Patient reported outcome measures review: Are current outcomes assessment tools sensitive enough to assess the reasons for patients’ “unhappiness”?

Symptomatic and functional recovery are important patient-reported outcome measures (PROMs) in community-acquired pneumonia (CAP) that are increasingly used as trial end-points. This systematic review summarises the literature on PROMs in CAP.Comprehensive searches in accordance with the PRISMA statement were conducted to March 2017. Eligible studies included adults discharged from hospital following confirmed CAP and reporting PROMs.15 studies (n=5644 patients) were included; most were of moderate quality. Studies used a wide range of PROMs and assessment tools. At 4–6 weeks post-discharge, the commonest symptom reported was fatigue (45.0–72.6% of patients, three studies), followed by cough (35.3–69.7%) and dyspnoea (34.2–67.1%); corresponding values from studies restricted by age <65 years (two studies) were lower: fatigue 12.1–25.7%, cough 19.9–31.9% and dyspnoea 16.8–27.5%. Functional impairment 4 weeks post-discharge was reported in 18–51% of patients (two studies), while median time to return to normal activities was between 15 and 28 days (three studies).Substantial morbidity is reported by patients up to 6 weeks post-discharge. There is weak methodological consistency across existing studies. A core set of PROMs for use in future studies is suggested.

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Patient reported outcome measures in childbirth and postpartum maternal quality of life: a protocol for systematic review of measurement properties.

HRB Open Research ◽

10.12688/hrbopenres.13445.1 ◽

2021 ◽

Vol 4 ◽

pp. 117

Author(s):

Laura O'Byrne ◽

Gillian Maher ◽

Ali Khashan ◽

Richard Greene ◽

John Browne ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Outcome Measures ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Assessment Tools ◽

Measurement Properties ◽

Postpartum Women ◽

Patient Reported

Background: Patient centred healthcare is the corner stone to many healthcare strategies. Patient specific health needs should be at the fore of healthcare improvements and quality measurements. Patient reported outcome measures (PROM) that support real world clinical effectiveness assessments are increasingly being used to highlight domains where there is the greatest scope for change. Objectives: This systematic review aims to identify and evaluate existing patient reported assessment measures/tool(s) that can be used in developing a PROM for postpartum women. We will assess and evaluate their measurement properties in a transparent and structured way in accordance with the COSMIN guidelines. Methods: Methodological guidelines for systematic reviews of PROMs have been developed by the COSMIN initiative and will be followed for this systematic review. A systematic literature review will be performed using PubMed and EMBASE from inception to the present day. Two reviewers independently will judge eligibility, conduct data extraction and assess the methodological quality of each study as per COSMIN guidelines. Inclusion criteria: studies should concern PROM with an aim to evaluate measurement properties in the development or the evaluation of a PROM of interest. Included PROMS will focus upon postpartum women assessing morbidity and quality of care. All peer reviewed studies with an assessment tool designed for patient completion will be considered. Exclusion criteria; abstract, letters and non-peer reviewed publications. Studies will be graded on measurement properties and quality of evidence as laid out by COSMIN. All studies and characteristics eligible for inclusion will be summarised and a recommendation to the most suitable measurement tool(s) will be given. Discussion: We will provide a comprehensive description of all available patient reported assessment tools available for childbirth and postpartum quality of life and recommend based on COSMIN guidelines the most suitable instrument(s) available for use.

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Scar Assessment Tools: How Do They Compare?

Frontiers in Surgery ◽

10.3389/fsurg.2021.643098 ◽

2021 ◽

Vol 8 ◽

Author(s):

Amanda Min Hui Choo ◽

Yee Siang Ong ◽

Fadi Issa

Keyword(s):

Outcome Measures ◽

Clinical Relevance ◽

Treatment Strategies ◽

Well Being ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Assessment Tools ◽

Scar Assessment ◽

Wide Range ◽

Patient Reported

Healing after dermal injury is a complex but imperfect process that results in a wide range of visible scars. The degree of disfigurement is not the sole determinant of a scar's effect on patient well-being, with a number of other factors being critical to outcome. These include cosmetic appearance, symptoms such as itch and pain, functional loss, psychological or social problems, and quality of life. An accurate assessment of these domains can help clinicians measure outcomes, develop, and evaluate treatment strategies. A PubMed literature search was performed up to 31st March 2020. Ten objective scar measurements, four Clinician-Reported Outcome Measures (CROMs), six Patient-Reported Outcome Measures (PROMs), and one combined measure were evaluated for their reliability, clinical relevance, responsiveness to clinical change, and feasibility. Many quantitative tools were limited in their clinical relevance and feasibility, whereas few qualitative CROMs and PROMs have undergone rigorous assessment. This review examines currently available assessment tools, focusing primarily on subjective scar measurements (CROMs, PROMs), and offers a perspective on future directions in the field.

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Optimal assessment tools in assessing breast surgery: patient reported outcome measures (PROMs) vs. objective measures

Gland Surgery ◽

10.21037/gs.2019.02.04 ◽

2019 ◽

Vol 8 (4) ◽

pp. 416-424 ◽

Cited By ~ 3

Author(s):

Rachel Morley ◽

Tristan Leech

Keyword(s):

Outcome Measures ◽

Breast Surgery ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Assessment Tools ◽

Objective Measures ◽

Surgery Patient ◽

Patient Reported

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Evaluation of patient-reported outcome measurements as a reliable tool to measure acceptability of the taste of paediatric medicines in an inpatient paediatric population

BMJ Open ◽

10.1136/bmjopen-2018-021961 ◽

2018 ◽

Vol 8 (7) ◽

pp. e021961 ◽

Cited By ~ 7

Author(s):

Punam Mistry ◽

Heather Stirling ◽

Claire Callens ◽

James Hodson ◽

Hannah Batchelor

Keyword(s):

Outcome Measures ◽

Paediatric Population ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Assessment Tools ◽

Included Patient ◽

First Choice ◽

Patient Reported ◽

Oral Liquid ◽

Hedonic Scale

ObjectiveTo evaluate the age appropriateness and suitability of patient-reported outcome measures to assess the acceptability of the taste of oral liquid medicines in children.Design and settingAn observational mixed-methods study involving children aged 2–16 years taking oral liquid medicine in paediatric inpatient wards across the West Midlands (UK). Assessment tools included patient-reported scores on the taste of medicines via a five-point Facial Hedonic Scale; a Visual Analogue Scale (VAS); a question, ‘Did you think the medicine tasted OK?’ and researcher observations of facial expressions and behaviours immediately before, during and after administration.Results611 children participated. The percent unable to complete the scales was 7% (n=46) for the VAS; 2% (n=15) for the hedonic scale and 1% (n=7) for the question about taste. Significant correlations (Spearman’s r) were observed between the patient-reported outcome measures: 0.80 and 0.78 for the taste question and hedonic and VAS, respectively, and 0.84 for the hedonic and VAS. Researcher observations demonstrated the ability of the patient to take the medicine as intended but did not provide sensitive measures of taste. 5% of administrations were not taken as intended by the children. Medicines known to have poor taste (clarithromycin and prednisolone) showed mean hedonic and VAS scores of ≥3.5 and >65 mm, respectively.ConclusionsPatient-reported outcome measures correlate with each other and are a useful means to assess the taste (and acceptability) of medicines. Hedonic scales are better understood by children and should be the first choice tool in the assessment of medicines taste.

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