What are PROMs?. PROMs are measures of health status that come directly from patients They are used by comparing scores before and after treatment or over longer-periodsThey focus on patient outcomes rather than just adverse event. PROMs are not?. Clinical measuresDiagnostic resultsRange of m
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1. Patient-Reported Outcome Measures (PROMs) Jiri Chard
The Royal College of Surgeons of England
2. What are PROMs? PROMs are measures of health status that come directly from patients
They are used by comparing scores before and after treatment or over longer-periods
They focus on patient outcomes rather than just adverse event
3. PROMs are not… Clinical measures
Range of motion
However, there is likely to be interaction
4. What are PROMs used for? Efficacy and cost-effectiveness of interventions or treatment options
Referral thresholds, access to care and health inequalities; patient follow-up.
Relative clinical quality of elective procedures, benchmarking performance; exercising choice.
Quality of care given to patients with long-term conditions
5. Choosing a PROM Validity
does it measure what is says it measures?
does each give the same measure each time?
can it measure clinical significant changes?
can you differentiate different patient groups?
will people complete it?
can it be routinely used?
6. Challenges to using PROMs Sample size - need large numbers
Recruitment rate - routine collection
Data analysis - missing values & risk-adjustment
Data presentation - avoiding league tables
Use of data - aide or answer?