Abstract:
Patient-reported outcomes (PROs) describe measures of a patient\'s experience throughout medical care as reported by the patient (Mercieca-Bebber et al. in Patient Relat Outcome Meas, 2018). Various PRO instruments exist. It is challenging to select appropriate instruments given the absence of an organizational framework which describes all measurable PROs in dermatologic surgery and represents which instruments measure which outcomes. Our objective was to systematically review all validated PRO instruments in dermatologic surgery and use qualitative analysis to develop an organizational framework representing PRO measures and instruments. PubMed/MEDLINE, Embase, CINAHL, PsycINFO, and Cochrane databases were searched to retrieve validated PRO instruments in the dermatologic surgery population. The constant comparative method of qualitative analysis was used to develop an organizational framework representing all PROs in dermatologic surgery. All instruments were sorted into this framework. The search identified 3195 articles; 35 validated instruments were extracted and qualitatively analyzed. The organizational framework sorted all instruments into 36 PRO measures aligned with the National Institutes of Health Patient-Reported Outcomes Measurement Information System (Gershon RC, Rothrock N, Hanrahan R, et al (2010) The use of PROMIS and assessment center to deliver patient-reported outcome measures in clinical research). Measures were grouped into four categories (expectations, satisfaction, quality of life, needs) describing how patients experience these outcomes and lenses through which researchers can evaluate them. In conclusion, we have proposed an organizational framework for use in choosing validated instruments to develop and answer PRO research questions.
摘要:
患者报告的结果(PRO)描述了患者报告的整个医疗护理过程中患者经历的衡量标准(Mercieca-Bebber等。在患者关系结果测量中,2018)。存在各种PRO工具。鉴于缺乏组织框架,选择合适的仪器是具有挑战性的,该组织框架描述了皮肤病外科中所有可测量的PRO,并代表了哪些仪器测量了哪些结果。我们的目标是系统地审查皮肤病外科中所有经过验证的PRO仪器,并使用定性分析来开发代表PRO措施和仪器的组织框架。PubMed/MEDLINE,Embase,CINAHL,PsycINFO,和Cochrane数据库被搜索以检索皮肤科手术人群中经过验证的PRO仪器.使用持续的定性分析比较方法来开发代表皮肤病外科所有PRO的组织框架。所有仪器都被分类到这个框架中。搜索确定了3195篇文章;提取并定性分析了35种经过验证的仪器。组织框架将所有仪器分类为与美国国立卫生研究院患者报告结果测量信息系统(GershonRC,RothrockN,HanrahanR,etal(2010)在临床研究中使用PROMIS和评估中心提供患者报告的结果测量)。措施分为四类(期望,满意,生活质量,需求)描述患者如何体验这些结果以及研究人员可以通过它们进行评估的镜片。总之,我们提出了一个组织框架,用于选择经过验证的工具来开发和回答PRO研究问题。