基于COSMIN指南对儿童癌症相关疲劳评估工具的系统评价

赵茜; 王钰; 卞兰峥

doi:10.7499/j.issn.1008-8830.2408132

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中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (2) : 184-191. DOI: 10.7499/j.issn.1008-8830.2408132

论著·临床研究

基于COSMIN指南对儿童癌症相关疲劳评估工具的系统评价

赵茜¹, 王钰², 卞兰峥³

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A systematic review of childhood cancer-related fatigue assessment tools based on the COSMIN guidelines

ZHAO Qian, WANG Yu, BIAN Lan-Zheng

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摘要

目的基于健康测量工具选择的共识标准（consensus-based standards for the selection of health measurement instruments）指南，系统评价儿童癌症相关疲劳测量工具的方法学质量和测量属性，旨在为临床工作者提供选用合适评估工具的依据。方法系统检索中国知网、万方数据知识服务平台、中国生物医学文献数据库、维普网、PubMed、CINAHL、Embase、Web of Science数据库，检索时间从建库至2024年1月。纳入对象为12岁以下癌症儿童及其主要照护者。依据纳入标准筛选文献，提取测量工具的主要信息，并使用健康测量工具选择的共识标准指南的偏倚风险清单及质量标准评定量表评价测量属性并形成最终推荐意见。结果共纳入18篇文献，涵盖7种疲劳测量工具，其中特异性工具4个，普适性工具3个。各量表测量属性的方法学存在差异。其中中国儿童患者报告结果测量信息系统因其内容效度和内部一致性为“充分”，被评为A级推荐。其余6个量表因有中级以上的证据证明内容效度为“不充分”，推荐等级均为B。结论中国儿童患者报告结果测量信息系统量表具有良好的信效度和跨文化效度，可作为儿童癌症相关疲劳测量的首选工具。该量表适合作为辅助工具，未来研究应聚焦于不同工具的适用性，以提升评估儿童癌症相关疲劳的干预效果。

Abstract

Objective To systematically review the methodological quality and measurement properties of childhood cancer-related fatigue assessment tools based on the consensus-based standards for the selection of health measurement instruments (COSMIN) guidelines, providing a basis for clinical practitioners to select appropriate assessment tools. Methods The databases searched included China National Knowledge Infrastructure, Wanfang Data, China Biomedical Literature, Weipu, PubMed, CINAHL, Embase, and Web of Science for studies published up to January 2024. Children under 12 years old and their primary caregivers were enrolled as subjects. Articles were screened based on inclusion criteria, and the key information regarding the assessment tools was extracted. The risk of bias checklist from the COSMIN guidelines and the quality standard rating scale were employed to evaluate measurement properties and formulate final recommendations. Results A total of 18 articles were included, covering 7 fatigue measurement tools, consisting of 4 specific tools and 3 generic tools tools. Methodological differences were observed in measurement properties across these scales. The Chinese Version of the Pediatric Patient-Reported Outcomes Measurement Information System (C-Ped-PROMIS) was rated as grade A recommendation due to its adequate content validity and internal consistency, while the remaining six scales were rated as grade B recommendation since their content validity was assessed as "insufficient" based on moderate-level evidence or higher. Conclusions The C-Ped-PROMIS scale demonstrates good reliability, validity, and cross-cultural validity as the preferred tool for measuring childhood cancer-related fatigue. The scale can serve as an auxiliary tool, and future research should focus on the applicability of various tools to enhance the effectiveness of interventions for assessing childhood cancer-related fatigue.

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赵茜, 王钰, 卞兰峥. 基于COSMIN指南对儿童癌症相关疲劳评估工具的系统评价[J]. 中国当代儿科杂志. 2025, 27(2): 184-191 https://doi.org/10.7499/j.issn.1008-8830.2408132

ZHAO Qian, WANG Yu, BIAN Lan-Zheng. A systematic review of childhood cancer-related fatigue assessment tools based on the COSMIN guidelines[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(2): 184-191 https://doi.org/10.7499/j.issn.1008-8830.2408132

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