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Measurement properties of adult quality-of-life measurement instruments for eczema: a systematic review

Measurement properties of adult quality-of-life measurement instruments for eczema: a systematic review
Measurement properties of adult quality-of-life measurement instruments for eczema: a systematic review

BACKGROUND: The Harmonising Outcome Measures for Eczema (HOME) initiative has identified quality of life (QoL) as a core outcome domain to be evaluated in every eczema trial. It is unclear which of the existing QoL instruments is most appropriate for this domain. Thus, the aim of this review was to systematically assess the measurement properties of existing measurement instruments developed and/or validated for the measurement of QoL in adult eczema.

METHODS: We conducted a systematic literature search in PubMed and Embase identifying studies on measurement properties of adult eczema QoL instruments. For all eligible studies, we assessed the adequacy of the measurement properties and the methodological quality with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. A best evidence synthesis summarizing findings from different studies was the basis to assign four degrees of recommendation (A-D).

RESULTS: A total of 15 articles reporting on 17 instruments were included. No instrument fulfilled the criteria for category A. Six instruments were placed in category B, meaning that they have the potential to be recommended depending on the results of further validation studies. Three instruments had poor adequacy in at least one required adequacy criterion and were therefore put in category C. The remaining eight instruments were minimally validated and were thus placed in category D.

CONCLUSIONS: Currently, no QoL instrument can be recommended for use in adult eczema. The Quality of Life Index for Atopic Dermatitis (QoLIAD) and the Dermatology Life Quality Index (DLQI) are recommended for further validation research.

Adult, Dermatitis, Atopic/epidemiology, Eczema/epidemiology, Humans, Population Surveillance, Quality of Life, Reproducibility of Results
0105-4538
358-370
Heinl, D
29c88699-32d3-4045-8000-ae3652c0c8fa
Prinsen, C A C
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Deckert, S
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Chalmers, J R
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Drucker, A M
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Ofenloch, R
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Humphreys, R
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Sach, T
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Chamlin, S L
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Schmitt, J
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Apfelbacher, C
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Heinl, D
29c88699-32d3-4045-8000-ae3652c0c8fa
Prinsen, C A C
f30459a0-1a60-42f8-98e9-b782c3fbce15
Deckert, S
db022d75-24b7-40fb-bfd1-0f254dbb50a7
Chalmers, J R
94e08e98-5c93-405d-9278-97acfe4985a0
Drucker, A M
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Ofenloch, R
041496d0-51b8-4a3b-87de-7bd990ec1331
Humphreys, R
ba7acc08-ed16-4315-ac5b-31c67e3d0e5c
Sach, T
5c09256f-ebed-4d14-853a-181f6c92d6f2
Chamlin, S L
f826b0bf-597a-4649-915f-d9372c5995ac
Schmitt, J
c4ee251c-235f-4bfd-ad75-32e43bfc99fd
Apfelbacher, C
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Heinl, D, Prinsen, C A C, Deckert, S, Chalmers, J R, Drucker, A M, Ofenloch, R, Humphreys, R, Sach, T, Chamlin, S L, Schmitt, J and Apfelbacher, C (2016) Measurement properties of adult quality-of-life measurement instruments for eczema: a systematic review. Allergy, 71 (3), 358-370. (doi:10.1111/all.12806).

Record type: Review

Abstract

BACKGROUND: The Harmonising Outcome Measures for Eczema (HOME) initiative has identified quality of life (QoL) as a core outcome domain to be evaluated in every eczema trial. It is unclear which of the existing QoL instruments is most appropriate for this domain. Thus, the aim of this review was to systematically assess the measurement properties of existing measurement instruments developed and/or validated for the measurement of QoL in adult eczema.

METHODS: We conducted a systematic literature search in PubMed and Embase identifying studies on measurement properties of adult eczema QoL instruments. For all eligible studies, we assessed the adequacy of the measurement properties and the methodological quality with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. A best evidence synthesis summarizing findings from different studies was the basis to assign four degrees of recommendation (A-D).

RESULTS: A total of 15 articles reporting on 17 instruments were included. No instrument fulfilled the criteria for category A. Six instruments were placed in category B, meaning that they have the potential to be recommended depending on the results of further validation studies. Three instruments had poor adequacy in at least one required adequacy criterion and were therefore put in category C. The remaining eight instruments were minimally validated and were thus placed in category D.

CONCLUSIONS: Currently, no QoL instrument can be recommended for use in adult eczema. The Quality of Life Index for Atopic Dermatitis (QoLIAD) and the Dermatology Life Quality Index (DLQI) are recommended for further validation research.

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More information

Published date: 3 February 2016
Additional Information: © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Keywords: Adult, Dermatitis, Atopic/epidemiology, Eczema/epidemiology, Humans, Population Surveillance, Quality of Life, Reproducibility of Results

Identifiers

Local EPrints ID: 480851
URI: http://eprints.soton.ac.uk/id/eprint/480851
ISSN: 0105-4538
PURE UUID: 64f651c1-3440-4f1b-9843-f814adb6f3b1
ORCID for T Sach: ORCID iD orcid.org/0000-0002-8098-9220

Catalogue record

Date deposited: 10 Aug 2023 16:38
Last modified: 17 Mar 2024 04:20

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Contributors

Author: D Heinl
Author: C A C Prinsen
Author: S Deckert
Author: J R Chalmers
Author: A M Drucker
Author: R Ofenloch
Author: R Humphreys
Author: T Sach ORCID iD
Author: S L Chamlin
Author: J Schmitt
Author: C Apfelbacher

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