Evidence map›Paper›PMID 34549047›Full record

ArticleERJ open research2021

The AWESCORE, a patient-reported outcome measure: development, feasibility, reliability, validity and responsiveness for adults with cystic fibrosis.

Brenda M Button, Lisa M Wilson, Angela T Burge, Lara Kimmel, Felicity Finlayson, Elyssa Williams, Anthony Talbot, Audrey Tierney, Susannah King, Anne E Holland and 3 more

Abstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Brenda M ButtonAlfred Health, Prahran, Melbourne, Australia.
Lisa M WilsonAlfred Health, Prahran, Melbourne, Australia.
Angela T BurgeMonash University, School of Medicine, Prahran, Melbourne, Australia.
Lara KimmelAlfred Health, Prahran, Melbourne, Australia.
Felicity FinlaysonAlfred Health, Prahran, Melbourne, Australia.ORCID https://orcid.org/0000-0001-5102-5783
Elyssa WilliamsAlfred Health, Prahran, Melbourne, Australia.
Anthony TalbotAlfred Health, Prahran, Melbourne, Australia.
Audrey TierneySchool of Allied Health, University of Limerick, Limerick, Ireland.
Susannah KingAlfred Health, Prahran, Melbourne, Australia.
Anne E HollandMonash University, School of Medicine, Prahran, Melbourne, Australia.ORCID https://orcid.org/0000-0003-2061-845X
Dominic KeatingAlfred Health, Prahran, Melbourne, Australia.ORCID https://orcid.org/0000-0001-6150-6927
Tom KotsimbosMonash University, School of Medicine, Prahran, Melbourne, Australia.
John W WilsonMonash University, School of Medicine, Prahran, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality of life has improved dramatically over the past two decades in people with cystic fibrosis (CF). Quantification has been enabled by patient-reported outcome measures (PROMs); however, many are lengthy and can be challenging to use in routine clinical practice. We propose a short-form PROM that correlates well with established quality-of-life measures.

methodsWe evaluated the utility of a 10-item score (AWESCORE) by measuring reliability, validity and responsiveness in adults with CF. The questions were developed by thematic analysis of survey questions to patients in a single adult CF centre. Each question was scored using a numerical rating scale 0 to 10. Total scores ranged from 0 to 100. Test-retest reliability was assessed over 24 h. To determine validity, comparisons were sought between stable subjects and those in pulmonary exacerbation, and between AWESCORE and Cystic Fibrosis Questionnaire - Revised (CFQ-R). Responsiveness to pulmonary exacerbation in individual subjects was evaluated.

resultsFive domains, each with two questions, were identified for respiratory, physical, nutritional, psychological and general health. A total of 246 consecutive adults attending the outpatient clinic completed the AWESCORE. Scores were higher during clinical stability compared to pulmonary exacerbation (mean± sd): 73±11

conclusionsThe AWESCORE is valid, reliable and responsive to altered health status in CF.

Identifiers

PMID34549047
PMCPMC8450462

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.