From the Henry Ford Health, Detroit, MI.
J Am Acad Orthop Surg. 2023 Oct 15;31(20):1059-1066. doi: 10.5435/JAAOS-D-23-00040. Epub 2023 Jun 23.
Patient-reported outcome measures (PROMs) are highly effective measures of quality of care and outcomes that matter to patients regarding their physical, mental, and social health. While PROMs have played a notable role in research and registry reporting, they are also useful as clinical tools. Real-time PROM collection can be integrated into routine clinical care with immediate access to scores within the electronic health record. This can be integral when discussing treatment options and using decision aids. PROM scores can also be useful for postoperative monitoring. Various approaches to quantifying clinical efficacy have been developed, including the minimal clinically important difference, the substantial clinical benefit, and the patient acceptable symptom state (PASS). As the patient experience and patient-reported outcome measurement of health-related outcomes become increasingly emphasized in patient-centered, high value care, so too will the importance of methods to gauge clinical benefit using these instruments for improved clinical decision-making.
患者报告结局测量（PROM）是衡量医疗质量和患者关心的身体、心理和社会健康结果的高效手段。虽然 PROM 在研究和注册报告中发挥了重要作用，但它们作为临床工具也很有用。实时 PROM 收集可以与电子健康记录中的即时分数整合到常规临床护理中。在讨论治疗选择和使用决策辅助工具时，这一点至关重要。PROM 分数也可用于术后监测。已经开发了各种量化临床疗效的方法，包括最小临床重要差异、实质性临床获益和患者可接受症状状态（PASS）。随着以患者为中心、高价值医疗中对患者体验和患者报告的健康相关结局测量的重视程度不断提高，使用这些工具衡量临床获益以改善临床决策的方法的重要性也将随之提高。
