Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Anesthesiology & Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 77030, USA.
Best Pract Res Clin Anaesthesiol. 2021 Dec;35(4):565-573. doi: 10.1016/j.bpa.2020.10.006. Epub 2020 Oct 31.
Patient-reported outcomes (PROs) have been increasingly recognized as valuable information for delivery of optimal perioperative care to high-risk surgical patients in recent years. However, progress from clinical research on PROs has not been widely adopted in routine patient care. This review discusses the current concepts and practice status regarding PROs and addresses the missing links from research to practice adoption to further improve patient's experiences and clinical outcomes in perioperative care. Insufficient empirical research on appropriate PROs and its methodologies, insufficient implementation research to solve the practical issues, and insufficient data collection methods and experiences on ePROs are also discussed. Future research agenda should focus on evidence-supported, PRO-based symptom monitoring systems for early diagnosis and management of impending compromised clinical outcomes.
近年来,患者报告的结局(PROs)越来越被认为是为高风险手术患者提供最佳围手术期护理的有价值信息。然而,PRO 方面的临床研究进展并未在常规患者护理中得到广泛采用。本文讨论了 PRO 的当前概念和实践状况,并探讨了从研究到实践采用的缺失环节,以进一步改善围手术期护理中患者的体验和临床结局。还讨论了关于适当的 PRO 及其方法学的经验研究不足、解决实际问题的实施研究不足以及电子 PRO 数据收集方法和经验不足等问题。未来的研究议程应侧重于基于证据的、以 PRO 为基础的症状监测系统,以早期诊断和管理即将出现的临床结局受损。