COSMIN database

Measurement properties of patient-reported outcome measures (PROMs) in adults with obstructive sleep apnea (OSA): A systematic review

Abma, I. L., van der Wees, P. J., Veer, V., Westert, G. P., and Rovers, M.
This systematic review summarizes the evidence regarding the quality of patient-reported outcome measures (PROMs) validated in patients with obstructive sleep apnea (OSA). We performed a systematic literature search of all PROMs validated in patients with OSA, and found 22 measures meeting our inclusion criteria. The quality of the studies was assessed using the consensus-based standards for the selection of health status measurement instruments (COSMIN) checklist. The results showed that most of the measurement properties of the PROMs were not, or not adequately, assessed. For many identified PROMs there was no involvement of patients with OSA during their development or before the PROM was tested in patients with OSA. Positive exceptions and the best current candidates for assessing health status in patients with OSA are the sleep apnea quality of life index (SAQLI), Maugeri obstructive sleep apnea syndrome (MOSAS) questionnaire, Quebec sleep questionnaire (QSQ) and the obstructive sleep apnea patient-oriented severity index (OSAPOSI). Even though there is not enough evidence to fully judge the quality of these PROMs as outcome measure, when interpreted with caution, they have the potential to add value to clinical research and clinical practice in evaluating aspects of health status that are important to patients.
Sleep Med Rev
1532-2955 (Electronic); 1087-0792 (Linking)
Publication year:
Symptom status:
Cognitive/mental state
Emotional state
Physical state
Functional status:
Cognitive/mental functioning
Physical functioning
Role functioning
Social functioning
General health perceptions / HRQoL:
Health-related quality of life
Self-rated health
Overall quality of life:
Overall quality of life
Adults (18-65)
Diseases of and symptoms related to the respiratory system
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
BAI - Beck Anxiety Inventory (versions: BAI-Youth)
EQ-5D - EuroQoL-5 Dimensions   
ESS - Epworth Sleepiness Scale
FOSQ-10 - Functional Outcomes of Sleep Questionnaire 10
FOSQ - Functional Outcomes of Sleep Questionnaire
HADS - Hospital Anxiety and Depression Scale   
MOSAS - Maugeri Obstructive Sleep Apnea Syndrome
NHP - Nottingham Health Profile   
OSAPOSI - Obstructive Sleep Apnea Patiƫnt-Oriented Severity Index
PGI - Patient Generated Index
QSQ - Quebec Sleep Questionnaire
Rotterdam sleepiness scale
SAQLI - Calgary Sleep Apnea Quality of Life Index
SF-12 - 12-item Short Form Health Survey [alias: RAND-12]
SF-36 - 36-item Short Form Health Survey [alias: RAND-36][alias: Medical Outcomes Study (MOS) SF-36]]    |  | also see:
SIP-FLP - Sickness Impact Profile-Functional Limitations Profile
SNORE-25 - Symptoms of Nocturnal Obstruction and Related Events-25
SOS - Snore Outcomes Survey
SQS - Sleep Quality Scale
SWIFT - Sleepinees-Wakefulness Inability and Fatigue Test
ToDSS - Time of Day Sleepinees Scale
VAWS - Visual Analogical Well-Being Scale