BACKGROUND: 

There is growing interest in using patient-reported outcome measures to support value-based care in colorectal surgery. To draw valid conclusions regarding patient-reported outcomes data, measures with robust measurement properties are required.

OBJECTIVE: 

The purpose of this study was to assess the use and quality of patient-reported outcome measures in colorectal surgery.

DATA SOURCES: 

Three major databases were searched for studies using patient-reported outcome measures in the context of colorectal surgery.

STUDY SELECTION: 

Articles that used patient-reported outcome measures as outcome for colorectal surgical intervention in a comparative effectiveness analysis were included. Exclusion criteria included articles older than 11 years, non-English language, age <18 years, fewer than 40 patients, case reports, review articles, and studies without comparison.

MAIN OUTCOME MEASURES: 

This was a quality assessment using a previously reported checklist of psychometric properties.

RESULTS: 

From 2007 to 2018, 368 studies were deemed to meet inclusion criteria. These studies used 165 distinct patient-reported outcome measures. Thirty were used 5 or more times and were selected for quality assessment. Overall, the measures were generally high quality, with 21 (70%) scoring ≥14 on an 18-point scale. Notable weaknesses included management of missing data (14%) and description of literacy level (0%).

LIMITATIONS: 

The study was limited by its use of original articles for quality assessment. Measures were selected for quality analysis based on frequency of use rather than other factors, such as impact of the article or number of patients in the study.

CONCLUSIONS: 

Patient-reported outcome measures are widely used in colorectal research. There was a wide range of measures available, and many were used only once. The most frequently used measures are generally high quality, but a majority lack details on how to deal with missing data and information on literacy levels. As the use of patient-reported outcome measures to assess colorectal surgical intervention increases, researchers and practitioners need to become more knowledgeable about the measures available and their quality.

中文翻译：

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结肠和直肠手术患者报告的结果测量：系统审查和质量评估。

背景： 

人们越来越有兴趣使用患者报告的结果测量来支持结直肠手术中基于价值的护理。为了得出有关患者报告的结果数据的有效结论，需要具有稳健测量特性的测量。

客观的： 

本研究的目的是评估结直肠手术中患者报告的结果测量的使用和质量。

数据源： 

检索了三个主要数据库，以查找在结直肠手术中使用患者报告的结果测量的研究。

研究选择： 

纳入了在比较有效性分析中使用患者报告的结果测量作为结直肠手术干预结果的文章。排除标准包括年龄超过 11 岁、非英语、年龄 <18 岁、患者少于 40 名的文章、病例报告、评论文章和未经比较的研究。

主要观察指标： 

这是使用之前报告的心理测量属性清单进行的质量评估。

结果： 

从 2007 年到 2018 年，有 368 项研究被认为符合纳入标准。这些研究使用了 165 项不同的患者报告的结果指标。30 个使用了 5 次或以上，并被选择进行质量评估。总体而言，这些措施总体质量较高，其中 21 项（70%）在 18 分制中得分≥14。显着的弱点包括缺失数据的管理（14%）和识字水平的描述（0%）。

限制： 

该研究因其使用原始文章进行质量评估而受到限制。根据使用频率而不是其他因素（例如文章的影响或研究中的患者数量）选择用于质量分析的指标。

结论： 

患者报告的结果测量广泛用于结直肠研究。可用的措施有很多种，但许多措施只使用过一次。最常用的衡量标准通常是高质量的，但大多数缺乏如何处理缺失数据和识字水平信息的详细信息。随着越来越多地使用患者报告的结果指标来评估结直肠手术干预，研究人员和从业人员需要更加了解可用的指标及其质量。