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Gepubliceerd in: Quality of Life Research 1/2009

01-02-2009

Using patient-reported outcomes in clinical practice: challenges and opportunities

Auteurs: Kathleen N. Lohr, Bradley J. Zebrack

Gepubliceerd in: Quality of Life Research | Uitgave 1/2009

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Abstract

Purpose

Introduce and explore issues at an international conference about the use of patient-reported outcomes (PROs) in clinical practice.

Methods

Review of salient literature, clinical and personal experiences, conference presentations and discussions, and post-conference comments from outside experts.

Results

PROs (information from patients about a health condition and its management) have been assessed through self-reports for at least four decades. Traditional applications are in clinical and health services research. Uses in clinical practice, although increasing, are less common and more challenging. PROs can enhance the understanding of patients’ experiences and responses to therapy and inform clinical practice.

Conclusions

We pose and discuss four main questions: (1) Will clinicians accept PRO measures? (2) Will clinicians use PRO measures? (3) Will measuring PROs actually improve those outcomes? (4) Will PROs be perceived as having other, less salutary purposes? A patient-centered perspective on PRO measurement presents issues about the extent to which PROs can accurately capture patient experiences and assess psychosocial and environmental factors that influence communication with clinicians and eventual outcomes. We end with comments about the intersection of PROs and bioethics, noting contributions that PROs may make to beneficence, patient autonomy, and distributive justice.
Literatuur
1.
go back to reference Aaronson, N. K., & Snyder, C. (2008). Using patient-reported outcomes in clinical practice: Proceedings of an international society of quality of life research conference. Quality of Life Research. doi: 10.​1007/​s11136-008-9422-6. Aaronson, N. K., & Snyder, C. (2008). Using patient-reported outcomes in clinical practice: Proceedings of an international society of quality of life research conference. Quality of Life Research. doi: 10.​1007/​s11136-008-9422-6.
3.
go back to reference Donaldson, M. S. (2008). Taking PROs and patient-centered care seriously: Incremental and disruptive ideas for incorporating PROs in oncology practice. Quality of Life Research. doi: 10.​1007/​s11136-008-9414-6. Donaldson, M. S. (2008). Taking PROs and patient-centered care seriously: Incremental and disruptive ideas for incorporating PROs in oncology practice. Quality of Life Research. doi: 10.​1007/​s11136-008-9414-6.
7.
go back to reference Ware, J. E. Jr. (1976). Scales for measuring general health perceptions. Health Services Research, 11(4), 396–415. PubMed Ware, J. E. Jr. (1976). Scales for measuring general health perceptions. Health Services Research, 11(4), 396–415. PubMed
8.
go back to reference Ware, J. E. Jr., Brook, R. H., Davies, A. R., & Lohr, K. N. (1981). Choosing measures of health status for individuals in general populations. American Journal of Public Health, 71(6), 620–625. PubMedCrossRef Ware, J. E. Jr., Brook, R. H., Davies, A. R., & Lohr, K. N. (1981). Choosing measures of health status for individuals in general populations. American Journal of Public Health, 71(6), 620–625. PubMedCrossRef
16.
go back to reference Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118(8), 622–629. PubMed Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118(8), 622–629. PubMed
18.
go back to reference McHorney, C. A. (2003). Ten recommendations for advancing patient-centered outcomes measurement for older persons. Annals of Internal Medicine, 139(5 Pt 2), 403–409. PubMed McHorney, C. A. (2003). Ten recommendations for advancing patient-centered outcomes measurement for older persons. Annals of Internal Medicine, 139(5 Pt 2), 403–409. PubMed
19.
go back to reference McDowell, I., & Newell, C. (1996). Measuring health: A guide to rating scales and questionnaires (2nd ed.). New York: Oxford University Press. McDowell, I., & Newell, C. (1996). Measuring health: A guide to rating scales and questionnaires (2nd ed.). New York: Oxford University Press.
20.
go back to reference Bowling, A. (2001). Measuring disease: A review of disease-specific quality of life measurement scales (2nd ed.). Buckingham, UK: Open University Press. Bowling, A. (2001). Measuring disease: A review of disease-specific quality of life measurement scales (2nd ed.). Buckingham, UK: Open University Press.
21.
go back to reference Bowling, A. (Ed.). (2004). Measuring health: A review of quality of life measurement scales. Buckingham, UK: Open University Press. Bowling, A. (Ed.). (2004). Measuring health: A review of quality of life measurement scales. Buckingham, UK: Open University Press.
22.
go back to reference Lipscomb, J., Gotay, C. C., & Snyder, C. (2005). Outcomes assessment in cancer: Measures, methods, and applications. Cambridge, UK: Cambridge University Press. Lipscomb, J., Gotay, C. C., & Snyder, C. (2005). Outcomes assessment in cancer: Measures, methods, and applications. Cambridge, UK: Cambridge University Press.
23.
go back to reference Australian Centre on Quality of Life. Bibliography. 2007. Australian Centre on Quality of Life. Bibliography. 2007.
24.
go back to reference Sloan, J. A., Halyard, M. Y., Frost, M. H., et al.; Mayo/FDA Patient-Reported Outcomes Consensus Meeting Group. (2007). The Mayo Clinic manuscript series relative to the discussion, dissemination, and operationalization of the Food and Drug Administration guidance on patient-reported outcomes. Value in Health, 10(Suppl), S59–S63. doi: 10.​1111/​j.​1524-4733.​2007.​00267.​x. PubMedCrossRef Sloan, J. A., Halyard, M. Y., Frost, M. H., et al.; Mayo/FDA Patient-Reported Outcomes Consensus Meeting Group. (2007). The Mayo Clinic manuscript series relative to the discussion, dissemination, and operationalization of the Food and Drug Administration guidance on patient-reported outcomes. Value in Health, 10(Suppl), S59–S63. doi: 10.​1111/​j.​1524-4733.​2007.​00267.​x. PubMedCrossRef
28.
go back to reference Bergner, M. (1986). Functional health assessments: Are they ready for use in clinical practice? The Journal of Family Practice, 23(5), 423–424. PubMed Bergner, M. (1986). Functional health assessments: Are they ready for use in clinical practice? The Journal of Family Practice, 23(5), 423–424. PubMed
30.
32.
go back to reference Frost, M. H., Bonomi, A. E., Cappelleri, J. C., Schunemann, H. J., Moynihan, T. J., & Aaronson, N. K. (2007). Applying quality-of-life data formally and systematically into clinical practice. Mayo Clinic Proceedings, 82(10), 1214–1228. PubMedCrossRef Frost, M. H., Bonomi, A. E., Cappelleri, J. C., Schunemann, H. J., Moynihan, T. J., & Aaronson, N. K. (2007). Applying quality-of-life data formally and systematically into clinical practice. Mayo Clinic Proceedings, 82(10), 1214–1228. PubMedCrossRef
35.
go back to reference Wasson, J., Keller, A., Rubenstein, L., Hays, R., Nelson, E., & Johnson, D. (1992). Benefits and obstacles of health status assessment in ambulatory settings. The clinician’s point of view. The Dartmouth Primary Care COOP Project. Medical Care, 30(5 Suppl), MS42–MS49. doi: 10.​1097/​00005650-199205001-00004. PubMedCrossRef Wasson, J., Keller, A., Rubenstein, L., Hays, R., Nelson, E., & Johnson, D. (1992). Benefits and obstacles of health status assessment in ambulatory settings. The clinician’s point of view. The Dartmouth Primary Care COOP Project. Medical Care, 30(5 Suppl), MS42–MS49. doi: 10.​1097/​00005650-199205001-00004. PubMedCrossRef
37.
go back to reference Feinstein, A. R. (1983). An additional basic science for clinical medicine: IV. The development of clinimetrics. Annals of Internal Medicine, 99(6), 843–848. PubMed Feinstein, A. R. (1983). An additional basic science for clinical medicine: IV. The development of clinimetrics. Annals of Internal Medicine, 99(6), 843–848. PubMed
42.
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. Journal of the American Medical Association, 288(23), 3027–3034. doi: 10.​1001/​jama.​288.​23.​3027. PubMedCrossRef 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. Journal of the American Medical Association, 288(23), 3027–3034. doi: 10.​1001/​jama.​288.​23.​3027. PubMedCrossRef
44.
45.
go back to reference Detmar, S. B., Aaronson, N. K., Wever, L. D., Muller, M., & Schornagel, J. H. (2000). How are you feeling? Who wants to know? Patients’ and oncologists’ preferences for discussing health-related quality-of-life issues. Journal of Clinical Oncology, 18(18), 3295–3301. PubMed Detmar, S. B., Aaronson, N. K., Wever, L. D., Muller, M., & Schornagel, J. H. (2000). How are you feeling? Who wants to know? Patients’ and oncologists’ preferences for discussing health-related quality-of-life issues. Journal of Clinical Oncology, 18(18), 3295–3301. PubMed
46.
go back to reference Shin, H. G., & Bruno, R. (2003). Language use and English-speaking ability: 2000, Census 2000 brief. US Department of Commerce, Economics and Statistics Administration, US Census Bureau. Shin, H. G., & Bruno, R. (2003). Language use and English-speaking ability: 2000, Census 2000 brief. US Department of Commerce, Economics and Statistics Administration, US Census Bureau.
47.
go back to reference US Census Bureau (2006). 2004 American Community Survey: Nativity by language spoken at home by ability to speak English for the population age 5 years and over. US Department of Commerce, Economics and Statistics Administration, US Census Bureau. US Census Bureau (2006). 2004 American Community Survey: Nativity by language spoken at home by ability to speak English for the population age 5 years and over. US Department of Commerce, Economics and Statistics Administration, US Census Bureau.
48.
go back to reference Leigh, S. (1994). Cancer survivorship: A consumer movement. Seminars in Oncology, 21(6), 783–786. PubMed Leigh, S. (1994). Cancer survivorship: A consumer movement. Seminars in Oncology, 21(6), 783–786. PubMed
49.
go back to reference Stovall, E. L. (1996). Practice guidelines: Patients’ perspective. Oncology (Williston Park), 10(11 Suppl), 255–260. Stovall, E. L. (1996). Practice guidelines: Patients’ perspective. Oncology (Williston Park), 10(11 Suppl), 255–260.
50.
52.
go back to reference Zoppi, K. A., & Epstein, R. M. (2002). Interviewing in medical settings. In J. F. Gubrium & J. A. Holstein (Eds.), Handbook of interview research: Context and method (pp. 355–384). Thousand Oaks, CA: Sage Publications. Zoppi, K. A., & Epstein, R. M. (2002). Interviewing in medical settings. In J. F. Gubrium & J. A. Holstein (Eds.), Handbook of interview research: Context and method (pp. 355–384). Thousand Oaks, CA: Sage Publications.
54.
go back to reference Briggs, C. L. (2002). Interviewing, power/knowledge, and social inequality. In J. F. Gubrium & J. A. Holstein (Eds.), Handbook of interview research: Context and method (pp. 911–922). Thousand Oaks, CA: Sage Publications. Briggs, C. L. (2002). Interviewing, power/knowledge, and social inequality. In J. F. Gubrium & J. A. Holstein (Eds.), Handbook of interview research: Context and method (pp. 911–922). Thousand Oaks, CA: Sage Publications.
55.
go back to reference Hill, M. E. (2002). Race of the interviewer and perception of skin color: Evidence from the multi-city study of urban inequality. American Sociological Review, 67(1), 99–108. doi: 10.​2307/​3088935. CrossRef Hill, M. E. (2002). Race of the interviewer and perception of skin color: Evidence from the multi-city study of urban inequality. American Sociological Review, 67(1), 99–108. doi: 10.​2307/​3088935. CrossRef
57.
go back to reference Del Boca, F. K., & Noll, J. A. (2000). Truth or consequences: The validity of self-report data in health services research on addictions. Addiction, 95(Suppl 3), S347–S360. PubMed Del Boca, F. K., & Noll, J. A. (2000). Truth or consequences: The validity of self-report data in health services research on addictions. Addiction, 95(Suppl 3), S347–S360. PubMed
59.
go back to reference Goffman, E. (1959). The presentation of self in everyday life. Garden City, NY: Doubleday. Goffman, E. (1959). The presentation of self in everyday life. Garden City, NY: Doubleday.
60.
go back to reference Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: A sourcebook of new methods (2nd ed.). Thousand Oaks, CA: Sage Publications. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: A sourcebook of new methods (2nd ed.). Thousand Oaks, CA: Sage Publications.
61.
go back to reference Institute of Medicine. (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: The National Academies Press. Institute of Medicine. (2008). Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: The National Academies Press.
62.
go back to reference Agency for Healthcare Research and Quality. (2006). National healthcare disparities report, 2006. Rockville, MD: Agency for Healthcare Research and Quality. Agency for Healthcare Research and Quality. (2006). National healthcare disparities report, 2006. Rockville, MD: Agency for Healthcare Research and Quality.
63.
go back to reference Povar, G. J. (1991). What does “quality” mean: Critical ethical issues for quality assurance. In R. H. Palmer, A. Donabedian, & G. J. Povar (Eds.), Striving for quality in health care. An inquiry into policy and practice. Ann Arbor, MI: Health Administration Press. Povar, G. J. (1991). What does “quality” mean: Critical ethical issues for quality assurance. In R. H. Palmer, A. Donabedian, & G. J. Povar (Eds.), Striving for quality in health care. An inquiry into policy and practice. Ann Arbor, MI: Health Administration Press.
Metagegevens
Titel
Using patient-reported outcomes in clinical practice: challenges and opportunities
Auteurs
Kathleen N. Lohr
Bradley J. Zebrack
Publicatiedatum
01-02-2009
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 1/2009
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-008-9413-7

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