Evidence map›Paper›PMID 39948647›Full record

SynthesisHealth and quality of life outcomes2025

A COSMIN systematic review of instruments for evaluating health-related quality of life in people with Hereditary Angioedema.

Irene Baroni, Giulia Paglione, Giada De Angeli, Miriam Angolani, Edward Callus, Arianna Magon, Gianluca Conte, Stefano Terzoni, Maura Lusignani, Rosario Caruso and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Health and quality of life outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  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

11 authors.

Irene Baroni *Clinical Research Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Giulia Paglione *Clinical Research Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Giada De AngeliClinical Research Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Miriam AngolaniClinical Research Service, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Edward CallusClinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Arianna MagonHealth Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Gianluca ConteHealth Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Stefano TerzoniDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Maura LusignaniDepartment of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Rosario Caruso *Department of Biomedical Sciences for Health, University of Milan, Milan, Italy. rosario.caruso@grupposandonato.it.
Andrea Zanichelli *Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHereditary angioedema (HAE) adversely affects health-related quality of life (HRQoL). HAE often compromises the HRQoL due to the impact on functional capacity caused by edema, pain, other symptoms, and psychosocial factors. Patient-Reported Outcome Measures (PROMs) focus on HRQoL and are crucial tools for evaluating the burden of the disease and choosing the most appropriate interventions for this population. However, no comprehensive evaluations of the characteristics of the available measurements to assess HRQoL have been conducted for this population.

aimTo identify, analyze, and summarize the PROMs assessing HRQoL in individuals with HAE-C1-INH, addressing the gap in standardized assessment tools.

methodsA systematic review was conducted up to December 2023 in PubMed, Scopus, Web of Science, Embase, and CINAHL databases, following PRISMA guidelines without language or time restrictions. Psychometric properties of the identified PROMs were appraised using COSMIN standards, and evidence was synthesized using a modified GRADE approach.

resultsFrom seven studies, five HRQoL PROMs were identified: two generic (SF-36 and SF-36v2) and three disease-specific (HAE-QoL, HAEA-QoL, and AE-QoL). These PROMs generally lacked comprehensive content, structural and cross-cultural validation, with none meeting the criteria for measurement invariance. This limitation affects their applicability across different demographics and cultures. However, the HAE-QoL and AE-QoL instruments were recognized for having moderate quality evidence, suggesting their potential reliability and validity.

conclusionsThis systematic review provides a moderate recommendation for the use of HAE-QoL and AE-QoL in assessing HRQoL in adults with HAE. Despite identified gaps, the moderate evidence quality for these tools supports their use, pending further validation, involving younger age groups and disease-specific contents in the assessments. Developing culturally and demographically adaptable PROMs is, therefore, a priority to improve the accuracy of PROMs in this field. REVIEW REGISTRATION NUMBER: PROSPERO registration number is CRD42023440137.

Indexed as

Angioedemas, HereditaryPatient Reported Outcome MeasuresQuality of LifeHumansPsychometricsSurveys and QuestionnairesCOSMINHAE-C1-INHHealth-related quality of lifeHereditary angioedemaMeasurement propertiesPatient-reported outcome measuresSystematic review

Identifiers

PMID39948647
PMCPMC11823193

What OpenQuestion holds

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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.