关键词: 垂体瘤, 手术, 自我报告结局, 评估工具, 测量学属性, 系统评价, 循证护理学

Abstract:

Objective To systematically evaluate the psychometric properties of specific self-reported outcome assessment tools for patients undergoing Endoscopic Transnasal Transsphenoidal Surgery（ETTS），with the aim of pro-viding clinical healthcare professionals with evidence to guide the selection of appropriate assessment tools. Methods A systematic search was performed across multiple databases，including the North American Skull Base Society，PubMed，Embase，CINAHL，Web of Science，Cochrane Library，CNKI，VIP database，Wanfang database，and the China Biomedical Literature Database，for studies published from the inception of each database to January 9，2025，that are related to ETTS-specific symptom assessment tools. Totally 2 independent researchers screened the literature and extracted relevant data. The consensus-based health measurement tool selection bias risk checklist and quality standards were used to evaluate the methodological quality and psychometric properties of the included studies，which helped to form the development of recommendations. Results A total of 11 articles were included，covering 8 specific self-reported outcome assessment tools for patients undergoing endonasal transsphenoidal pituitary tumor resection. Of these，the Pituitary Outcome Score and the Leiden Bother and Needs Questionnaire for patients with pituitary disease 2 tools were rated as Grade A recommendations，and 6 tools were rated as Grade B recommendations. Conclusion POS and LBNQ-Pituitary are recommended due to their relatively strong overall methodological quality and psychometric properties. However，further validation with larger sample sizes is necessary.

Key words: Pituitary Tumor, Surgery, Self-Reported Outcome, Assessment Tools, Measurement Properties, Systematic Review, Evidence-Based Nursing