Evidence map›Paper›PMID 34735641›Full record

ArticleJournal of patient-reported outcomes2021

Development of a conceptual model for research on cyclical variation of patient reported outcome measurements (PROMs) in patients with chronic conditions: a scoping review.

A F Davey, J Coombes, I Porter, C Green, A J Mewse, J M Valderas

Open access · goldAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of patient-reported outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Cumulative surgeon volume is associated with improved outcomes following hip arthroscopy: A national registry study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Article
  3. 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

6 authors at 1 institution in 1 country.

A F DaveyHealth Services and Policy Research Group, Exeter Collaboration for Academic Primary Care, NIHR PenARC, University of Exeter Medical School, University of Exeter, Exeter, UK. antoinette.davey@exeter.ac.uk.ORCID http://orcid.org/0000-0002-5118-6912
J CoombesHealth Services and Policy Research Group, Exeter Collaboration for Academic Primary Care, NIHR PenARC, University of Exeter Medical School, University of Exeter, Exeter, UK.
I PorterHealth Services and Policy Research Group, Exeter Collaboration for Academic Primary Care, NIHR PenARC, University of Exeter Medical School, University of Exeter, Exeter, UK.
C GreenHealth Economics Group, Institute of Health Research, University of Exeter Medical School, University of Exeter, Exeter, UK.
A J MewseDepartment of Psychology, College of Life and Environmental Sciences, University of Exeter, Exeter, UK.
J M ValderasHealth Services and Policy Research Group, Exeter Collaboration for Academic Primary Care, NIHR PenARC, University of Exeter Medical School, University of Exeter, Exeter, UK.
University of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough circadian, seasonal, and other cycles have been observed for a number of chronic conditions, their impact on patient reported outcomes measurements (PROMs) has not been systematically explored, rendering our understanding of the effect of time of measurement on PROM scores very limited. The aim was to conduct a scoping review to determine what is known about how intra-individual cyclical variation might affect the way individuals with chronic conditions respond to patient-reported outcome measures.

methodsA protocol of a systematic scoping review was registered on PROSPERO (CRD42017058365). We developed a search strategy based on previous relevant reviews and implemented it in: MEDLINE, Embase, PsycINFO, and CINAHL. No restrictions were placed on article types and backward and forward citation searches were conducted. Screening and data extraction were independently completed by up to four reviewers. An adapted version of CASP criteria was used to appraise the quality of included articles. Concepts that were important in understanding the impact of cyclical variation on PROM scores were elicited from the papers and iteratively refined through discussion amongst the authors.

results2420 references resulted from the searches, with 33 articles meeting the inclusion criteria. Most study designs included observational research (particularly ecological momentary assessment), 2 were RCTs and 2 were systematic reviews. Studies mainly focused on specific health conditions: mental health, respiratory and musculoskeletal. There was a lack of qualitative research and theoretical framework to explore these concepts more fully. Five overarching concepts emerged: variation in outcomes, variation of scores, psychological status, individual factors, and environmental/situational factors. A conceptual model was developed outlining the relationships between these concepts.

conclusionsThere is empirical evidence that supports cyclical variation in PROM scores across different chronic conditions, with potential very significant implications for administration and interpretation of PROMs. The proposed conceptual model can support further research in this area.

Indexed as

Patient reported outcome measurementScoping reviewTime-dependentVariability

Identifiers

PMID34735641
PMCPMC8568745
OpenAlexW3208467551

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.