Functional capacity, physical activity and muscle strength assessment of individuals with non-small cell lung cancer: a systematic review of instruments and their measurement properties.
Functional capacity, physical activity and muscle strength assessment of individuals with non-small cell lung cancer: a systematic review of instruments and their measurement properties.
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DOI：
10.1186/1471-2407-13-135
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发表时间：
2013-03-20
期刊：
影响因子：
3.8
通讯作者：
Denehy L
中科院分区：
文献类型：
--
作者：
Granger CL;McDonald CF;Parry SM;Oliveira CC;Denehy L
用于评估非小细胞肺癌（NSCLC）受试者的功能能力、体力活动和肌肉力量的仪器的测量特性尚未得到系统性审查。目的：确定用于评估NSCLC受试者结局的结局指标;并评价、综合和比较所确定结局指标的测量特性。数据来源：使用电子数据库MEDLINE（1950-2012）、CINAHL（1982-2012）、EMBASE（1980-2012）、科克伦图书馆（2012）、Expanded Academic ASAP（1994-2012）、Health Collection Informit（1995-2012）和PEDRO（1999-2012）对文章进行系统性综述。通过搜索个人文件和交叉引用确定了其他研究。研究选择的合格标准：检索1：纳入了使用非实验室客观检查评估NSCLC受试者功能能力、体力活动或肌肉力量的研究。搜索二：针对检索1中确定的结局指标之一，评价NSCLC的测量特性（评估者间或评估者内可靠性;测量误差;标准或结构效度;或反应性）的研究。自1980年以来以英文发表的研究报告符合条件。数据提取和方法质量评估：制定数据收集表并提取数据。研究的方法学质量由两名独立评审员使用4点COSMIN检查表进行评估。确定了13项结果指标。纳入了31项评价NSCLC受试者结局指标测量特性的研究。使用6分钟和12分钟步行试验、递增和重复往返步行试验以及爬楼梯试验评估功能能力。在NSCLC中确立了其中三项指标的标准有效性，但未确立可靠性或反应性。使用加速计和计步器测量身体活动。仅报告了加速度计和计步器的结构效度。肌肉力量的测量使用手持测力计，握力测力计，手动肌肉测试，一次重复最大和椅子站立测试，但只有两项研究报告的可靠性和测量误差和一项研究报告的结构效度。目前，关于NSCLC受试者常用结局指标的测量特性，特别是可靠性、测量误差和反应性，文献中存在差距。需要进行进一步的研究，以确定最合适的结局指标，用于涉及NSCLC受试者的试验。
The measurement properties of instruments used to assess functional capacity, physical activity and muscle strength in participants with non-small cell lung cancer (NSCLC) have not been systematically reviewed. Objectives: To identify outcome measures used to assess these outcomes in participants with NSCLC; and to evaluate, synthesise and compare the measurement properties of the outcome measures identified. Data Sources: A systematic review of articles using electronic databases MEDLINE (1950–2012), CINAHL (1982–2012), EMBASE (1980–2012), Cochrane Library (2012), Expanded Academic ASAP (1994–2012), Health Collection Informit (1995–2012) and PEDRO (1999–2012). Additional studies were identified by searching personal files and cross referencing. Eligibility Criteria for Study Selection: Search one: studies which assessed functional capacity, physical activity or muscle strength in participants with NSCLC using non-laboratory objective tests were included. Search two: studies which evaluated a measurement property (inter- or intra-rater reliability; measurement error; criterion or construct validity; or responsiveness) in NSCLC for one of the outcome measures identified in search one. Studies published in English from 1980 were eligible. Data Extraction and Methodological Quality Assessment: data collection form was developed and data extracted. Methodological quality of studies was assessed by two independent reviewers using the 4-point COSMIN checklist. Thirteen outcome measures were identified. Thirty-one studies evaluating measurement properties of the outcome measures in participants with NSCLC were included. Functional capacity was assessed using the six- and twelve-minute walk tests; incremental- and endurance-shuttle walk tests; and the stair-climbing test. Criterion validity for three of these measures was established in NSCLC but not the reliability or responsiveness. Physical activity was measured using accelerometers and pedometers. Only the construct validity for accelerometers and pedometers was reported. Muscle strength was measured using hand-held dynamometry, hand-grip dynamometry, manual muscle test, one-repetition maximum and the chair-stand test, however only two studies reported reliability and measurement error and one study reported construct validity. Currently there is a gap in the literature regarding the measurement properties of commonly used outcome measures in NSCLC participants, particularly reliability, measurement error and responsiveness. Further research needs to be conducted to determine the most suitable outcome measures for use in trials involving NSCLC participants.
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影响因子：
37.8
作者：
Fleg, JL;Piña, IL;Bazzarre, T
通讯作者：
Bazzarre, T
影响因子：
3.6
作者：
Du-Quiton, Jovelyn;Wood, Patricia A.;Hrushesky, William J. M.
通讯作者：
Hrushesky, William J. M.
影响因子：
0.5
作者：
Bohannon, RW
通讯作者：
Bohannon, RW
影响因子：
4.3
作者：
England, Ruth;Maddocks, Matthew;Wilcock, Andrew
通讯作者：
Wilcock, Andrew
影响因子：
3.7
作者：
Brunelli, Alessandro;Xiume, Francesco;Sabbatini, Armando
通讯作者：
Sabbatini, Armando