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A Systematic Review to Evaluate Patient-Reported Outcome Measures (PROMs) for Metastatic Prostate Cancer According to the COnsensus-Based Standard for the Selection of Health Measurement INstruments (COSMIN) Methodology.


ABSTRACT:

Introduction

Patient-reported outcome measures (PROMs) represent important endpoints in metastatic prostate cancer (mPCa). However, the clinically valid and accurate measurement of health-related quality of life depends on the psychometric properties of the PROMs considered.

Objective

To appraise, compare, and summarize the properties of PROMs in mPCa.

Evidence acquisition

We performed a review of PROMs used in RCTs, including patients with mPCa, using Medline in September 2021, according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) criteria. This systematic review is part of PIONEER (an IMI2 European network of excellence for big data in PCa).

Results

The most frequently used PROMs in RCTs of patients with mPCa were the Functional Assessment for Cancer Therapy-Prostate (FACT-P) (n = 18), the Brief Pain Inventory-Short Form (BPI-SF) (n = 8), and the European Organization for Research and Treatment of Cancer quality of life core 30 (EORTC QLQ-C30) (n = 6). A total of 283 abstracts were screened and 12 full-text studies were evaluated. A total of two, one, and two studies reported the psychometric proprieties of FACT-P, Brief Pain Inventory (BPI), and BPI-SF, respectively. FACT-P and BPI showed a high content validity, while BPI-SF showed a moderate content validity. FACT-P and BPI showed a high internal consistency (summarized by Cronbach's α 0.70-0.95).

Conclusions

The use of BPI and FACT-P in mPCa patients is supported by their high content validity and internal consistency. Since BPI is focused on pain assessment, we recommend FACT-P, which provides a broader assessment of QoL and wellbeing, for the clinical evaluation of mPCa patients. However, these considerations have been elaborated on in a very limited number of studies.

Patient summary

In this paper, we review the psychometric properties of PROMs used with patients with mPCa to find the questionnaires that best assess patients' QoL, in order to help professionals in their intervention and improve patients' QoL. We recommend the use of BPI and FACT-P for their high content validity and internal consistency despite the limited number of studies considered.

SUBMITTER: Ratti MM 

PROVIDER: S-EPMC9600015 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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A Systematic Review to Evaluate Patient-Reported Outcome Measures (PROMs) for Metastatic Prostate Cancer According to the COnsensus-Based Standard for the Selection of Health Measurement INstruments (COSMIN) Methodology.

Ratti Maria Monica MM   Gandaglia Giorgio G   Sisca Elena Silvia ES   Derevianko Alexandra A   Alleva Eugenia E   Beyer Katharina K   Moss Charlotte C   Barletta Francesco F   Scuderi Simone S   Omar Muhammad Imran MI   MacLennan Steven S   Williamson Paula R PR   Zong Jihong J   MacLennan Sara J SJ   Mottet Nicolas N   Cornford Philip P   Aiyegbusi Olalekan Lee OL   Van Hemelrijck Mieke M   N'Dow James J   Briganti Alberto A  

Cancers 20221019 20


<h4>Introduction</h4>Patient-reported outcome measures (PROMs) represent important endpoints in metastatic prostate cancer (mPCa). However, the clinically valid and accurate measurement of health-related quality of life depends on the psychometric properties of the PROMs considered.<h4>Objective</h4>To appraise, compare, and summarize the properties of PROMs in mPCa.<h4>Evidence acquisition</h4>We performed a review of PROMs used in RCTs, including patients with mPCa, using Medline in September  ...[more]

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