顾和国际髋关节相关疼痛研究网络的共识声明,苏黎世 2018
髋关节相关疼痛是活跃的年轻和中年活跃成年人中公认的主诉。患有髋关节相关疾病的人通常会报告疼痛和功能下降,包括难以进行日常生活活动。患者报告的结果测量 (PROM) 对于准确检查和比较不同治疗对髋部疼痛患者残疾的影响至关重要。2018 年 11 月,38 位从事髋关节相关疼痛领域的研究人员和临床医生在瑞士苏黎世举行了首届国际髋关节相关疼痛研究网络会议。在会议之前,制定了与四个优先主题相关的证据摘要。本文讨论了现有的证据和共识过程,从中提出了关于适当使用 PROM 来评估患有髋关节相关疼痛的年轻和中年活跃成年人的残疾的建议。我们达成共识的过程有五个步骤:(1)系统评价的系统评价;(2) 工作组内的初步讨论;(3) 根据既定指南更新最新的高质量系统评价和对 PROM 的心理测量特性的检查;(4) 考虑到 PROM 的质量检查所得出的局限性,制定建议;(5) 投票和共识。在检索到的 102 篇文章中,选择了 6 篇系统评价并根据 AMSTAR 2(一种评估系统评价的测量工具)进行质量评估。两个表现出中等质量。然后我们更新了最新的评论。更新的文献检索导致 10 项额外研究被纳入定性综合。在共识会议上提出了基于证据总结和 PROM 限制的建议。该小组提出以下建议:(1) 髋关节和腹股沟结果评分 (HAGOS) 和国际髋关节结果工具 (iHOT) 工具(长版和简化版)是最适合年轻和中年活跃成年人使用的 PROM与髋部相关的疼痛; (2) 需要对 HAGOS 和 iHOT 仪器在非手术治疗环境中的效用进行更多研究;(3) 通用生活质量指标,例如 EuroQoL-5 Dimension Questionnaire 和 Short Form Health Survey-36,可为该领域的研究人员和临床医生增加价值。我们得出的结论是,由于没有一种仪器在各种心理测量特性上显示出可接受的质量,因此需要更多的方法研究来进一步评估这些 PROMS——HAGOS 和 iHOT——以及其他(目前不推荐的)PROMS 的有效性。