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Table 1 Characteristics of the included PROMs

From: A COSMIN systematic review of instruments for evaluating health-related quality of life in people with Hereditary Angioedema

PROM*

First Author (year)

(Sub)scale (s) (number of items)

Response options

Scoring; M (SD)

Recall period

Mode of administration

Psychometric proprieties reported

SF-36

Gomide MA et al. (2013) [26]

36 items

8 dimensions: physical functioning (PF), role physical (RP), bodily pain (BP), general

health (GH), vitality (VT), social functioning (SF), role

emotional (RE) and mental health (MH)

The response scales and the number of response options range from 3-points (PF) to 6-points (VT, MH) Likert scale. Scores for each domain can range from 0 to 100, higher

scores indicating better health state

PF = 75.57 (22.61)

RP = 60.57 (22.02)

BP = 58.10 (30.15)

GH = 59.26 (18.71)

VT = 51.03 (12.42)

SF = 54.29 (13.87)

RE = 75.95 (25.14)

MH = 65.20 (16.85)

4 weeks

Self-administered

Internal Consistency

SF-36v2

Jindal et al. (2017) [27]

36 items

8 dimensions: physical functioning (PF), role physical (RP), bodily pain (BP), general

health (GH), vitality (VT), social functioning (SF), role

emotional (RE) and mental health (MH)

The response scales and the number of response options range from 3-points (PF) to 6-points (VT, MH) Likert scale. Scores for each domain can range from 0 to 100, higher

scores indicating better health state

PF = 87.86 (16.25)

RP = 84.23 (23.19)

BP = 67.90 (21.79)

GH = 61.05 (23.39)

VT = 57.74 (18.32)

SF = 85.12 (27.28)

RE = 88.89 (24.49)

MH = 76.19 (16.95)

4 weeks

Self-administered

Internal Consistency, Floor/Ceiling effects

Palao‑Ocharan et al. (2022) [28]

36 items

8 dimensions: physical functioning (PF), role physical (RP), bodily pain (BP), general

health (GH), vitality (VT), social functioning (SF), role

emotional (RE) and mental health (MH)

The response scales and the number of response options range from 3-points (PF) to 6-points (VT, MH) Likert scale. Higher scores indicating better health state

PF = 26.53 (4.15)

RP = 15.66 (4.22)

BP = 8.01 (3.03)

GH = 15.79 (4.86)

VT = 12.94 (3.25)

SF = 7.91 (2.00)

RE = 12.32 (3.01)

MH = 18.23 (4.18)

4 weeks

Self-administered

Construct validity (Convergent validity, H-test, Discriminative validity), Internal Consistency, Test–retest reliability, Measurement error (SEM), Minimal clinically important difference (MCID), Floor/Ceiling effects

HAE-QoL

Prior et al. (2012) [29]

44 items

10 dimensions: health conditions, physical functioning, social role, emotional

role, physical role, general health, aesthetics,

mental health and treatment

5- or 6-point

Likert scale depending on the item. Total score ranges from 25–135 (range of scores differs between the various dimensions); higher scores indicate lower impairment

NR

6 months

Self-administered

Face validity,

Content validity (PATIENTS),

Prior et al. (2016) [30]

25 items

7 dimensions: treatment difficulties, physical functioning and health, disease-related stigma, motional role and social functioning, concern about offspring, perceived control over illness, and mental health

5- or 6-point

Likert scale depending on the item. Total score ranges from 25–135 (range of scores differs between the various dimensions); higher scores indicate lower impairment

NR

6 months

Self-administered

Structural Validity (EFA),

Cross-cultural adaptation, Content validity (EXPERTS), Construct validity (Convergent validity, H-test, Discriminative validity), Criterion validity, Internal consistency, test–retest reliability, Floor/Ceiling effects

HAEA-

QoL

Busse et al. (2019) [31]

27 items

2 dimensions: emotional and social well-being “feelings” domain, and an HAE-specific “concerns” domain

4-point Likert scale: 1 = not at all;

2 = a little; 3 = medium; 4 = a lot/severe

Higher scores indicated worse outcomes

NR

NR

Self-administered

Face validity, Content validity,

Structural validity (EFA), Construct validity (known-groups validity)

AE-QoL

Vanya et al. (2023) [32]

17 items

4 dimensions: functioning, fatigue/mood, fears/shame, and

food

5-point Likert scales: never, rarely, sometimes, often, and very often. Total score range from 0 to 100, with higher scores indicating greater impairment

Total = 46.60 (20.89)

4 weeks

Self-administered

Content validity, Construct validity (Convergent validity, H-test, Discriminant validity), Criterion validity, Internal consistency, Test–retest reliability,

Measurement error (SEM), Sensitivity to change

  1. Legend: * Each version of a PROM is considered a separate PROM.
  2. SF-36v2 Short Form 36-item Health Survey Version 2.0, HAE-QoL Hereditary angioedema quality of life, SF-36 Short Form 36-item Health Survey
  3. HAEA-QoL Hereditary Angioedema Association quality of life, AE-QoL Angioedema Quality of Life Questionnaire, NR Not Reported.
  4. Note: Examples of content investigated by items from each PROM: SF-36/SF-36v2: General health perceptions, limitations in physical functioning (e.g., vigorous activities), role limitations due to physical and emotional problems, bodily pain, and social functioning. HAE-QoL: Impact of treatment difficulties, disease-related stigma, physical functioning and health, emotional and social functioning, and concerns about disease transmission to offspring. HAEA-QoL: Frequency of hereditary angioedema attacks, their emotional impact, and the effect on daily life activities and work productivity. AE-QoL: Disease burden related to mental health, social embarrassment, fatigue, and activity restrictions.