Abstract:

Objective To systematically evaluate the measurement properties of the palliative care needs assessment tools for cancer patients. Methods Computer searches of databases were conducted to comprehensively search studies on the evaluation of measurement properties of the hospice needs assessment tool for cancer patients from their establishment to July 4，2022，including PubMed，Embase，Web of Science，CINAHL，Scopus，Wanfang Data，CBM，CNKI，and VIP. The literature was independently screened by two researchers，and the methodological quality and measurement properties of the included assessment tools were evaluated using COSMIN guideline-based information after extraction. Results A total of 10 studies were included，involving 10 scales assessing the palliative care needs with cancer patients. None of 10 assessment tools reported cross-cultural validity，measurement error，and responsiveness. Based on high-quality evidence，the internal consistency of "the evaluation questionnaire on demand of terminal cancer patients" and "the revised Chinese version of the problems and needs in palliative care questionnaire"，as well as the structural validity of the Chinese version of the PNPC-sv，were found to be “inadequate”. Therefore，the three scales were recommended as grade C. The other seven scales were recommended as grade B. Among them，the structural validity，internal consistency，and hypothesis testing of the Chinese version of the PPCI were found to be "adequate" based on high-quality evidence，and more balanced measurement properties were reported. Conclusion Compared with the other nine assessment scales，the Chinese version of the PPCI measurement attribute report is more comprehensive and can be recommended for provisional use，though needs further validation of measurement attribution.

Key words: Neoplasms, Palliative care needs, Assessment tools, Systematic review