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Additional patient outcomes and pathways in evaluations of testing
Patrick M M Bossuyt1, Kirsten McCaffery
1Department of Clinical Epidemiology & Biostatistics, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. p.m.bossuyt@amc.uva.nl
Summary
Medical tests impact patient health beyond clinical decisions, influencing cognitive, emotional, social, and behavioral outcomes. A new framework helps evaluate these broader effects for comprehensive health intervention assessment.
Area of Science:
- Medical decision making
- Health services research
- Patient-centered outcomes
Background:
- Medical tests are crucial for clinical decision-making and patient management.
- Current evaluations often focus primarily on direct clinical benefits and harms.
- The broader impact of medical tests on patients' lives requires further consideration.
Purpose of the Study:
- To demonstrate that medical tests can exert cognitive, emotional, social, and behavioral effects on patients.
- To present a framework for researchers and policymakers to consider these additional effects.
- To highlight the importance of these effects in the comprehensive evaluation of medical tests and health interventions.
Main Methods:
- Conceptual framework development.
- Literature review of test evaluations.
- Illustrative examples from existing research.
Main Results:
- Medical tests can influence patient outcomes through cognitive, emotional, social, and behavioral pathways.
- These effects can independently impact patient well-being.
- These effects can also indirectly influence clinical outcomes.
Conclusions:
- A comprehensive evaluation of medical tests must include their cognitive, emotional, social, and behavioral effects.
- The proposed framework aids in understanding and assessing these multifaceted impacts.
- Considering these broader effects is essential for robust health intervention evaluation.
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