The Importance of Patient-Reported Outcome Measures (PROMs) in Oncological Vulvoperineal Defect Reconstruction: A Systematic Review.

Autor:	Speck NE; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland., Stoffel J; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland., Wendelspiess S; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland., Appenzeller-Herzog C; University Medical Library, University of Basel, 4031 Basel, Switzerland., Schaefer KM; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland., Kouba LP; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland., Rüter F; Quality Management & Value Based Healthcare, University Hospital Basel, 4031 Basel, Switzerland., Montavon C; Department of Gynecology and Gynecological Oncology, Hospital for Women, University Hospital Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4031 Basel, Switzerland., Heinzelmann-Schwarz V; Department of Gynecology and Gynecological Oncology, Hospital for Women, University Hospital Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4031 Basel, Switzerland., Haug MD; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4031 Basel, Switzerland., Schaefer DJ; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4031 Basel, Switzerland., Ismail T; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4031 Basel, Switzerland., Kappos EA; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4031 Basel, Switzerland.
Jazyk:	angličtina
Zdroj:	Current oncology (Toronto, Ont.) [Curr Oncol] 2024 Oct 18; Vol. 31 (10), pp. 6300-6313. Date of Electronic Publication: 2024 Oct 18.
DOI:	10.3390/curroncol31100470
Abstrakt:	Background: Patient-reported outcome measures (PROMs) have gained increased importance in assessing outcomes after reconstructive surgery. This also applies to the reconstruction of vulvoperineal defects after resection of gynecological or colorectal cancers in women. The objective of this study is to analyze the current state of PROM tool use within this patient population. Methods: By systematic literature searches in Embase, Medline, and Web of Science, English-language studies published after 1980, including randomized controlled trials, cohort studies, and case series reporting on vulvoperineal defect reconstruction, which were included if they also analyzed quality of life (QoL) and/or PROMs. The PROM tools used by each study were extracted, analyzed, and compared. Results: The primary search yielded 2576 abstracts, of which 395 articles were retrieved in full text. Of these, 50 reported on vulvoperineal defect reconstruction, among which 27 studies analyzing QoL were found. Of those, 17 met the inclusion criteria for this systematic review. After full-text screening, 14 different PROM tools and 5 individual, non-standardized questionnaires were identified. Only 22% of studies used a validated PROM tool. Conclusion: Far too few studies currently use PROM tools to assess outcomes in oncological vulvoperineal defect reconstruction. Less than half of the used PROMs are validated. No PROM was designed to specifically measure QoL in this patient population. The standardized implementation of a validated PROM tool in the clinical treatment of this patient population is an essential step to improve outcomes, enable the comparison of research, and support evidence-based treatment approaches.
Databáze:	MEDLINE
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