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Twenty-five years of experience with patient-reported outcome measures in soft-tissue sarcoma patients: a systematic review. | LitMetric

Twenty-five years of experience with patient-reported outcome measures in soft-tissue sarcoma patients: a systematic review.

Qual Life Res

Division of Surgical Oncology, Department of Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.

Published: December 2024

AI Article Synopsis

  • The study aims to understand the quality of patient-reported outcome measures (PROMs) used for soft-tissue sarcoma (STS) patients by identifying and critically appraising these tools.
  • A thorough literature search found 39 different PROMs across 59 studies, with the Toronto Extremity Salvage Score (TESS) being the most commonly used; however, only three studies analyzed the quality of these PROMs.
  • No PROMs were deemed reliable for use in the STS population based on current evidence; thus, future research should focus on evaluating their content and selecting appropriate measures for assessing treatment outcomes.

Article Abstract

Purpose: As the importance of the patient's perspective on treatment outcome is becoming increasingly clear, the availability of patient-reported outcome measures (PROMs) has grown accordingly. There remains insufficient information regarding the quality of PROMs in patients with soft-tissue sarcomas (STSs). The objectives of this systematic review were (1) to identify all PROMs used in STS patients and (2) to critically appraise the methodological quality of these PROMs.

Methods: Literature searches were performed in MEDLINE and Embase on April 22, 2024. PROMs were identified by including all studies that evaluate (an aspect of) health-related quality of life in STS patients by using a PROM. Second, studies that assessed measurement properties of the PROMs utilized in STS patients were included. Quality of PROMs was evaluated by performing a COSMIN analysis.

Results: In 59 studies, 39 PROMs were identified, with the Toronto Extremity Salvage Score (TESS) being the most frequently utilized. Three studies evaluated methodological quality of PROMs in the STS population. Measurement properties of the TESS, Quick Disability of the Arm, Shoulder and Hand (QuickDASH) and European Organization for Research and Treatment for Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) were reported. None of the PROMs utilized in the STS population can be recommended for use based on the current evidence and COSMIN analysis.

Conclusion: To ensure collection of reliable outcomes, PROMs require methodological evaluation prior to utilization in the STS population. Research should prioritize on determining relevant content and subsequently selecting the most suitable PROM for assessment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11599342PMC
http://dx.doi.org/10.1007/s11136-024-03755-4DOI Listing

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