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减少或解决患者报告结局(PRO)数据收集过程中受访者负担的关键考虑因素。

Key considerations to reduce or address respondent burden in patient-reported outcome (PRO) data collection.

机构信息

Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.

National Institute for Health and Care Research (NIHR) Applied Research Collaboration West Midlands, University of Birmingham, Birmingham, UK.

出版信息

Nat Commun. 2022 Oct 12;13(1):6026. doi: 10.1038/s41467-022-33826-4.


DOI:10.1038/s41467-022-33826-4
PMID:36224187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9556436/
Abstract

Patient-reported outcomes (PROs) are used in clinical trials to provide evidence of the benefits and risks of interventions from a patient perspective and to inform regulatory decisions and health policy. The collection of PROs in routine practice can facilitate monitoring of patient symptoms; identification of unmet needs; prioritisation and/or tailoring of treatment to the needs of individual patients and inform value-based healthcare initiatives. However, respondent burden needs to be carefully considered and addressed to avoid high rates of missing data and poor reporting of PRO results, which may lead to poor quality data for regulatory decision making and/or clinical care.

摘要

患者报告结局(PROs)在临床试验中被用于从患者角度提供干预措施的获益和风险的证据,并为监管决策和卫生政策提供信息。在常规实践中收集 PRO 可以促进患者症状的监测;未满足的需求的识别;根据患者的个体需求对治疗进行优先排序和/或调整,并为基于价值的医疗保健举措提供信息。然而,需要仔细考虑和解决应答者负担问题,以避免数据缺失率高和 PRO 结果报告不佳的情况,这可能会导致监管决策和/或临床护理的数据质量较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d070/9556436/933ac88f5a94/41467_2022_33826_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d070/9556436/933ac88f5a94/41467_2022_33826_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d070/9556436/933ac88f5a94/41467_2022_33826_Fig1_HTML.jpg

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Key considerations to reduce or address respondent burden in patient-reported outcome (PRO) data collection.

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本文引用的文献

[1]
Ethical Considerations for the Inclusion of Patient-Reported Outcomes in Clinical Research: The PRO Ethics Guidelines.

JAMA. 2022-5-17

[2]
Patient reported outcome assessment must be inclusive and equitable.

Nat Med. 2022-6

[3]
Upper Quadrant Edema Patient-Reported Outcome Measure Is Reliable, Valid, and Efficient for Patients With Lymphatic and Venous Disorders.

Phys Ther. 2021-12-1

[4]
Adaptive Measurement of Change: A Novel Method to Reduce Respondent Burden and Detect Significant Individual-Level Change in Patient-Reported Outcome Measures.

Arch Phys Med Rehabil. 2022-5

[5]
Editorial Commentary: Patient-Reported Outcome Measures With Established Clinically Important Outcome Values Should Be Used for Hip Arthroscopy Patients: Sifting Through the White Noise.

Arthroscopy. 2021-10

[6]
Shortening the Haemophilia Activities List (HAL) from 42 items to 18 items.

Haemophilia. 2021-11

[7]
Patient-Reported Outcomes After Treatment Discontinuation: Commercial Clinical Trial Data From Four Cancer Types.

Value Health. 2021-9

[8]
Using patient-reported outcome measures during the management of patients with end-stage kidney disease requiring treatment with haemodialysis (PROM-HD): a qualitative study.

BMJ Open. 2021-8-26

[9]
Applying Computerized Adaptive Testing to the FACE-Q Skin Cancer Module: Individualizing Patient-Reported Outcome Measures in Facial Surgery.

Plast Reconstr Surg. 2021-10-1

[10]
The use of proxies and proxy-reported measures: a report of the international society for quality of life research (ISOQOL) proxy task force.

Qual Life Res. 2022-2

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