Evidence map›Paper›PMID 35907948›Full record

SynthesisHealth and quality of life outcomes2022

The validity and reliability of quality of life questionnaires in patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis: a systematic review and meta-analysis.

Qian He, Jing Luo, Jiaqi Chen, Jianying Yang, Chuanhui Yao, Caiqin Xu, Qingwen Tao

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Health and quality of life outcomes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Qian HeGraduate School, Beijing University of Chinese Medicine, Beijing, 100029, China.
Jing LuoTraditional Chinese Medicine Department of Rheumatism, China-Japan Friendship Hospital, Beijing, 100029, China.
Jiaqi ChenGraduate School, Beijing University of Chinese Medicine, Beijing, 100029, China.
Jianying YangGraduate School, Beijing University of Chinese Medicine, Beijing, 100029, China.
Chuanhui YaoGraduate School, Beijing University of Chinese Medicine, Beijing, 100029, China.
Caiqin XuGraduate School, Beijing University of Chinese Medicine, Beijing, 100029, China.
Qingwen TaoTraditional Chinese Medicine Department of Rheumatism, China-Japan Friendship Hospital, Beijing, 100029, China. taoqg1@sina.com.ORCID http://orcid.org/0000-0002-9163-8426
Beijing University of Chinese Medicine · CNChina-Japan Friendship Hospital · CN

Funding

Elite Medical Professionals project of China-Japan Friendship Hospital ZRJY2021-QM14National Key Clinical Specialty Capacity Building Project 2011-ZDZK-001National Regional Traditional Chinese Medicine (Specialty) Treatment Center Project 2019-ZX-006
6 · The paper itself

Abstract

backgroundPatients who suffered from ankylosing spondylitis (AS) or non-radiographic axial spondyloarthritis (nr-axSpA) often have poor quality of life (QoL) and there has been a substantial increase in research on acceptable questionnaires for assessment of QoL. This systematic review aims at examining the validity and reliability of QoL questionnaires in patients with AS/nr-axSpA.

methodsRandomized controlled trials (RCTs), cohort trials, and cross-sectional trails were retrieved by searching seven databases. Primary outcomes included test-retest reliability and construct validity. Secondary outcomes included internal consistency, structural validity, responsiveness and so on. Data extraction and analyses were conducted according to the Cochrane standards. The Agency for Healthcare Research and Quality (AHRQ) checklists was used to assess the risk of bias for each included study. We used the Consensus-based Standards for the Selection of Health Status Measurement Instruments (COSMIN) to assess the methodological quality and measurement property of included instruments. The quality of evidence on pre-specified outcomes were assessed by the Grades of Recommendations, Development and Evaluation (GRADE) approach.

results22 publications containing 10 self-rating instruments were included in this study. Most studies were cross-sectional in design and a total of 3,085 participants were enrolled. 19 studies had moderate to high test-retest reliability. Cronbach's alpha (α) Coefficients were generally high (0.79-0.97) for overall scales. The ankylosing spondylitis quality of life (ASQOL) and evaluation of ankylosing spondylitis quality of life (EASi-QoL) questionnaires showed the strongest measurement properties in high-quality studies. The correlation coefficient for test-retest reliability of the ASQOL questionnaire was 0.85 (95% CI 0.80 to 0.89). The pooled Cronbach's α coefficients of the ASQOL questionnaire and the EASi-QoL questionnaire were high. Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Bath Ankylosing Spondylitis Functional Index (BASFI) were considered as two validity criteria. For the ASQOL and EASi-QoL questionnaire, pooled convergent validity associations with BASDAI and BASFI were low to strong (0.24-0.81).

conclusionsThis study indicated acceptable reliability and stability of included QoL questionnaires. The ASQOL and the EASi-QoL questionnaires are validated and reliable disease-specific questionnaires for the assessment of QoL in patients with AS/nr-axSpA.

Indexed as

Axial SpondyloarthritisNon-Radiographic Axial SpondyloarthritisSpondylitis, AnkylosingHumansQuality of LifeReproducibility of ResultsSeverity of Illness IndexSurveys and QuestionnairesAnkylosing spondylitisMeta-analysisNon-radiographic axial spondyloarthritisQuestionnaireSystematic review

Identifiers

PMID35907948
PMCPMC9338652
OpenAlexW4288748731

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.