Quality of life instruments in acute and chronic pancreatitis: a consensus-based standards for the selection of health measurement instruments (COSMIN) approach

STARSurg Collaborative

doi:10.1016/j.hpb.2024.04.004

Quality of life instruments in acute and chronic pancreatitis: a consensus-based standards for the selection of health measurement instruments (COSMIN) approach

HPB (Oxford). 2024 Apr 26:S1365-182X(24)01260-7. doi: 10.1016/j.hpb.2024.04.004. Online ahead of print.

Author

STARSurg Collaborative

Collaborators

STARSurg Collaborative:
Michal Kawka, Amy Lucas, Aya M Riad, David Hawkins, Enrique de Madaria, Helen West, Ieva Jakaityte, Matthew J Lee, Omar Kouli, Rebecca Ruanne, Rohan R Gujjuri, Samuel Brown, William A Cambridge, Sanjay Pandanaboyana, Sivesh K Kamarajah¹, Kenneth A McLean²

Affiliations

¹ Department of Global Health and Surgery, Institute of Applied Health Research, University of Birmingham, Birmingham UK. Electronic address: s.k.kamarajah@bham.ac.uk.
² Usher Institute, University of Edinburgh, Edinburgh, UK. Electronic address: kmclean2@ed.ac.uk.

PMID: 38735815
DOI: 10.1016/j.hpb.2024.04.004

Abstract

Background: Pancreatitis is a common surgical emergency, associated with pain and poor quality of life for patients. However, assessment of patient-reported outcome measures in these patients is unclear. This study aimed to identify and evaluate the methodological quality of the health-related quality of life instruments used for patients with acute or chronic pancreatitis.

Methods: Prospective studies that evaluated health-related quality of life in acute or chronic pancreatitis were identified from systematic review of MEDLINE, EMBASE, and Web of Science until 28th June 2023 (PROSPERO: CRD42021274743). Instrument characteristics were extracted, and methodological quality assessed using COSMIN (COnsensus-based Standards for the selection of health status Measurement Instruments) guidelines and GRADE approach. Narrative synthesis was conducted, with recommendations for use based on COSMIN criteria, evaluated according to World Health Organisation (WHO) quality of life domains.

Results: From 3850 records screened, 41 quality of life instruments were identified across 138 studies included. The majority (69.8%, n = 26) were designed to assess general health-related quality of life, whereas the remainder were abdominal-specific (n = 5) or pancreas-specific (n = 10). Only ten instruments (24.3%) demonstrated sufficient content validity, incorporating items in ≥5 WHO quality of life domains. However, only nine instruments (21.9%) incorporated public and patient involvement. Only the Gastrointestinal Quality of Life Index and PAN-PROMISE met the criteria to be recommended for use based on COSMIN methodological assessment.

Conclusion: There is significant heterogeneity in instruments used to assess quality of life after pancreatitis, with almost all instruments considered insufficient. Robust, validated, and relevant instruments are needed to better understand and determine appropriate interventions to improve quality of life for these patients.

Publication types

Review