Table 2 Main findings of PROMs.

From: Are disease-specific patient-reported outcomes measures (PROMs) used in cardiogenetics? A systematic review

Study ID

Sample

Measure

Measure Outcome

Overall Findings

Findings physical health component (PCS)

Cox 1997

HCM; N = 137

SF-36

GENERIC

- Symptom pattern strongly associated with HRQoL and wellbeing;

- Patients with dyspnoe reported poorer HRQoL.

- HRQoL also associated with patterns of chest pain.

- Patients who experienced both atypical and exertional pain had the lowest scores on physical functioning, role limitations due to physical factors, general health perceptions, vitality and bodily pain.

- Syncope →significantly lower PCS and bodily pain scales

Steptoe 2000

DCM; N = 60

SF-36

GENERIC

- Pronounced restrictions in QoL and wellbeing;

- Major limitations on all SF-36 dimensions except bodily pain;

- In comparision with HCM pop: DCM sign greater restrictions in social functioning; HCM experience sign higher levels of pain

- Several aspects of impaired HRQoL are not simple functions of disease severity, but determined by factors related to psychological adjustment as well.

- Older patients experience more vitality; female sign poorer HRQoL than male in terms of physical funtioning; perc gen health and bodily pain; pat with lower shortening fractions had poorer HRQoL PCS

- DCM fam reported better phys funct, fewer role lim.

Christiaans 2009

HCM; N = 228

SF-36

GENERIC

- Carriers HCM report ↓HRQoL

- Carriers HCM: ↓ general health perception; ↓vitality, ↓bodily pain

- Subgroup carriers with manifest HCM sign worse physical prediction

Hamang 2010

LQTS, HCM + AR LQTS, AR HCM; N = 127

SF-36

GENERIC

- Manifest HCM: scored lower on all health domains compared to patients with LQTS-syndrome or with patients at risk.

- ↑ Manifestations/symptoms to affect health

- Physical health differed according to disease status

- Manifest HCM, LQTS report poorer physical health

- AR patients reported better phys health

Pedrosa 2010

N = 126; HCM (n = 84); asymptomatic controls (n = 42)

MLHFQ

DISEASE-SPECIFIC

- Poor HRQoL was independently associated with poor sleep quality, NYHA classification and diuretic therapy.

- Congestive heart failure symptoms ass worse HRQoL

- No results on physical health

Hamang 2011

LQTS, HCM + AR LQTS, AR HCM; N = 126

SF-36

GENERIC

N/A

- ↑ Manifestations/symptoms to affect health

Ingles 2012

ICC (33) + AR ICC(21); N = 54

SF-36

GENERIC

- No change HRQoL,

- No change in health status outcome due to genetic testing

- HCM, DCM, CPVT → ↓ PCS

- AR HCM and carriers HCM; AR LQTS; AR DCM→ ↑ PCS

Ingles 2015

HCM; N = 486

SF-36

GENERIC

- Predictive genetic test for adult onset disease does not lead to long term impairment of HRQoL

- ↑ comorbidities; ↓ income; ↓ specialized clinic

Brouwers 2015

NCCM(45), FH(43), acq DCM (42); N = 130

SF-12

GENERIC

- Stronger adverse eff on health status in patients with manifest HCM LQTS versus AR patients without symptoms

- ↑ comorbidity, ↑ ICD implant ↓ age, ↓ education

Richardson 2018

CPVT; N = 54

SF-36

GENERIC

- Vitality (energy and fatigue)domain: worse than gen pop

- No results on physical health

Hamang 2012

LQTS, HCM + AR LQTS, AR HCM; N = 173

SF-36

GENERIC

 N/A

- Physical health differed according to disease status.

- Patients with clinical LQTS or clinical HCM reported poorer physical health

- Higher avoidance (measured with HFA) is strongly related to poorer physical health

Huff 2013

HCM; N = 24

KCCQ

DISEASE-SPECIFIC

- KCCQ results demonstrated moderate reductions in all domains, with greatest reduction in HRQoL-domain

- KCCQ (physical functioning and overall scores) has moderate correlation with NYHA class and cardiopulmonary exercise test

McGorrian 2013

AR ICC; N = 316

SF-12

GENERIC

- No association with a difference in HRQoL found when comparing different patients groups (e.g., SADS vs channelopathy vs cardiomyopathy)

- PCS-12 decreased with age (p = 0.01), indicating worsening physical health

Ingles 2013

ICC; N = 409

SF-36

GENERIC

- HCM, DCM, CPVT→ ↓ PCS

- AR HCM and carriers HCM; AR LQTS; AR DCM→ ↑ PCS

- Presence and severity of symptoms; activity restrictions; adverse medication side effects have negative effect on health status, anxiety, and depression

- Women; comorbidity; NYHA functional class]≈ impaired physical score

- ↓PCS score: physical disability due to lifestyle modification recommendations

- HCM, DCM, CPVT: ↓PCS vs AR HCM; AR LQTS

- AR DCM and carriers HCM: ↑PCS

Hickey 2014

LQTS, BrS, HCM, DCM; N = 58

SF-36

GENERIC

- Similar to other studies.

- No LT negative consequences of undergoing gen test

- ICD-shock→ ↓ HRQoL

- Individuals with positive genetic cardiac test scored significantly lower on the bodily pain dimension

Capota 2020

HCM; N = 91

KCCQ

DISEASE-SPECIFIC

- Sign worse HRQoL in the HCM population as compared to matched patients from the general public.

- Pulmonary hypertension significantly impact global HRQoL.

- Important gender differences in global KCCQ, poorer and higher symptom burden among women

- Similar results as Hamang 2010

Brothers 2021

AR ARVC; N = 73

SF-36

GENERIC

- No significant differences in the scores between baseline, 6 M, 1Y

- No results on physical health

  1. This table lists all findings/results found in the included studies from PROMs.
  2. NCCM Noncompaction Cardiomyopathy, LQTS Long QT syndrome, HCM hypertrophic cardiomyopathy, AR at risk, DCM dilated cardiomyopathy, CPVT catecholaminergic polymorphic ventricular tachycardia, ARVC arrhythmogenic right ventricular cardiomyopathy, PCS physical health component, PW psychological wellbeing, PD psychological distress, HFA heart-focused anxiety.