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Assessment tools for stigma in breast cancer patients based on COSMIN guidelines: a systematic review

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Abstract

Objective

The objective of this study was to conduct a systematic review of the measurement properties and methodological quality of stigma assessment tools designed for breast cancer patients. The aim was to provide clinical medical staff with a foundation for selecting high-quality assessment tools.

Methods

A comprehensive computer search was carried out across various databases, including SinoMed, China National Knowledge Infrastructure (CNKI), Wanfang Database, China Science and Technology Journal Database(VIP), Embase, PubMed, Web of Science, The Cochrane Library, and Scopus, which were searched from the inception of the databases until March 20, 2023. Literature screening and data extraction were performed independently by two researchers, adhering to predefined inclusion and exclusion criteria. The assessment tools were evaluated using the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) systematic evaluation guidelines.

Results

In the final analysis, a total of 9 assessment tools were included. However, none of these tools addressed measurement error, cross-cultural validity, criterion validity, and responsiveness. Following the COSMIN guidelines, BCSS and CSPDS were assigned to Class A recommendations, while the remaining tools received Class B recommendations.

Conclusion

The BCSS and CSPDS scales demonstrated comprehensive assessment in terms of their measurement characteristics, exhibiting good methodological quality, measurement attribute quality, and supporting evidence. Therefore, it is recommended to utilize these scales for evaluating breast cancer stigma. However, further validation is required for the remaining assessment tools.

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Data Availability

All the data are available from the corresponding author up on a reasonable request.

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Funding

This research project was supported by Project approved by Sichuan Mental Health Education Research Center (XLJKJY2203A).

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Authors and Affiliations

  1. School of Nursing, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Chengdu, 611137, Sichuan Province, China

    Xue‐Mei Xie, Jing Gao, Ding‐Xi Bai, Huan Chen & Yue Li

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  1. Xue‐Mei Xie
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  3. Ding‐Xi Bai
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Contributions

Xie conceived the idea for this paper and completing paper writing. Bai Chen and Li did the screening and data extraction. Chen and Li conducted the statistical analysis. Gao reviews the manuscript and provides suggestions for revisions. All authors have read and approved the final manuscript, and had final responsibility for the decision to submit for publication.

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Correspondence to Jing Gao.

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Xie, X., Gao, J., Bai, D. et al. Assessment tools for stigma in breast cancer patients based on COSMIN guidelines: a systematic review. Support Care Cancer 32, 65 (2024). https://doi.org/10.1007/s00520-023-08276-3

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