The quality of systematic reviews of health-related outcome measurement instruments

Terwee, Caroline B.; Prinsen, Cecilia A.C.; Garotti, Maria Grazia Ricci; Suman, Arnela; Vet, Henrica C.W. de; Mokkink, Lidwine B.

doi:10.1007/s11136-015-1122-4

Cited by 90 publications

(114 citation statements)

References 126 publications

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“…We considered using an additional quality rating such as the Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN) [92,93], but the sample size requirement for this tool means that almost all the studies included in this review would automatically receive a poor or fair rating, regardless of the conduct of the study. As a result, we determined that this rating would not provide any additional information to assist readers in discriminating between measures.…”

Section: Discussionmentioning

confidence: 99%

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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Gait trainers are walking devices that provide additional trunk and pelvic support. The primary population of children using gait trainers includes children with cerebral palsy (CP) functioning at Gross Motor Function Classification System (GMFCS) levels IV and V. A recent systematic review found that evidence supporting the effectiveness of gait trainer interventions for children was primarily descriptive and insufficient to draw firm conclusions. A major limitation identified was the lack of valid, sensitive and reliable tools for measuring change in body structure and function, activity and participation outcomes. Twelve different clinical tools were identified in the systematic review and in this paper we review and discuss the evidence supporting their reliability, validity and clinical utility for use with children using gait trainers. We also describe seven additional clinical measurement tools that may be useful with this intervention and population. The Pediatric Evaluation of Disability Inventory (PEDI) rated highest across all areas at this time. Individualized outcome measures, such as the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling and measuring user satisfaction with tools, such as the Quebec User Evaluation of Satisfaction with assistive Technology, show potential for gait trainer outcomes research. Spatiotemporal measures appear to be less useful than functional measures with this intervention and population. All tools would benefit from further development for use with children with CP functioning at GMFCS levels IV and V.

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Section: Discussionmentioning

confidence: 99%

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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“…However, the quality of these reviews varies widely, and there is a lack of reviews of outcome measurement instruments for many outcomes in many disease areas [46]. More high-quality reviews are needed and the methodology of performing such reviews needs to be further developed and implemented.…”

Section: Future Science Groupmentioning

confidence: 99%

Improving the relevance and consistency of outcomes in comparative effectiveness research

et al. 2016

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Policy makers have clearly indicated -through heavy investment in the Patient Centered Outcomes Research Institute -that reporting outcomes that are meaningful to patients is crucial for improvement in healthcare delivery and cost reduction. Better interpretation and generalizability of clinical research results that incorporate patient-centered outcomes research can be achieved by accelerating the development and uptake of core outcome sets (COS). COS provide a standardized minimum set of the outcomes that should be measured and reported in all clinical trials of a specific condition. The level of activity around COS has increased significantly over the past decade, with substantial progress in several clinical domains. However, there are many important clinical conditions for which high-quality COS have not been developed and there are limited resources and capacity with which to develop them. We believe that meaningful progress toward the goals behind the significant investments in patient-centered outcomes research and comparative effectiveness research will depend on a serious effort to address these issues.

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“…(9,10) The convergent construct validity verified the correlation among the QoR-40 measurements and the Visual Analogue Scale (VAS) of postoperative recovery and the 36-Item Short Form Health Survey Version 2.0® (SF-36v2®). (5)(6)(7)(8)(9)(10)(11) The discriminant construct validity was investigated by the comparison among groups of patients with or without a nursing diagnosis of retarded postoperative recovery and among groups of patients with or without urinary incontinence. (12) Reliability was verified by the internal consistency and responsiveness by the QoR-40 measurements over time.…”

Section: Methodsmentioning

confidence: 72%

“…Reliability was examined by internal consistency, according to Cronbach's alpha statistic. Results ≥0.70 (9,10) were considered acceptable. Responsiveness was investigated by the mean of standardized answers (Standardized Response Mean -SRM), obtained by the equation: initial measure -final measure/SD of the difference.…”

Section: Methodsmentioning

confidence: 99%

Validação da versão brasileira do questionário Quality of Recovery - 40 Items

et al. 2016

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Objective: To validate the Brazilian version of the Quality of Recovery-40 Item (QoR-40) questionnaire, among patients submitted to radical prostatectomy. Methods: A methodological study was conducted with 224 patients submitted to radical prostatectomy, with 24 for semantic analysis and 200 for psychometric properties, considering discriminant construct validities, reliability and responsiveness. Results: The semantic analysis resulted in drafting alterations of three items. In the convergent construct validity, correlations between the QoR-40 and dimensions of quality of life and visual analogue scales of postoperative recovery were moderate. The discriminant construct validity determined statistically significant differences among patients with nursing diagnosis of retarded postoperative recovery and with urinary incontinence. Regarding reliability, Cronbach's alpha values were satisfactory. Responsiveness showed that the questionnaire obtained acceptable capacity for identifying changes over time. Conclusion: The Brazilian questionnaire has acceptable validity, reliability and responsiveness. ResumoObjetivo: Validar, entre pacientes submetidos à prostatectomia radical, a versão brasileira do questionário Quality of . Métodos: Estudo metodológico realizado com 224 pacientes submetidos à prostatectomia radical, sendo 24 para análise semântica e 200 para as propriedades psicométricas, considerando validades de constructo e discriminante, fidedignidade e responsividade. Resultados: A análise semântica resultou em alterações na redação de três itens. Na validade de constructo convergente, as correlações entre o QoR-40 e os domínios das escalas de qualidade de vida e visual analógica de recuperação cirúrgica foram moderadas. A validade de constructo discriminante constatou diferenças estatisticamente significativas entre pacientes com o diagnóstico de enfermagem Recuperação cirúrgica retardada e com incontinência urinária. Quanto à fidedignidade, valores de alfa de Cronbach foram satisfatórios. A responsividade demonstrou que o questionário obteve adequada capacidade em identificar mudanças no decorrer do tempo. Conclusão: O questionário brasileiro possui adequadas validade, fidedignidade e responsividade.

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The quality of systematic reviews of health-related outcome measurement instruments

Cited by 90 publications

References 126 publications

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Improving the relevance and consistency of outcomes in comparative effectiveness research

Validação da versão brasileira do questionário Quality of Recovery - 40 Items

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