Skip to main content
Top
Gepubliceerd in:

10-11-2020

Patient-reported experience with patient-reported outcome measures in adult patients seen in rheumatology clinics

Auteurs: Brittany R. Lapin, Ryan Honomichl, Nicolas Thompson, Susannah Rose, Abby Abelson, Chad Deal, Irene L. Katzan

Gepubliceerd in: Quality of Life Research | Uitgave 4/2021

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

Patient-reported outcome measures (PROMs) are increasingly utilized in the evaluation of patients with rheumatic diseases. The aim of our study was to assess the patient experience with completing PROMs within rheumatology clinics, and identify patient characteristics associated with a more positive experience.

Methods

We conducted a retrospective cross-sectional study of adult patients seen in rheumatology clinics between 1/1/2017 and 6/30/2017. Patients were included in the study if they completed at least one patient-reported experience question following completion of PROMs. Patient characteristics associated with more positive experiences were identified through multivariable proportional odds models.

Results

12,597 adult patients (mean age 59 ± 15; 76% female; 84% white) completed PROMs, as well as questions on their experience completing PROMs. Patients agreed/strongly agreed that PROM questions were easy to understand (97%), useful (84%), helped their physician understand their health (78%), improved communication with their provider (78%) and improved control over their own care (70%). Predictors of better experience with PROMs included being younger, non-white, having lower income, and being a new patient. Worse self-reported health also predicted better experience with PROMs.

Conclusion

Our study found a positive patient experience with PROMs, which is a crucial component of their successful implementation and utilization. Findings from this study suggest PROMs may be particularly beneficial in new patients, minorities, those with lower income, and worse self-reported quality of life. Collecting PROMs could provide opportunities to improve patient–provider communication and enhance control over care for rheumatology patients who could most benefit.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
5.
go back to reference Detmar, S. B., Muller, M. J., Schornagel, J. H., Wever, L. D., & Aaronson, N. K. (2002). Health-related quality-of-life assessments and patient-physician communication: A randomized controlled trial. JAMA, 288(23), 3027–3034.CrossRef Detmar, S. B., Muller, M. J., Schornagel, J. H., Wever, L. D., & Aaronson, N. K. (2002). Health-related quality-of-life assessments and patient-physician communication: A randomized controlled trial. JAMA, 288(23), 3027–3034.CrossRef
8.
15.
go back to reference Katz, P., Pedro, S., & Michaud, K. (2017). Performance of the patient-reported outcomes measurement information system 29-item profile in rheumatoid arthritis, osteoarthritis, fibromyalgia, and systemic lupus erythematosus. Arthritis Care & Research (Hoboken), 69(9), 1312–1321. https://doi.org/10.1002/acr.23183CrossRef Katz, P., Pedro, S., & Michaud, K. (2017). Performance of the patient-reported outcomes measurement information system 29-item profile in rheumatoid arthritis, osteoarthritis, fibromyalgia, and systemic lupus erythematosus. Arthritis Care & Research (Hoboken), 69(9), 1312–1321. https://​doi.​org/​10.​1002/​acr.​23183CrossRef
16.
go back to reference Kasturi, S., Szymonifka, J., Burket, J. C., Berman, J. R., Kirou, K. A., Levine, A. B., et al. (2018). Feasibility, validity, and reliability of the 10-item patient reported outcomes measurement information system global health short form in outpatients with systemic lupus erythematosus. The Journal of Rheumatology, 45(3), 397–404. https://doi.org/10.3899/jrheum.170590CrossRefPubMedPubMedCentral Kasturi, S., Szymonifka, J., Burket, J. C., Berman, J. R., Kirou, K. A., Levine, A. B., et al. (2018). Feasibility, validity, and reliability of the 10-item patient reported outcomes measurement information system global health short form in outpatients with systemic lupus erythematosus. The Journal of Rheumatology, 45(3), 397–404. https://​doi.​org/​10.​3899/​jrheum.​170590CrossRefPubMedPubMedCentral
18.
go back to reference Katz, P., Pedro, S., Alemao, E., Yazdany, J., Dall’Era, M., Trupin, L., et al. (2020). Estimates of responsiveness, minimally important differences, and patient acceptable symptom state in five patient-reported outcomes measurement information system short forms in systemic lupus erythematosus. ACR Open Rheumatology, 2(1), 53–60. https://doi.org/10.1002/acr2.11100CrossRefPubMed Katz, P., Pedro, S., Alemao, E., Yazdany, J., Dall’Era, M., Trupin, L., et al. (2020). Estimates of responsiveness, minimally important differences, and patient acceptable symptom state in five patient-reported outcomes measurement information system short forms in systemic lupus erythematosus. ACR Open Rheumatology, 2(1), 53–60. https://​doi.​org/​10.​1002/​acr2.​11100CrossRefPubMed
19.
go back to reference Wahl, E., Gross, A., Chernitskiy, V., Trupin, L., Gensler, L., Chaganti, K., et al. (2017). Validity and responsiveness of a 10-item patient-reported measure of physical function in a rheumatoid arthritis clinic population. Arthritis Care & Research (Hoboken), 69(3), 338–346. https://doi.org/10.1002/acr.22956CrossRef Wahl, E., Gross, A., Chernitskiy, V., Trupin, L., Gensler, L., Chaganti, K., et al. (2017). Validity and responsiveness of a 10-item patient-reported measure of physical function in a rheumatoid arthritis clinic population. Arthritis Care & Research (Hoboken), 69(3), 338–346. https://​doi.​org/​10.​1002/​acr.​22956CrossRef
20.
go back to reference Oude Voshaar, M. A., Ten Klooster, P. M., Glas, C. A., Vonkeman, H. E., Taal, E., Krishnan, E., et al. (2015). Validity and measurement precision of the PROMIS physical function item bank and a content validity-driven 20-item short form in rheumatoid arthritis compared with traditional measures. Rheumatology (Oxford), 54(12), 2221–2229. https://doi.org/10.1093/rheumatology/kev265CrossRef Oude Voshaar, M. A., Ten Klooster, P. M., Glas, C. A., Vonkeman, H. E., Taal, E., Krishnan, E., et al. (2015). Validity and measurement precision of the PROMIS physical function item bank and a content validity-driven 20-item short form in rheumatoid arthritis compared with traditional measures. Rheumatology (Oxford), 54(12), 2221–2229. https://​doi.​org/​10.​1093/​rheumatology/​kev265CrossRef
21.
go back to reference Wohlfahrt, A., Bingham, C. O., 3rd., Marder, W., Phillips, K., Bolster, M. B., Moreland, L. W., et al. (2019). Responsiveness of patient-reported outcomes measurement information system measures in rheumatoid arthritis patients starting or switching a disease-modifying antirheumatic drug. Arthritis Care & Research (Hoboken), 71(4), 521–529. https://doi.org/10.1002/acr.23617CrossRef Wohlfahrt, A., Bingham, C. O., 3rd., Marder, W., Phillips, K., Bolster, M. B., Moreland, L. W., et al. (2019). Responsiveness of patient-reported outcomes measurement information system measures in rheumatoid arthritis patients starting or switching a disease-modifying antirheumatic drug. Arthritis Care & Research (Hoboken), 71(4), 521–529. https://​doi.​org/​10.​1002/​acr.​23617CrossRef
22.
go back to reference Kingsley, C., & Patel, S. (2017). Patient-reported outcome measures and patient-reported experience measures. BJA Education, 17(4), 137–144.CrossRef Kingsley, C., & Patel, S. (2017). Patient-reported outcome measures and patient-reported experience measures. BJA Education, 17(4), 137–144.CrossRef
23.
go back to reference Lapin, B., Udeh, B., Bautista, J. F., & Katzan, I. L. (2018a). Patient experience with patient-reported outcome measures in neurologic practice. Neurology, 91, 1–17.CrossRef Lapin, B., Udeh, B., Bautista, J. F., & Katzan, I. L. (2018a). Patient experience with patient-reported outcome measures in neurologic practice. Neurology, 91, 1–17.CrossRef
26.
go back to reference Sun, B. C., Adams, J., Orav, E. J., Rucker, D. W., Brennan, T. A., & Burstin, H. R. (2000). Determinants of patient satisfaction and willingness to return with emergency care. Annals of Emergency Medicine, 35(5), 426–434.CrossRef Sun, B. C., Adams, J., Orav, E. J., Rucker, D. W., Brennan, T. A., & Burstin, H. R. (2000). Determinants of patient satisfaction and willingness to return with emergency care. Annals of Emergency Medicine, 35(5), 426–434.CrossRef
30.
go back to reference Katzan, I., Speck, M., Dopler, C., Urchek, J., Bielawski, K., Dunphy, C., et al. (2011). The knowledge program: An innovative, comprehensive electronic data capture system and warehouse. AMIA Annual Symposium Proceedings, 2011, 683–692.PubMedPubMedCentral Katzan, I., Speck, M., Dopler, C., Urchek, J., Bielawski, K., Dunphy, C., et al. (2011). The knowledge program: An innovative, comprehensive electronic data capture system and warehouse. AMIA Annual Symposium Proceedings, 2011, 683–692.PubMedPubMedCentral
32.
go back to reference Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRef Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.CrossRef
35.
38.
go back to reference Brant, R. (1990). Assessing proportionality in the proportional odds model for ordinal logistic regression. Biometrics, 46(4), 1171–1178.CrossRef Brant, R. (1990). Assessing proportionality in the proportional odds model for ordinal logistic regression. Biometrics, 46(4), 1171–1178.CrossRef
44.
go back to reference Shen, M. J., Peterson, E. B., Costas-Muniz, R., Hernandez, M. H., Jewell, S. T., Matsoukas, K., et al. (2018). The effects of race and racial concordance on patient-physician communication: A systematic review of the literature. Journal of Racial and Ethnic Health Disparities, 5(1), 117–140. https://doi.org/10.1007/s40615-017-0350-4CrossRefPubMed Shen, M. J., Peterson, E. B., Costas-Muniz, R., Hernandez, M. H., Jewell, S. T., Matsoukas, K., et al. (2018). The effects of race and racial concordance on patient-physician communication: A systematic review of the literature. Journal of Racial and Ethnic Health Disparities, 5(1), 117–140. https://​doi.​org/​10.​1007/​s40615-017-0350-4CrossRefPubMed
48.
go back to reference El Miedany, Y., El Gaafary, M., Youssef, S., Ahmed, I., & Palmer, D. (2014). The arthritic patients’ perspective of measuring treatment efficacy: Patient Reported Experience Measures (PREMs) as a quality tool. Clinical and Experimental Rheumatology, 32(4), 547–552.PubMed El Miedany, Y., El Gaafary, M., Youssef, S., Ahmed, I., & Palmer, D. (2014). The arthritic patients’ perspective of measuring treatment efficacy: Patient Reported Experience Measures (PREMs) as a quality tool. Clinical and Experimental Rheumatology, 32(4), 547–552.PubMed
54.
go back to reference Freel, J., Bellon, J., & Hanmer, J. (2018, June 20, 2018). Better physician ratings from discussing PROs with patients. NEJM Catalyst. Freel, J., Bellon, J., & Hanmer, J. (2018, June 20, 2018). Better physician ratings from discussing PROs with patients. NEJM Catalyst.
55.
go back to reference Bruce, B., Fries, J. F., & Murtagh, K. N. (2007). Health status disparities in ethnic minority patients with rheumatoid arthritis: A cross-sectional study. Journal of Rheumatology, 34(7), 1475–1479. Bruce, B., Fries, J. F., & Murtagh, K. N. (2007). Health status disparities in ethnic minority patients with rheumatoid arthritis: A cross-sectional study. Journal of Rheumatology, 34(7), 1475–1479.
56.
go back to reference Barton, J. L., Trupin, L., Schillinger, D., Gansky, S. A., Tonner, C., Margaretten, M., et al. (2011). Racial and ethnic disparities in disease activity and function among persons with rheumatoid arthritis from university-affiliated clinics. Arthritis Care & Research (Hoboken), 63(9), 1238–1246. https://doi.org/10.1002/acr.20525CrossRef Barton, J. L., Trupin, L., Schillinger, D., Gansky, S. A., Tonner, C., Margaretten, M., et al. (2011). Racial and ethnic disparities in disease activity and function among persons with rheumatoid arthritis from university-affiliated clinics. Arthritis Care & Research (Hoboken), 63(9), 1238–1246. https://​doi.​org/​10.​1002/​acr.​20525CrossRef
57.
go back to reference Epstein, A. M., Hall, J. A., Tognetti, J., Son, L. H., & Conant, L., Jr. (1989). Using proxies to evaluate quality of life. Can they provide valid information about patients’ health status and satisfaction with medical care? Medical Care, 27(3 Suppl), S91-98.CrossRef Epstein, A. M., Hall, J. A., Tognetti, J., Son, L. H., & Conant, L., Jr. (1989). Using proxies to evaluate quality of life. Can they provide valid information about patients’ health status and satisfaction with medical care? Medical Care, 27(3 Suppl), S91-98.CrossRef
Metagegevens
Titel
Patient-reported experience with patient-reported outcome measures in adult patients seen in rheumatology clinics
Auteurs
Brittany R. Lapin
Ryan Honomichl
Nicolas Thompson
Susannah Rose
Abby Abelson
Chad Deal
Irene L. Katzan
Publicatiedatum
10-11-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02692-2