Patient-Reported Outcome Measures PROMs

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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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Patient-Reported Outcome Measures PROMs

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1. Patient-Reported Outcome Measures (PROMs) Jiri Chard POIS Audit 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 Diagnostic results Range of motion Blood tests Patient experience Choice Waiting times 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? Reliability does each give the same measure each time? Responsiveness can it measure clinical significant changes? Precision can you differentiate different patient groups? Acceptability will people complete it? Feasibility 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?

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