Patient-reported outcome measures for adult chronic rhinosinusitis: A systematic review and quality assessment

Luke Rudmik, Claire Hopkins, Anju Peters, Timothy Smith, Rodney J. Schlosser, Zachary M. Soler

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background With a focus on patient-centered care, there is increasing policy interest in patient-reported outcome measures (PROMs) to inform improvements in health care delivery. Given the importance of understanding patient-reported outcomes during the management of chronic rhinosinusitis (CRS), PROMs will play an essential role in informing and tailoring the right intervention to the right patient. Objective The objective of this systematic review was to identify and assess the quality of PROMs being used for adults with CRS. Methods A systematic review of Ovid MEDLINE (R) (1947-May 2015), Embase, and the Cochrane databases was performed using the following key terms: ["chronic" AND "∗sinusitis"] AND [PROM OR patient reported outcome measure∗OR quality of life OR questionnaire OR survey OR valid∗OR develop∗]. An unlimited truncation strategy (placement of∗) was used to capture all variations of terms used. The quality of each PROM was assessed and reported using standardized criteria from the COnsensus-based Standards for the selection of health status Measurement INstruments checklist. Results A total of 15 PROMs validated for use in adult patients with CRS were identified. Fourteen instruments were specific to adults with CRS, and one was a generic quality-of-life instrument (EuroQol five-dimensional questionnaire [EQ-5D]). There was significant variation in the quality of development and reporting of psychometric properties. Overall, the highest quality validated PROMs for adults with CRS were (1) the 22-item Sinonasal Outcome Test (19 points), (2) the Questionnaire of Olfactory Disorders (14 points), (3) the Sinusitis Control Test (14 points), and (4) the EQ-5D (13 points). Most of the PROMs were developed for research purposes such as determining changes in health-related quality of life or symptoms after an intervention as opposed to improving clinical decision making. Conclusions Based on quality assessment, the 22-item Sinonasal Outcome Test, the Questionnaire of Olfactory Disorders, and the Sinusitis Control Test provided the highest quality CRS-specific PROMs, whereas the EQ-5D provided the highest quality generic quality-of-life instrument. Future CRS PROMs will need to incorporate clinical domains that assess common comorbid diseases along with patient values and preferences to improve clinical decision making.

Original languageEnglish (US)
Pages (from-to)1532-1540e2
JournalJournal of Allergy and Clinical Immunology
Volume136
Issue number6
DOIs
StatePublished - Dec 1 2015

Fingerprint

Sinusitis
Quality of Life
Patient Reported Outcome Measures
Patient-Centered Care
Patient Preference
Patient Rights
Checklist
Psychometrics
MEDLINE
Health Status
Consensus
Databases
Delivery of Health Care
Surveys and Questionnaires
Research
Clinical Decision-Making

Keywords

  • Chronic rhinosinusitis
  • evidence-based medicine
  • patient-reported outcome measure
  • quality of life
  • sinusitis
  • systematic review

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

Cite this

Patient-reported outcome measures for adult chronic rhinosinusitis : A systematic review and quality assessment. / Rudmik, Luke; Hopkins, Claire; Peters, Anju; Smith, Timothy; Schlosser, Rodney J.; Soler, Zachary M.

In: Journal of Allergy and Clinical Immunology, Vol. 136, No. 6, 01.12.2015, p. 1532-1540e2.

Research output: Contribution to journalArticle

Rudmik, Luke ; Hopkins, Claire ; Peters, Anju ; Smith, Timothy ; Schlosser, Rodney J. ; Soler, Zachary M. / Patient-reported outcome measures for adult chronic rhinosinusitis : A systematic review and quality assessment. In: Journal of Allergy and Clinical Immunology. 2015 ; Vol. 136, No. 6. pp. 1532-1540e2.
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AU - Soler, Zachary M.

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N2 - Background With a focus on patient-centered care, there is increasing policy interest in patient-reported outcome measures (PROMs) to inform improvements in health care delivery. Given the importance of understanding patient-reported outcomes during the management of chronic rhinosinusitis (CRS), PROMs will play an essential role in informing and tailoring the right intervention to the right patient. Objective The objective of this systematic review was to identify and assess the quality of PROMs being used for adults with CRS. Methods A systematic review of Ovid MEDLINE (R) (1947-May 2015), Embase, and the Cochrane databases was performed using the following key terms: ["chronic" AND "∗sinusitis"] AND [PROM OR patient reported outcome measure∗OR quality of life OR questionnaire OR survey OR valid∗OR develop∗]. An unlimited truncation strategy (placement of∗) was used to capture all variations of terms used. The quality of each PROM was assessed and reported using standardized criteria from the COnsensus-based Standards for the selection of health status Measurement INstruments checklist. Results A total of 15 PROMs validated for use in adult patients with CRS were identified. Fourteen instruments were specific to adults with CRS, and one was a generic quality-of-life instrument (EuroQol five-dimensional questionnaire [EQ-5D]). There was significant variation in the quality of development and reporting of psychometric properties. Overall, the highest quality validated PROMs for adults with CRS were (1) the 22-item Sinonasal Outcome Test (19 points), (2) the Questionnaire of Olfactory Disorders (14 points), (3) the Sinusitis Control Test (14 points), and (4) the EQ-5D (13 points). Most of the PROMs were developed for research purposes such as determining changes in health-related quality of life or symptoms after an intervention as opposed to improving clinical decision making. Conclusions Based on quality assessment, the 22-item Sinonasal Outcome Test, the Questionnaire of Olfactory Disorders, and the Sinusitis Control Test provided the highest quality CRS-specific PROMs, whereas the EQ-5D provided the highest quality generic quality-of-life instrument. Future CRS PROMs will need to incorporate clinical domains that assess common comorbid diseases along with patient values and preferences to improve clinical decision making.

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