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de-Madaria E, Sánchez-Marin C, Carrillo I, Vege SS, Chooklin S, Bilyak A, Mejuto R, Mauriz V, Hegyi P, Márta K, Kamal A, Lauret-Braña E, Barbu ST, Nunes V, Ruiz-Rebollo ML, García-Rayado G, Lozada-Hernandez EE, Pereira J, Negoi I, Espina S, Hollenbach M, Litvin A, Bolado-Concejo F, Vargas RD, Pascual-Moreno I, Singh VK, Mira JJ. Design and validation of a patient-reported outcome measure scale in acute pancreatitis: the PAN-PROMISE study. Gut 2021; 70:139-147. [PMID: 32245906 DOI: 10.1136/gutjnl-2020-320729] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 03/14/2020] [Accepted: 03/17/2020] [Indexed: 12/16/2022]
Abstract
OBJECTIVE This study aimed to develop and validate a patient-reported outcome measure (PROM) in acute pancreatitis (AP) as an endpoint centred on the patient. DESIGN A PROM instrument (PAtieNt-rePoRted OutcoMe scale in acute pancreatItis, an international proSpEctive cohort study, PAN-PROMISE scale) was designed based on the opinion of patients, professionals and an expert panel. The scale was validated in an international multicentre prospective cohort study, describing the severity of AP and quality of life at 15 days after discharge as the main variables for validation. The COSMIN (COnsensus-based Standards for the selection of health status Measurement INstruments) methodology was applied. Both the design and validation stages considered the content and face validity of this new instrument; the metric properties of the different items, reliability (reproducibility and internal consistence), the construct, structural and criterion validity, responsiveness and interpretability of this scale. RESULTS PAN-PROMISE consists of a seven-item scale based on the symptoms that cause the most discomfort and concern to patients with AP. The validation cohort involved 15 countries, 524 patients. The intensity of symptoms changed from higher values during the first 24 hours to lower values at discharge and 15 days thereafter. Items converged into a unidimensional ordinal scale with good fit indices. Internal consistency and split-half reliability at discharge were adequate. Reproducibility was confirmed using test-retest reliability and comparing the PAN-PROMISE score at discharge and 15 days after discharge. Evidence is also provided for the convergent-discriminant and empirical validity of the scale. CONCLUSION The PAN-PROMISE scale is a useful tool to be used as an endpoint in clinical trials, and to quantify patient well-being during the hospital admission and follow-up. TRIAL REGISTRATION NUMBER NCT03650062.
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Affiliation(s)
- Enrique de-Madaria
- Pancreatic Unit, Gastroenterology Department, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain
| | - Claudia Sánchez-Marin
- Pancreatic Unit, Gastroenterology Department, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.,Department of Gastroenterology and Hepatology, Marqués de Valdecilla University Hospital, Santander, Spain
| | - Irene Carrillo
- Department of Health Psychology, Universidad Miguel Hernández, Elche, Spain
| | - Santhi Swaroop Vege
- Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA
| | - Serge Chooklin
- Department of Surgery, Lviv Regional Clinical Hospital, Lviv, Ukraine
| | - Andriy Bilyak
- Department of Surgery, Lviv Regional Clinical Hospital, Lviv, Ukraine
| | - Rafael Mejuto
- Department of Gastroenterology and Hepatology, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
| | - Violeta Mauriz
- Department of Gastroenterology and Hepatology, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
| | - Peter Hegyi
- Institute for Translational Medicine, Szentágothai Research Centre, University of Pécs Medical School, Pécs, Hungary.,First Department of Medicine, University of Pécs Medical School, Pécs, Hungary
| | - Katalin Márta
- Institute for Translational Medicine, Szentágothai Research Centre, University of Pécs Medical School, Pécs, Hungary.,First Department of Medicine, University of Pécs Medical School, Pécs, Hungary
| | - Ayesha Kamal
- Division of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Eugenia Lauret-Braña
- Department of Gastroenterology, Hospital Universitario Central de Asturias, Oviedo, Spain
| | - Sorin T Barbu
- Department of Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Vitor Nunes
- Department of Surgery, Professor Doutor Fernando Fonseca Hospital, Amadora, Portugal
| | - M Lourdes Ruiz-Rebollo
- Department of Gastroenterology, University Clinical Hospital of Valladolid, Valladolid, Spain
| | - Guillermo García-Rayado
- Department of Gastroenterology, Lozano Blesa University Clinic Hospital, Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain
| | | | - Jorge Pereira
- General Surgery Department 1, Tondela-Viseu Hospital Centre, Viseu, Portugal
| | - Ionut Negoi
- Department of General Surgery, Emergency Hospital of Bucharest, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Silvia Espina
- Gastroenterology Department, Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - Marcus Hollenbach
- Medical Department II (Gastroenterology, Hepatology, Infectious Diseases, Pulmonology), University of Leipzig Medical Center, Leipzig, Germany
| | - Andrey Litvin
- Department of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinical Hospital, Kaliningrad, Russian Federation
| | | | - Rómulo D Vargas
- Gastroenterology Department, Hospital Universitario San Ignacio/Universidad Javeriana, Bogota, Colombia
| | - Isabel Pascual-Moreno
- Department of Gastroenterology, Hospital Clínico Universitario de Valencia. Universidad de Valencia, Valencia, Spain
| | - Vikesh K Singh
- Division of Gastroenterology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - José J Mira
- Department of Health Psychology, Universidad Miguel Hernández, Elche, Spain.,Hospital Provincial-Pla Health Center, Alicante-Sant Joan Health District, Alicante, Spain
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