Evidence map›Paper›PMID 34897375›Full record

ArticleRheumatology (Oxford, England)2022

The FATIGUE-PRO: a new patient-reported outcome instrument to quantify fatigue in patients affected by systemic lupus erythematosus.

Thomas Morel, Stefan Cano, Susan J Bartlett, Caroline Gordon, Birgit Haier, Antoine Regnault, Matthias Schneider, Christian Stach, Sophie Cleanthous

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02804763 (A Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-ranging Study Followed by an Observational Period to Evaluate the Efficacy and Safety of Dapirolizumab Pegol in Subjects With Moderately to Severely Active Systemic Lupus Erythematosus), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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.

NCT02804763 phase2completednot on this map

A Multi-center, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-ranging Study Followed by an Observational Period to Evaluate the Efficacy and Safety of Dapirolizumab Pegol in Subjects With Moderately to Severely Active Systemic Lupus Erythematosus

TypeinterventionalSponsorUCB Biopharma S.P.R.L.Ran2016 to 2018Enrolled182ConditionsSystemic Lupus Erythematosus (SLE)ArmsPlacebo, Dapirolizumab pegol (DZP)
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Lupus Nephritis: Current Perspectives and Moving Forward.Journal of inflammation research · 2022
    Review
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

9 authors at 5 institutions in 4 countries.

Thomas MorelUCB Pharma, Brussels, Belgium.ORCID 0000-0002-0690-5359
Stefan CanoModus Outcomes, Letchworth Garden City, UK.
Susan J BartlettDepartment of Medicine, McGill University, Montreal, Quebec, Canada.ORCID 0000-0001-9755-2490
Caroline GordonRheumatology Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.
Birgit HaierUCB Pharma, Monheim am Rhein.
Antoine RegnaultModus Outcomes, Letchworth Garden City, UK.
Matthias SchneiderPoliklinik und Funktionsbereich für Rheumatologie, Heinrich-Heine-Universität, Düsseldorf, Germany.
Christian StachUCB Pharma, Monheim am Rhein.
Sophie CleanthousModus Outcomes, Letchworth Garden City, UK.
UCB Pharma (Germany) · DEHeinrich Heine University Düsseldorf · DEMcGill University · CAUCB Pharma (Belgium) · BEUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to implement a patient-centred and evidence-based approach to develop a novel patient-reported outcome (PRO) instrument to measure fatigue in patients with SLE.

methodsA three-step mixed methods psychometric (MMP) approach was followed. Steps comprised first draft item generation and review using interview data; evaluation and refinement of second draft items using mixed methods data, including interview and quantitative data from a phase 2 clinical study in SLE analysed using Rasch Measurement Theory (RMT) analysis; and evaluation of the final FATIGUE-PRO items using RMT and complementary Classical Test Theory (CTT) analyses. Guided by MMP criteria, a team of clinicians and outcome-measurement experts assessed evidence to inform instrument development.

resultsStep 1 culminated in 55 items (n = 39 patients interviewed). Their refinement in step 2 using mixed methods evidence led to the final FATIGUE-PRO instrument comprising 31 items across three scales of fatigue: physical fatigue (9 items), mental and cognitive fatigue (11 items) and susceptibility to fatigue (11 items). Qualitative (n = 43 patients) and quantitative (n = 106 patients) evidence strongly supported the scales' content comprehensiveness and targeting, item quality and fit, conceptual uniqueness and appropriateness of the response scale. The FATIGUE-PRO further benefited from excellent reliability (RMT: 0.92-0.94 and CTT: 0.95-0.96) and supportive evidence of construct validity from assessments against other PROs.

conclusionThe conceptual advances, comprehensive coverage and strong psychometric properties of the FATIGUE-PRO will significantly advance the measurement and management of fatigue in SLE, both in clinical trials and routine practice.

trial registrationClinicalTrials.gov (https://clinicaltrials.gov), NCT02804763.

Indexed as

Lupus Erythematosus, SystemicPatient Reported Outcome MeasuresHumansPsychometricsQuality of LifeReproducibility of ResultsSurveys and Questionnairesfatiguelupusmixed methods psychometric evaluationpatientPROvalidation

Identifiers

PMID34897375
PMCPMC9348773
OpenAlexW4200435288

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.