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使用患者报告结局来应对癌症个体化治疗挑战的精准医学方法工具包:增刊介绍。

A PRO-cision Medicine Methods Toolkit to Address the Challenges of Personalizing Cancer Care Using Patient-Reported Outcomes: Introduction to the Supplement.

机构信息

Johns Hopkins School of Medicine.

Johns Hopkins Bloomberg School of Public Health.

出版信息

Med Care. 2019 May;57 Suppl 5 Suppl 1(Suppl 5 1):S1-S7. doi: 10.1097/MLR.0000000000001089.

Abstract

Patients are increasingly being asked to complete standardized, validated questionnaires with regard to their symptoms, functioning, and well-being [ie, patient-reported outcomes (PROs)] as part of routine care. These PROs can be used to inform patients' care and management, which we refer to as "PRO-cision Medicine." For PRO-cision Medicine to be most effective, clinicians and patients need to be able to understand what the PRO scores mean and how to act on the PRO results. The papers in this supplement to Medical Care describe various methods that have been used to address these issues. Specifically, the supplement includes 14 papers: 6 describe different methods for interpreting PROs and 8 describe how different PRO systems have addressed interpreting PRO scores and/or acting on PRO results. As such, this "Methods Toolkit" can inform clinicians and researchers aiming to implement routine PRO reporting into clinical practice by providing methodological fundamentals and real-world examples to promote personalized patient care.

摘要

患者被越来越多地要求完成关于其症状、功能和幸福感的标准化、经过验证的问卷,即患者报告的结果(PROs),作为常规护理的一部分。这些 PROs 可用于为患者的护理和管理提供信息,我们称之为“PRO-cision Medicine”。为了使 PRO-cision Medicine 最有效,临床医生和患者需要能够理解 PRO 评分的含义以及如何根据 PRO 结果采取行动。医疗保健增刊中的这些论文描述了已用于解决这些问题的各种方法。具体来说,该增刊包括 14 篇论文:6 篇描述了解释 PRO 的不同方法,8 篇描述了不同的 PRO 系统如何解决解释 PRO 评分和/或根据 PRO 结果采取行动的问题。因此,这个“方法工具包”可以为旨在将常规 PRO 报告纳入临床实践的临床医生和研究人员提供方法学基础和实际示例,以促进个性化的患者护理。

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