Department of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.
Value Health. 2019 Oct;22(10):1197-1226. doi: 10.1016/j.jval.2019.04.1927. Epub 2019 Aug 29.
Patient-reported outcome measures (PROMs) are increasingly being used to improve care delivery and are becoming part of routine clinical practice.
This systematic review aims to give an overview of PROM administration methods and their facilitators and barriers in breast cancer clinical practice.
A systematic literature search was conducted in Embase, MEDLINE, PsycINFO, Cochrane Central, CINAHL, and Web of Science for potentially relevant articles from study inception to November 2017. Reference lists of screened reviews were also checked. After inclusion of relevant articles, data were extracted and appraised by 2 investigators.
A total of 2311 articles were screened, of which 34 eligible articles were ultimately included. Method and frequency of PROM collection varied between studies. The majority of studies described a promising effect of PROM collection on patients (adherence, symptom distress, quality of life, acceptability, and satisfaction), providers (willingness to comply, clinical decision making, symptom management), and care process or system outcomes (referrals, patient-provider communication, hospital visits). A limited number of facilitators and barriers were identified, primarily of a technical and behavioral nature.
Although interpreting the impact of PROM collection in breast cancer care is challenging owing to considerations of synergistic (multicomponent) interventions and generalizability issues, this review found that systematic PROM collection has a promising impact on patients, providers, and care processes/ systems. Further standardization and reporting on method and frequency of PROM collection might help increase the effectiveness of PROM interventions and is warranted to enhance their overall impact.
患者报告的结果测量（PROM）越来越多地被用于改善护理服务，并成为常规临床实践的一部分。
本系统评价旨在概述乳腺癌临床实践中 PROM 的管理方法及其促进因素和障碍。
从研究开始到 2017 年 11 月，我们在 Embase、MEDLINE、PsycINFO、Cochrane Central、CINAHL 和 Web of Science 中进行了系统的文献检索，以寻找可能相关的文章。还检查了筛选出的综述的参考文献列表。在纳入相关文章后，由 2 名调查员提取和评估数据。
共筛选出 2311 篇文章，最终纳入 34 篇符合条件的文章。研究之间的 PROM 收集方法和频率存在差异。大多数研究描述了 PROM 收集对患者（依从性、症状困扰、生活质量、可接受性和满意度）、提供者（遵医嘱意愿、临床决策、症状管理）和护理过程或系统结果（转诊、患者-提供者沟通、医院就诊）的积极影响。仅确定了一些促进因素和障碍，主要是技术和行为方面的。
尽管由于协同（多组分）干预和可推广性问题的考虑，解释 PROM 收集对乳腺癌护理的影响具有挑战性，但本综述发现，系统的 PROM 收集对患者、提供者和护理过程/系统具有积极影响。进一步规范和报告 PROM 收集的方法和频率可能有助于提高 PROM 干预措施的效果，并值得进一步增强其整体效果。
