Research Department, Italian Multiple Sclerosis Foundation, Genoa, Italy.
Curr Opin Neurol. 2020 Jun;33(3):295-299. doi: 10.1097/WCO.0000000000000821.
Patient-reported outcome (PRO) represents a unique opportunity to measure the impact of health research, and care on outcomes that matter most to people with multiple sclerosis (PwMS).
How to incorporate PROs in MS clinical trials and, practice remains a matter of debate. The variety of measures available for use in MS has some benefits, but the lack of a set of standard measures has significant disadvantages. To help meeting the challenge, different PROs standard sets have been developed (PROMIS) for use across a broad range of chronic health conditions, and SymptoMScreen, specifically for MS. However, many of them were not co-created with PwMS and lacking understanding about what matters to patients. The newly proposed MS care unit model together with emerging initiatives such as iConquerMS and PROMOPROMS, are shaping new meaningful PROs. However, the uptake of PROMs in all settings can be effective only by a commonly held strategic agenda shared by all relevant stakeholders.
The newly born PRO Initiative for MS (PROMS) aims to develop a strategic agenda shared by all relevant stakeholders to help meeting the challenge of developing PRO measures that correspond to the needs of all stakeholders.
患者报告结局(PRO)代表了一种独特的机会,可以衡量健康研究和医疗对多发性硬化症(MS)患者最重要的结局的影响。
如何将 PRO 纳入 MS 临床试验和实践仍然存在争议。可用于 MS 的各种测量方法具有一些优点,但缺乏一套标准测量方法有很大的缺点。为了帮助应对这一挑战,已经开发了不同的 PRO 标准集(PROMIS),用于广泛的慢性健康状况,以及 SymptoMScreen,专门用于 MS。然而,其中许多标准集不是与 MS 患者共同创建的,并且缺乏对患者关注的问题的理解。新提出的 MS 护理单元模型以及新兴的倡议,如 iConquerMS 和 PROMOPROMS,正在塑造新的有意义的 PRO。然而,只有所有相关利益相关者共同持有一个共同的战略议程,才能在所有环境中有效地采用 PROM。
新成立的多发性硬化症 PRO 倡议(PROMS)旨在制定一个所有相关利益相关者共同持有的战略议程,以帮助制定符合所有利益相关者需求的 PRO 措施。