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[Patient-reported and patient-weighted outcomes in ophthalmology]
F Scheibler1, R P Finger, R Grosselfinger
1Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, Köln, Deutschland. fueloep.scheibler@iqwig.de
Abstract:
Considering patients' values and preferences in comparative effectiveness research (CER) is one of the main challenges in ophthalmology (value-based medicine). This article defines core terms in CER. The concept of patient-relevant (or patient-important) outcomes is distinguished from patient-reported outcomes (PRO) by means of examples in the field of ophthalmology. In order to be able to give a consistant recommendation if an intervention leads to conflicting results for different outcomes (trade-off), a ranking of outcomes will be necessary. Examples of studies in glaucoma patients are provided that demonstrate the possibilities of ranking of outcomes based on patient preferences.
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