Fledderus A C, Boom T, Legemate C M, van der Horst C M A M, Spuls P I
Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands.
Department of Dermatology, Amsterdam Public Health, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands.
JPRAS Open. 2022 Nov 23;35:58-75. doi: 10.1016/j.jpra.2022.11.003. eCollection 2023 Mar.
Congenital melanocytic naevi (CMN) can impact on patients' lives due to their appearance and the risk they carry of neurological complications or melanoma development. The development of a core outcome set (COS) will allow standardised reporting and enable comparison of outcomes. This will help to improve guidelines. In previous research, relevant stakeholders reached a consensus over which core outcomes should be measured in any future care or research. The next step of the COS development is to select the appropriate measurement instruments.
Step 1: to update a systematic review identifying all core outcomes and measurement instruments available for CMN. Step 2: to evaluate the measurement properties of the instruments for the core outcomes.
This study was registered in PROSPERO and performed according to the PRISMA checklist. Step 1 includes a literature search in EMBASE (Ovid), PubMed and the Cochrane Library to identify core outcomes and instruments previously used in research of CMN. Step 2 yields a systematic search for studies on the measurement properties of instruments that were either developed or validated for CMN, including a methodological quality assessment following the COSMIN methodology.
Step 1 included twenty-nine studies. Step 2 yielded two studies, investigating two quality of life measurement instruments.
Step 1 provided an overview of outcomes and instruments used for CMN. Step 2 showed that additional research on measurement properties is needed to evaluate which instruments can be used for the COS of CMN. This study informs the instrument selection and/or development of new instruments.
先天性黑素细胞痣(CMN)因其外观以及所携带的神经并发症或黑色素瘤发展风险,会对患者生活产生影响。核心结局集(COS)的制定将实现标准化报告,并能对结局进行比较。这将有助于改进指南。在先前的研究中,相关利益相关者就未来任何护理或研究中应测量哪些核心结局达成了共识。COS 制定的下一步是选择合适的测量工具。
第一步:更新一项系统评价,确定所有可用于 CMN 的核心结局和测量工具。第二步:评估这些工具针对核心结局的测量特性。
本研究在国际前瞻性系统评价注册库(PROSPERO)登记,并按照系统评价和 Meta 分析的首选报告项目(PRISMA)清单进行。第一步包括在 EMBASE(Ovid)、PubMed 和考克兰图书馆进行文献检索,以确定先前在 CMN 研究中使用的核心结局和工具。第二步对为 CMN 开发或验证的工具的测量特性研究进行系统检索,包括按照 COSMIN 方法进行方法学质量评估。
第一步纳入了 29 项研究。第二步得到两项研究,调查了两种生活质量测量工具。
第一步提供了用于 CMN 的结局和工具的概述。第二步表明,需要对测量特性进行更多研究,以评估哪些工具可用于 CMN 的 COS。本研究为工具选择和/或新工具的开发提供了参考。