Patient outcomes, patient experiences and process indicators associated with the routine use of patient-reported outcome
- PDF / 913,262 Bytes
- 21 Pages / 595.276 x 790.866 pts Page_size
- 8 Downloads / 191 Views
REVIEW ARTICLE
Patient outcomes, patient experiences and process indicators associated with the routine use of patient-reported outcome measures (PROMs) in cancer care: a systematic review Caitlin Graupner 1,2 & Merel L. Kimman 3 & Suzanne Mul 1 & Annerika H. M. Slok 4 & Danny Claessens 4 & Jos Kleijnen 5,6 & Carmen D. Dirksen 3 & Stéphanie O. Breukink 1,2 Received: 12 May 2020 / Accepted: 19 August 2020 # The Author(s) 2020
Abstract Purpose In current cancer care, there is a growing debate about the value of using patient-reported outcome measures (PROMs) in daily clinical follow-up. A systematic review of the literature was conducted to assess the evidence of the effectiveness of the routine use of PROMs in daily cancer care in terms of patient outcomes, patient experiences and process indicators and to identify the effect of giving feedback about PROM findings to patients and/or health care professionals (HCPs). Methods A systematic search was performed. Studies were eligible for inclusion when they (1) used a PROM as an intervention, with or without feedback to patients and/or HCPs, compared with not using a PROM, and (2) used a PROM as an intervention with feedback to patients and/or HCPs, compared with using a PROM without giving feedback to patients and/or HCPs. Results After screening of 8341 references, 22 original studies met the inclusion criteria. Most studies found a positive effect on survival, symptoms, HRQoL and patient satisfaction. In general, using feedback to patient and/or HCPs about the PROM results led to better symptom control, HRQoL, patient satisfaction and patient-doctor communication. The majority of included studies had insufficient power to detect significant differences in the outcomes assessed. Conclusion This review shows that predominantly positive findings were found in the use of a PROM in daily cancer care. Additionally, more positive effects were seen when feedback is provided to patient and/or health care professionals, and it is thus highly recommended that this is always done. Keywords Patient-reported outcome measures . PROM . Cancer . Patient-reported outcomes
* Caitlin Graupner [email protected] 1
Department of Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands
2
School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, The Netherlands
3
Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center and Care and Public Health Research Institute (CAPHRI), Maastricht, The Netherlands
4
Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
5
Kleijnen Systematic Reviews Ltd, York, UK
6
Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
Abbreviations PRO Patient-reported outcome PROM Patient-reported outcome measure HRQoL Health-related quality of life HCP Health care professional ICHOM International Co
Data Loading...
