Systematic review of fatigue assessment instruments for SLE: psychometric validation with COSMIN 2.0 guidelines.

Rheumatology (Oxford)Sep 1, 2026
Clinical ResearchRheumatology

Suxiang Liu, Xiaocha Zhu, Qingqing Liu et al.

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In 30 seconds

This systematic review evaluated the psychometric properties of patient-reported outcome measures (PROMs) for fatigue in systemic lupus erythematosus (SLE) patients. Fifteen studies were analyzed, revealing that no PROM was sufficiently validated for clinical use. The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue) showed high-quality evidence for five core psychometric properties, making it the most promising tool for assessing fatigue in this population.

Key findings

  • No fatigue assessment instrument was conclusively recommendable for clinical practice due to insufficient high-certainty evidence.
  • FACIT-Fatigue demonstrated high-quality evidence for five core psychometric properties.
  • A critical gap exists in fully validated, high-quality SLE-specific PROMs for fatigue assessment.

Why it matters

Understanding the psychometric properties of fatigue assessment tools is crucial for accurately measuring fatigue in SLE patients, which can significantly impact their quality of life and treatment outcomes.

Source

Published in Rheumatology (Oxford). This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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