Department of Medicine, Weill Cornell Medicine, New York-Presbyterian Hospital, 505 East 70th Street, Suite 450, New York, NY 10021, USA.
Division of Endocrinology, Diabetes, and Bone Diseases, Department of Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L Levy Place, Box 1055, New York, NY 10029, USA.
Endocrinol Metab Clin North Am. 2022 Dec;51(4):691-707. doi: 10.1016/j.ecl.2022.05.002. Epub 2022 Sep 24.
The importance of the patient's perspective on disease has increasingly gained traction among clinical investigators and clinicians. Patient-reported outcomes (PROs) are those which pertain to a patient's health, quality of life, or functional status (associated with health care or treatment) that are reported directly by the patient, without interpretation by a clinician. In this article, we will review PROs as they relate to the signs, symptoms, health-related quality of life, and comorbidities of active Cushing's syndrome (CS), and CS after treatment with surgery, radiotherapy, and medical therapy. We will explore long-term outcomes in the setting of remission, persistence, and recurrence in this population.
患者视角在临床研究人员和临床医生中越来越受到重视。患者报告的结局(PROs)是指与患者的健康、生活质量或功能状态(与医疗保健或治疗相关)有关的结局,由患者直接报告,而不由临床医生解释。在本文中,我们将回顾与活动性库欣综合征(CS)的体征、症状、健康相关生活质量和合并症,以及手术后、放疗后和药物治疗后的 CS 相关的 PROs。我们将探讨该人群缓解、持续和复发背景下的长期结局。