A review of the barriers to using Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs) in routine cancer care.
A review of the barriers to using Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs) in routine cancer care.
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DOI：
10.1002/jmrs.421
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发表时间：
2021-06
影响因子：
2.1
通讯作者：
Sundaresan P
中科院分区：
文献类型：
--
作者：
Nguyen H;Butow P;Dhillon H;Sundaresan P
患者报告的结果(PRO)是患者不经他人修改或解释而直接报告其健康状况的报告。患者报告结果测量(PROMS)是用于测量PRO的工具；它们通常是患者通过自我评估其健康状况完成的有效问卷。虽然使用PRO和PROM指导实时患者护理的好处已经确立，但它们尚未被世界各地的许多肿瘤学机构采用。这篇文献综述旨在研究在常规肿瘤护理中使用PRO和PROM的障碍。对EMBASE、Medline和CINAHL数据库进行文献检索。详细说明常规PRO用于实时患者护理的障碍的研究被包括在内；那些专注于在研究环境中收集PRO的研究被排除在外。在捕获的1165条记录中，有14项研究为这项审查提供了信息。在患者层面，患者的时间、丧失能力和难以使用电子设备完成胎膜早破是突出的障碍。在卫生专业人员层面，主要障碍包括卫生专业人员缺乏时间和知识来有意义地解释PRO数据并将其整合到他们的临床实践中，以及无法对PRO数据采取行动。服务层面的突出障碍包括难以将PRO和PROM整合到临床工作流程中，以及信息技术(IT)基础设施不足，无法轻松收集PRO。这篇综述概述了在肿瘤学环境中常规使用PRO的潜在障碍。在将PROS应用于常规临床实践时，应考虑这些障碍。患者报告的结果(PRO)是患者不经他人修改或解释而直接报告其健康状况的报告。这篇综述文章概述了在肿瘤学环境中常规使用PRO的潜在障碍。在将PROS应用于常规临床实践时，应考虑这些障碍。
Patient‐reported outcomes (PROs) are direct reports from patients about the status of their health condition without amendment or interpretation by others. Patient‐reported outcome measures (PROMs) are the tools used to measure PROs; they are usually validated questionnaires patients complete by self‐assessing their health status. Whilst the benefits of using PROs and PROMs to guide real‐time patient care are well established, they have not been adopted by many oncology institutions worldwide. This literature review aimed to examine the barriers associated with using PROs and PROMs in routine oncology care. A literature search was conducted across EMBASE, Medline and CINAHL databases. Studies detailing barriers to routine PRO use for real‐time patient care were included; those focusing on PRO collection in the research setting were excluded. Of 1165 records captured, 14 studies informed this review. At the patient level, patient time, incapacity and difficulty using electronic devices to complete PROMs were prominent barriers. At the health professional level, major barriers included health professionals’ lack of time and knowledge to meaningfully interpret and integrate PRO data into their clinical practice and the inability for PRO data to be acted upon. Prominent barriers at the service level included difficulties integrating PROs and PROMs into clinical workflows and inadequate information technology (IT) infrastructures for easy PRO collection. This review has outlined potential barriers to routine PRO use in the oncology setting. Such barriers should be considered when implementing PROs into routine clinical practice. Patient‐reported outcomes (PROs) are direct reports from patients about the status of their health condition without amendment or interpretation by others. This review article outlines potential barriers to routine PRO use in the oncology setting. Such barriers should be considered when implementing PROs into routine clinical practice.
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影响因子：
3.1
作者：
Duman-Lubberding, S.;van Uden-Kraan, C. F.;Verdonck-de Leeuw, I. M.
通讯作者：
Verdonck-de Leeuw, I. M.
DOI：
10.1308/003588409x428306
发表时间：
2009-07-01
影响因子：
1.4
作者：
Kanatas, Anastasios N.;Mehanna, Hisham M.;Rogers, Simon N.
通讯作者：
Rogers, Simon N.
影响因子：
7.4
作者：
Girgis A;Durcinoska I;Levesque JV;Gerges M;Sandell T;Arnold A;Delaney GP;PROMPT-Care Program Group
通讯作者：
PROMPT-Care Program Group
影响因子：
45.3
作者：
Judson, Timothy J.;Bennett, Antonia V.;Basch, Ethan
通讯作者：
Basch, Ethan
影响因子：
45.3
作者：
Basch, Ethan;Deal, Allison M.;Schrag, Deborah
通讯作者：
Schrag, Deborah