Gracie David J, Ford Alexander C
Leeds Gastroenterology Institute, St. James's University Hospital, Leeds, UK.
Leeds Institute of Biomedical and Clinical Sciences, University of Leeds, Leeds, UK.
Am J Gastroenterol. 2016 Nov;111(11):1557-1558. doi: 10.1038/ajg.2016.415.
Incorporating patient-reported outcomes (PROs) into clinical practice is advocated by some. However, the benefits remain uncertain. Almario et al. examined the impact of a gastrointestinal (GI) version of the patient-reported outcomes measurement information system (PROMIS) on patient satisfaction, perception of doctors' interpersonal skills, and the likelihood of shared decision-making. Patients were allocated to complete GI PROMIS prior to their outpatient appointment, or usual management. Overall, uptake of GI PROMIS was poor and there was no difference in any outcome measure between those completing the questionnaire and those receiving usual management, suggesting PROs may be of limited utility in this setting.
一些人主张将患者报告的结果（PROs）纳入临床实践。然而，其益处仍不明确。阿尔马里奥等人研究了患者报告结果测量信息系统（PROMIS）的胃肠道（GI）版本对患者满意度、对医生人际技能的认知以及共同决策可能性的影响。患者被分配在门诊预约前完成胃肠道PROMIS，或接受常规管理。总体而言，胃肠道PROMIS的使用率较低，完成问卷的患者与接受常规管理的患者在任何结果指标上均无差异，这表明PROs在这种情况下的效用可能有限。
