Mosku Nasian, Heesen Philip, Christen Salome, Scaglioni Mario F, Bode Beata, Studer Gabriela, Fuchs Bruno
Department of Plastic & Reconstructive Surgery, University of Grenoble, 38000 Grenoble, France.
Department of Plastic & Reconstructive Surgery, University of Zurich, 8091 Zurich, Switzerland.
Diagnostics (Basel). 2023 Mar 22;13(6):1206. doi: 10.3390/diagnostics13061206.
Patient-based health related quality of life (HRQoL) measurements are associated with an improvement in quality of care and outcomes. For a complex disease such as sarcoma, there is no disease-specific questionnaire available which covers all clinically relevant dimensions. Herein, we report on the development of an electronically implemented, sarcoma-specific instrument to assess health-related outcomes, which encompasses a combination of generic questionnaires tailored to the respective disease and treatment status covering the entire longitudinal care cycle. An interoperable digital platform was designed to provide a node between patients and physicians and to integrate the sarcoma-specific HRQoL instrument with patient and physician-based quality indicators to allow longitudinal structured real-world-time data evidence analytics. This approach enables the prediction modeling of disease, and by attributing cost tags to quality indicators, treatment effectiveness for a given disease will be directly correlated with financial expenses, which may ultimately lead to a more sustainable healthcare system.
基于患者的健康相关生活质量(HRQoL)测量与护理质量和治疗结果的改善相关。对于肉瘤这样的复杂疾病,没有涵盖所有临床相关维度的特定疾病问卷。在此,我们报告了一种电子实施的、肉瘤特异性工具的开发,用于评估健康相关结果,该工具包括针对各自疾病和治疗状态量身定制的通用问卷组合,涵盖整个纵向护理周期。设计了一个可互操作的数字平台,以在患者和医生之间提供一个节点,并将肉瘤特异性HRQoL工具与基于患者和医生的质量指标整合,以实现纵向结构化的实时数据证据分析。这种方法能够进行疾病预测建模,并且通过为质量指标赋予成本标签,特定疾病的治疗效果将与财务费用直接相关,这最终可能导致更可持续的医疗保健系统。