Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis

Abstract Background Functional dyspepsia (FD) as a type of disorders of brain-gut interaction (DBGI), patient self-reporting of its symptoms becomes an important component of clinical outcome assessment. We performed a systematic review using Consensus Based Standards for the Selection of Health Mea...

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Main Authors: Xinai Wang, Yan Fei, Wenjing Li, Hao Liu, Hongling Xiao, Yaxuan Wu, Chenqi Wang
Format: Article
Language:English
Published: BMC 2023-09-01
Series:BMC Gastroenterology
Subjects:
Online Access:https://doi.org/10.1186/s12876-023-02935-9
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author Xinai Wang
Yan Fei
Wenjing Li
Hao Liu
Hongling Xiao
Yaxuan Wu
Chenqi Wang
author_facet Xinai Wang
Yan Fei
Wenjing Li
Hao Liu
Hongling Xiao
Yaxuan Wu
Chenqi Wang
author_sort Xinai Wang
collection DOAJ
description Abstract Background Functional dyspepsia (FD) as a type of disorders of brain-gut interaction (DBGI), patient self-reporting of its symptoms becomes an important component of clinical outcome assessment. We performed a systematic review using Consensus Based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines to identify the best available patient-reported outcome measure (PROM) of FD. Methods The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched four databases with no date limit, looking for previously confirmed PROMs for evaluating FD symptoms. An overall rating was then assigned based upon COSMIN guidelines, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the level of evidence for psychometric properties of included PROMs. Results Thirty articles covering outcome indicators of 24 patient reports were included. The Leuven Postprandial Distress Scale (LPDS) showed adequate content validity and moderate quality evidence of adequate internal consistency to generate an A recommendation. Conclusion LPDS is currently the most recommended PROM for patient self-reported FD symptoms. However, it fails to assess two important areas of cross-cultural validity/ measurement invariance and measurement error. Future research can be continuously improved on this basis.
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spelling doaj.art-2ea2a8afe7234e9fa24a19e84d78c9002023-11-26T13:30:29ZengBMCBMC Gastroenterology1471-230X2023-09-0123111110.1186/s12876-023-02935-9Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysisXinai Wang0Yan Fei1Wenjing Li2Hao Liu3Hongling Xiao4Yaxuan Wu5Chenqi Wang6The School of Graduate, Tianjin University of Traditional Chinese MedicineShanghai Tenth People’s Hospital Chongming BranchThe School of Graduate, Tianjin University of Traditional Chinese MedicineThe School of Graduate, Tianjin University of Traditional Chinese MedicineThe School of Nursing, Tianjin University of Traditional Chinese MedicineThe School of Graduate, Tianjin University of Traditional Chinese MedicineThe School of Graduate, Tianjin University of Traditional Chinese MedicineAbstract Background Functional dyspepsia (FD) as a type of disorders of brain-gut interaction (DBGI), patient self-reporting of its symptoms becomes an important component of clinical outcome assessment. We performed a systematic review using Consensus Based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines to identify the best available patient-reported outcome measure (PROM) of FD. Methods The study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched four databases with no date limit, looking for previously confirmed PROMs for evaluating FD symptoms. An overall rating was then assigned based upon COSMIN guidelines, and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to assess the level of evidence for psychometric properties of included PROMs. Results Thirty articles covering outcome indicators of 24 patient reports were included. The Leuven Postprandial Distress Scale (LPDS) showed adequate content validity and moderate quality evidence of adequate internal consistency to generate an A recommendation. Conclusion LPDS is currently the most recommended PROM for patient self-reported FD symptoms. However, it fails to assess two important areas of cross-cultural validity/ measurement invariance and measurement error. Future research can be continuously improved on this basis.https://doi.org/10.1186/s12876-023-02935-9Functional dyspepsiaDyspepsiaPatient-reported outcome measureMeasurement properties
spellingShingle Xinai Wang
Yan Fei
Wenjing Li
Hao Liu
Hongling Xiao
Yaxuan Wu
Chenqi Wang
Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis
BMC Gastroenterology
Functional dyspepsia
Dyspepsia
Patient-reported outcome measure
Measurement properties
title Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis
title_full Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis
title_fullStr Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis
title_full_unstemmed Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis
title_short Patient-reported outcome measures in functional dyspepsia: a systematic review and COSMIN analysis
title_sort patient reported outcome measures in functional dyspepsia a systematic review and cosmin analysis
topic Functional dyspepsia
Dyspepsia
Patient-reported outcome measure
Measurement properties
url https://doi.org/10.1186/s12876-023-02935-9
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