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. 2024 Jan;33(1):31-43.
doi: 10.1007/s11136-023-03517-8. Epub 2023 Oct 30.

Quality of patient-reported outcome measures for primary dysmenorrhea: a systematic review

Katharina Piontek  1 , Michaela Gabes  2 , Gesina Kann  2 , Marie Fechtner  2 , Christian Apfelbacher  2
Affiliations

Quality of patient-reported outcome measures for primary dysmenorrhea: a systematic review

Katharina Piontek et al. Qual Life Res. 2024 Jan.

Abstract

Purpose: To conduct a systematic review of the quality of patient-reported outcome measures (PROMs) for primary dysmenorrhea (PDys) using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology, and to derive recommendations for use of the PROMs.

Methods: We searched PubMed and Web of Science for studies reporting on the development and/or validation of any PROMs for women with PDys. Applying the COSMIN Risk of Bias Checklist, we assessed the methodological quality of each included study. We further evaluated the quality of measurement properties per PROM and study according to the criteria for good measurement properties, and graded the evidence. Based on the overall evidence, we derived recommendations for the use of the included PROMs.

Results: Data from seven studies reporting on four PROMs addressing different outcomes were included. Among those, the Adolescent Dysmenorrhic Self-Care Scale (ADSCS) and the on-menses version of the Dysmenorrhea Symptom Interference Scale (DSI) can be recommended for use. The Exercise of Self-Care Agency Scale (ESCAS) and the Dysmenorrhea Daily Diary (DysDD) have the potential to be recommended for use, but require further validation. The off-menses version of the DSI cannot be recommended for use.

Conclusions: The ADSCS can be recommended for the assessment of self-care behavior in PDys. Regarding measures of impact, the on-menses version of the DSI is a suitable tool. Covering the broadest spectrum of outcomes, the DysDD is promising for use in medical care and research, encouraging further investigations. Further validation studies are indicated for all included PROMs.

Keywords: Patient-reported outcome measures; Primary dysmenorrhea; Psychometric properties; Questionnaire.

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Conflict of interest statement

CA received consultancy fees from Bionorica SE, Dr Wolff Group, Rheacell, and Sanofi for services related to patient-reported outcome measures. All other authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Adapted preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 flow diagram
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