Powers John H, Howard Kellee, Saretsky Todd, Clifford Sarah, Hoffmann Steve, Llorens Lily, Talbot George
George Washington University School of Medicine.
ICON PLC, San Francisco, California.
Clin Infect Dis. 2016 Aug 15;63 Suppl 2(Suppl 2):S52-6. doi: 10.1093/cid/ciw317.
The goal of administering medical interventions is to help patients live longer or live better. In keeping with this goal, there has been increasing interest in taking the "voice" of the patient into account during the development process, specifically in the evaluation of treatment benefits of medical interventions, and use of patient-centered outcome data to justify reimbursement. Patient-reported outcomes (PROs) are outcome assessments (OAs) used to define endpoints that can provide direct evidence of treatment benefit on how patients feel or function. When PROs are appropriately developed, they can increase the efficiency and clinical relevance of clinical trials. Several PROs have been developed for OA in specific infectious diseases indications, and more are under development. PROs also hold promise for use in evaluating adherence, adverse effects, satisfaction with care, and routine clinical practice.
实施医学干预的目标是帮助患者活得更长或活得更好。为了实现这一目标,人们越来越关注在开发过程中考虑患者的“声音”,特别是在评估医学干预的治疗益处以及使用以患者为中心的结局数据来证明报销的合理性方面。患者报告结局(PROs)是用于定义终点的结局评估(OAs),可以直接证明治疗对患者感受或功能的益处。如果PROs开发得当,它们可以提高临床试验的效率和临床相关性。已经针对特定传染病适应症的结局评估开发了几种PROs,并且还有更多正在开发中。PROs在评估依从性、不良反应、护理满意度和常规临床实践方面也具有应用前景。