用PROPEL 3期数据验证患者报告结果测量信息系统 (PROMIS®) 物理功能问卷在晚发佩病的验证
Priya S Kishnani1, Simon Shohet2, Syed Raza3
1Duke University, 905 Lasalle Street, GSRB1, Room 4010, Durham, NC, 27710, USA.
Journal of patient-reported outcomes
|January 31, 2024
概括
患者报告结果测量信息系统 (PROMIS) 身体功能简短表格20a (PF20a) 有效测量晚发佩病 (LOPD) 的身体功能. 这种经过验证的工具有助于跟踪接受酶替代疗法 (ERT) 的LOPD患者的疾病进展和治疗反应.
科学领域:
- 神经学 神经学
- 罕见疾病 罕见疾病
- 临床测量 临床测量
背景情况:
- 晚发佩病 (LOPD) 是一种罕见的,进展性神经肌肉疾病.
- 酶替代疗法 (ERT) 是LOPD的一种治疗选择.
- 评估身体功能对于管理LOPD至关重要.
研究的目的:
- 在LOPD患者中评估PROMIS物理功能简单表格20a (PF20a) 的构造有效性和解释.
- 在这个人群中确定PROMIS PF20a的最小临床重要差异 (MCID).
主要方法:
- 在PROPEL研究 (NCT03729362) 中,患有LOPD的成年人在多个时间点完成了PROMIS PF20a和其他功能评估.
- 使用相关性和回归分析来评估PROMIS PF20a与6分钟步行距离 (6MWD),强迫生命能力 (FVC),手动肌肉测试 (MMT) 和Rasch构建的Pompe特定活动 (R-PAct) 尺度等措施之间的关联.
- 使用分布和基方法来确定PROMIS PF20a的MCID.
主要成果:
- 在基线,PROMIS PF20a得分与R-PAct得分有很强的相关性,与6MWD,MMT,GSGC和FVC有中等的相关性.
- 在多变量分析中,在PROMIS PF20a和6MWD,MMT,GSGC和R-PAct之间发现了显著的关联.
- 基于和基于分布的PROMIS PF20a的MCID分别确定为2.4和4.2.
结论:
- PROMIS PF20a是一个有效的仪器,用于测量和纵向监测LOPD患者的身体功能.
- 这些发现支持在临床试验和LOPD实践中使用PROMIS PF20a.
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