Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital of Muenster, Münster.
Comprehensive Pain Center at the University Hospital Carl Gustav Clarus Dresden, Dresden, Germany.
Curr Opin Anaesthesiol. 2019 Oct;32(5):616-622. doi: 10.1097/ACO.0000000000000780.
During the past years, patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) have become of growing awareness and importance in medical research and practice. This review summarizes recent developments concerning PROs and PROMs related to pain in the acute postoperative as well as chronic settings and indicates gaps and challenges relevant for future research and clinical applications.
There are core outcome sets (COSs) of PROs and PROMs developed for specific pain conditions but patients' perception is not sufficiently considered in the development of corresponding concepts and instruments.
COSs of PRO and PROMs are crucial in the field of research to enhance the comparability of results and reducing outcome reporting bias. In clinical practice PROs and PROMs are important for allocation of treatment. Concerning the development and implementation of PROs and PROMs patients' perspective should be thoroughly considered. Relating to acute as well as chronic pain there are some attempts to create COSs of PROs and PROMs but validity and reliability for both are still missing.
近年来，患者报告的结局（PROs）和患者报告的结局测量（PROMs）在医学研究和实践中越来越受到重视。本文综述了与急性术后和慢性疼痛相关的 PRO 和 PROM 的最新进展，并指出了未来研究和临床应用相关的差距和挑战。
已经开发出针对特定疼痛情况的 PRO 和 PROM 的核心结局测量集（COS），但在相应概念和工具的制定过程中，患者的感知并没有得到充分考虑。
在研究领域，PRO 和 PROM 的 COS 对于提高结果的可比性和减少结局报告偏倚至关重要。在临床实践中，PRO 和 PROM 对于治疗的分配很重要。在制定和实施 PRO 和 PROM 时，应充分考虑患者的观点。关于急性和慢性疼痛，已经有一些尝试来创建 PRO 和 PROM 的 COS，但它们的有效性和可靠性仍然缺失。
