The Johns Hopkins University School of Medicine, 5200 Eastern Avenue, MFL Building, Center Tower, Suite 4100, Baltimore, MD, 21224, USA.
Curr Rheumatol Rep. 2019 Nov 19;21(11):62. doi: 10.1007/s11926-019-0862-5.
Idiopathic inflammatory myopathies (IIM) have considerable impact on patient symptoms and quality of life. We have reviewed the evolution of patient-centered care and use of patient-reported outcome measures (PROMs) for adults with IIM.
Use of PROMs in myositis care and research is limited, although the importance of incorporation into routine practice and trials has become increasingly recognized. Several key domains/measures have been identified including the patient global assessment of disease activity, physical function as measured by the health assessment questionnaire-disability index (HAQ-DI), Short Form Health Survey-36 (SF-36), or the Patient-Reported Outcome Measurement Information System ® (PROMIS®) in adult IIM. Data are limited for these instruments concerning their reliability, content and construct validity, and responsiveness. Incorporation of the patient perspective into clinical care and research may be used to address the unmet/unaddressed needs of the patient living with myositis. Several ongoing projects aim to bring validated PROMs to the IIM community.
特发性炎性肌病(IIM)对患者的症状和生活质量有很大影响。我们回顾了以患者为中心的护理的发展和成人肌炎患者使用患者报告结局测量(PROM)。
尽管将 PROM 纳入常规实践和试验的重要性已得到越来越多的认可,但在肌炎的护理和研究中使用 PROM 的情况有限。已经确定了几个关键的领域/措施,包括疾病活动的患者整体评估、健康评估问卷残疾指数(HAQ-DI)、简短健康调查-36(SF-36)或成人 IIM 中的患者报告结果测量信息系统(PROMIS®)测量的身体功能。这些工具的可靠性、内容和结构有效性以及反应性的数据有限。将患者的观点纳入临床护理和研究中,可能有助于解决患有肌炎的患者的未满足/未解决的需求。一些正在进行的项目旨在为 IIM 社区带来经过验证的 PROM。