Key result
PROMIS and Neuro-QoL measures detected significant HRQOL impairment in patients with FCS, with scores >0.5 SD worse than the normative mean on 10 of 16 measures.
Why the study?
Legacy patient-reported outcome measures are often insensitive to the impact of FCS on health-related quality of life, leading researchers to evaluate PROMIS and Neuro-QoL measures in this population.
Are PROMIS and Neuro-QoL measures valid for assessing health-related quality of life in patients with familial chylomicronemia syndrome?
Cross-Sectional (n=25)
Are PROMIS and Neuro-QoL measures valid for assessing health-related quality of life in patients with familial chylomicronemia syndrome?
PROMIS and Neuro-QoL measures are valid tools for detecting health-related quality of life impairment in patients with familial chylomicronemia syndrome.
PROMIS and Neuro-QoL measures may capture FCS HRQOL; leaves open validation in larger prospective cohorts before clinical adoption.
Background FCS significantly affects health-related quality of life (HRQOL). Legacy patient-reported outcome measures are often not sensitive to FCS’s impact. NIH PROMIS and Neuro-QoL measures may accurately capture HRQOL in FCS patients. This study assessed a broad range of PROMIS and Neuro-QoL measures covering physical, mental, and social HRQOL to determine their suitability for the FCS population.Methods Adult FCS patients in the United States (N = 25) were recruited to an online survey study and completed several PROMIS short forms and Neuro-QoL computer adaptive tests.Results Scores were more than 0.5 standard deviations (SD) worse than the normative mean on 10 of 16 normed measures, and more than 0.75 SDs worse than the normative mean on two measures. Responses at the floor and ceiling were occasionally observed, marginal reliabilities were strong, and significant differences across performance status (ps < 0.05) provided preliminary support for construct validity. The measures correlated with each other strongly and as expected.Conclusion Results support the ability of PROMIS and Neuro-QoL measures to detect HRQOL impairment among patients with FCS. PROMIS and Neuro-QoL measures captured the functional impact and symptom burden associated with FCS, and the broad range of symptom severity experienced by patients with FCS.
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Fox et al. (2020) conducted a cross-sectional in Familial chylomicronemia syndrome (FCS) (n=25). PROMIS and Neuro-QoL measures vs. Normative mean was evaluated on Health-related quality of life (HRQOL) scores (p=<0.05). PROMIS and Neuro-QoL measures detected significant HRQOL impairment in patients with FCS, with scores >0.5 SD worse than the normative mean on 10 of 16 measures.
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