Kornowski Ran
Rabin Medical Center, Belinson & Hasharon Hospitals, Petach Tikva & The Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eur Heart J Qual Care Clin Outcomes. 2023 Feb 28;9(2):119-127. doi: 10.1093/ehjqcco/qcab051.
In today's medical ecosystem, it is vital to measure the outcomes that are most important to the patients. As such, patient-reported outcome measures (PROMS) can be an essential metric to deliver high-quality cardiovascular care, particularly in the subset of patients who remain disappointed with their outcomes. PROMS should be a reproducible and reflective report of what is fundamental to a patient over time and across treatments with proper standards in the analysis, interpretation, and reporting of the collected data. These reports can also be sensitive to changes, whether improvements or deteriorations in the quality of care and medical attitude, but a lack of standardization makes it difficult to draw robust conclusions and compare findings across treatments. As a research tool, PROMS can have a significant prognostic prominence, offering a powerful instrument of comparison between different treatment modalities. With the information technology (IT) abilities of today, we can leverage mobile tools and powerful computer systems to perform sophisticated data analysis using patient-derived data and randomization. This may eliminate guesswork and generate impactful metrics to better inform the decision-making process. PROMS analysed by proper standardized algorithms can avoid physician bias and be integrated into the hospital teamwork. Therefore, there is a strong need for integration of PROMS into the evaluation of cardiovascular interventions and procedures, and establishment of international standards in the analyses of patient-reported outcomes and quality of life data to address this need and develop therapeutic recommendations.
在当今的医疗生态系统中,衡量对患者最重要的结果至关重要。因此,患者报告的结果测量(PROMS)可以成为提供高质量心血管护理的一项重要指标,尤其是在那些对治疗结果仍不满意的患者亚组中。PROMS应该是一份可重复且能反映患者随着时间推移以及在不同治疗过程中根本情况的报告,且在收集数据的分析、解读和报告方面要有适当的标准。这些报告还应对护理质量和医疗态度的变化(无论是改善还是恶化)敏感,但缺乏标准化使得难以得出有力的结论并比较不同治疗的结果。作为一种研究工具,PROMS可以具有显著的预后重要性,提供一种比较不同治疗方式的有力手段。凭借当今的信息技术(IT)能力,我们可以利用移动工具和强大的计算机系统,使用患者提供的数据和随机化进行复杂的数据分析。这可能消除猜测,并生成有影响力的指标,以便更好地为决策过程提供信息。通过适当的标准化算法分析的PROMS可以避免医生的偏见,并融入医院团队协作。因此,强烈需要将PROMS纳入心血管干预措施和程序的评估中,并在患者报告结果和生活质量数据的分析中建立国际标准,以满足这一需求并制定治疗建议。