Holeman Teryn A, Hales Julie, Cizik Amy M, Zickmund Susan, Kean Jacob, Brooke Benjamin S
Division of Vascular Surgery, Department of Population Health Science, University of Utah School of Medicine, 30 N Mario Capecchi Dr., Salt Lake City, UT, 84112, USA.
Department of Population Health Science, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Qual Life Res. 2025 Mar;34(3):711-723. doi: 10.1007/s11136-024-03842-6. Epub 2024 Nov 23.
Patient reported outcome measures (PROMs) are well-suited for the longitudinal assessment of quality of life, including depression and physical limitations associated with peripheral artery disease (PAD) that are not routinely assessed in clinical care. This study was designed to gain the patient perspective to facilitate implementation of PROMs into clinical practice for PAD management.
Twenty-three patients with PAD at a single vascular surgery clinic were enrolled for a qualitative interview, July-December 2022. Patients completed PROMIS Physical Function and Depression assessments before undergoing semi-structured interviews. Two researchers used an inductive thematic analysis to analyze emergent themes from transcribed interviews.
The average age of participants was 69.5 ± 8.2 years; 91% were Caucasian, and 39% were female. Qualitative interviews revealed three implementation-related themes: (1) patient preferences on the timing and type of PROMs collected, (2) PROMs applications in outpatient PAD care, including discussions with their physician, and (3) the clinical value of PROMs. Overall, patients with PAD prefer PROMs related to quality of life and physical function over other domains. Patients appreciate the convenience to complete PROMs before their appointment. Patients would like to verbally discuss meaningful score changes with their providers without the use of graphical aids. Most patients believe PROMs are valuable in their clinical care if their physician reviews the results and the PROM questions apply to their disease symptoms.
Patient preferences inform future successful implementations and will improve patient completion rates for the collection and clinical use of PROMs in PAD clinical care.
患者报告结局指标（PROMs）非常适合用于纵向评估生活质量，包括与外周动脉疾病（PAD）相关的抑郁和身体功能受限情况，而这些在临床护理中通常不会进行常规评估。本研究旨在从患者角度出发，以促进将PROMs应用于PAD管理的临床实践。
2022年7月至12月，在一家血管外科诊所招募了23名PAD患者进行定性访谈。患者在接受半结构化访谈前完成了PROMIS身体功能和抑郁评估。两名研究人员采用归纳主题分析法对转录访谈中出现的主题进行分析。
参与者的平均年龄为69.5±8.2岁；91%为白种人，39%为女性。定性访谈揭示了三个与实施相关的主题：（1）患者对收集PROMs的时间和类型的偏好，（2）PROMs在门诊PAD护理中的应用，包括与医生的讨论，以及（3）PROMs的临床价值。总体而言，PAD患者比起其他领域，更喜欢与生活质量和身体功能相关的PROMs。患者赞赏在预约前完成PROMs的便利性。患者希望在不使用图形辅助工具的情况下，与医护人员口头讨论有意义的分数变化。大多数患者认为，如果医生查看结果且PROM问题适用于他们的疾病症状，那么PROMs在他们的临床护理中是有价值的。
患者的偏好为未来的成功实施提供了参考，并将提高PAD临床护理中PROMs收集和临床使用的患者完成率。
