How should we assess patient-reported outcomes in the onco-hematology clinic?

被引:11
作者
Cannella, Laura [1 ,2 ]
Efficace, Fabio [1 ,2 ]
Giesinger, Johannes [3 ]
机构
[1] Italian Grp Adult Hematol Dis GIMEMA, Data Ctr, Rome, Italy
[2] Italian Grp Adult Hematol Dis GIMEMA, Hlth Outcomes Res Unit, Rome, Italy
[3] IIPCOR, Innsbruck, Austria
关键词
cancer; clinical practice; hematology; patient-reported outcomes; quality of life; QUALITY-OF-LIFE; PROGNOSTIC VALUE; HEALTH-STATUS; SYMPTOM; THERAPY; TRIALS; PRO; COMMUNICATION; RELIABILITY; TERMINOLOGY;
D O I
10.1097/SPC.0000000000000386
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose of review The improvement of clinical outcomes in hematologic malignancies has paved the way for a more systematic patient-reported outcomes (PROs) assessment in routine clinical practice. PROs help to narrow the gap between patients' and healthcare professionals' view of patient health and treatment success. This review outlines key aspects of planning and performing PRO assessments in daily routine such as the selection of PRO instruments, electronic PRO data collection, and the presentation and interpretation of PRO results. Recent findings A substantial body of literature has demonstrated that careful planning, adequate logistics, and elaborate methodology allow to successfully integrate the patients' experience in routine care. Several examples exist of the clinical benefits of systematically collecting PRO information in daily care of patients with solid tumors. These include improved patient-physician communication, better symptom management, and, in patients with advanced disease, also fewer hospitalizations and prolonged survival. However, sparse evidence based data are available for patients with onco-hematologic diseases. Summary Data collected through PRO instruments provide unique information that complements traditional clinical examinations and may help improving patients' management in clinical practice. Major efforts are now needed to implement PRO instruments in daily practice of patients with hematologic malignancies.
引用
收藏
页码:522 / 529
页数:8
相关论文
共 69 条
[1]   THE EUROPEAN-ORGANIZATION-FOR-RESEARCH-AND-TREATMENT-OF-CANCER QLQ-C30 - A QUALITY-OF-LIFE INSTRUMENT FOR USE IN INTERNATIONAL CLINICAL-TRIALS IN ONCOLOGY [J].
AARONSON, NK ;
AHMEDZAI, S ;
BERGMAN, B ;
BULLINGER, M ;
CULL, A ;
DUEZ, NJ ;
FILIBERTI, A ;
FLECHTNER, H ;
FLEISHMAN, SB ;
DEHAES, JCJM ;
KAASA, S ;
KLEE, M ;
OSOBA, D ;
RAZAVI, D ;
ROFE, PB ;
SCHRAUB, S ;
SNEEUW, K ;
SULLIVAN, M ;
TAKEDA, F .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1993, 85 (05) :365-376
[2]   PROMs for Pain in Adult Cancer Patients: A Systematic Review of Measurement Properties [J].
Abahussin, Asma A. ;
West, Robert M. ;
Wong, David C. ;
Ziegler, Lucy E. .
PAIN PRACTICE, 2019, 19 (01) :93-117
[3]  
[Anonymous], 2016, APP 2 GUID EV ANT ME
[4]  
[Anonymous], 2004, OUTCOMES ASSESSMENT
[5]  
[Anonymous], EMACHMP6230892016
[6]   Exploring differences in adverse symptom event grading thresholds between clinicians and patients in the clinical trial setting [J].
Atkinson, Thomas M. ;
Rogak, Lauren J. ;
Heon, Narre ;
Ryan, Sean J. ;
Shaw, Mary ;
Stark, Liora P. ;
Bennett, Antonia V. ;
Basch, Ethan ;
Li, Yuelin .
JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY, 2017, 143 (04) :735-743
[7]   Graphical displays of patient-reported outcomes (PRO) for use in clinical practice: What makes a pro picture worth a thousand words? [J].
Bantug, Elissa T. ;
Coles, Theresa ;
Smith, Katherine C. ;
Snyder, Claire F. ;
Rouette, Julie ;
Brundage, Michael D. .
PATIENT EDUCATION AND COUNSELING, 2016, 99 (04) :483-490
[8]  
Basch Ethan, 2018, Am Soc Clin Oncol Educ Book, V38, P122, DOI 10.1200/EDBK_200383
[9]   Overall Survival Results of a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Routine Cancer Treatment [J].
Basch, Ethan ;
Deal, Allison M. ;
Dueck, Amylou C. ;
Scher, Howard I. ;
Kris, Mark G. ;
Hudis, Clifford ;
Schrag, Deborah .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 318 (02) :197-198
[10]   Patient-Reported Outcomes - Harnessing Patients' Voices to Improve Clinical Care [J].
Basch, Ethan .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 376 (02) :105-108