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A systematic review of patient-reported outcome measures in paediatric otolaryngology
J Powell1, S Powell1, A Robson2
1Department of Paediatric Otolaryngology,Great North Children's Hospital,Newcastle upon Tyne,UK.
Insights
Patient-reported outcome measures (PROMs) are increasingly used to assess patient health. A review of pediatric otolaryngology literature found many PROMs, highlighting a need for standardization.
Area of Science:
- Pediatric Otolaryngology
- Health Outcomes Research
Background:
- Growing emphasis on patient-reported outcome measures (PROMs) to capture patient perspectives on illness and interventions.
- Increased availability of questionnaires for assessing health outcomes.
- Particular importance of selecting appropriate PROMs for pediatric populations.
Purpose of the Study:
- To review the literature on patient-reported outcome measures (PROMs) utilized in pediatric otolaryngology.
- To identify existing PROMs for assessing health in children within otolaryngology.
Main Methods:
- Comprehensive literature search across Medline, Embase, CINAHL, and PsycInfo databases.
- Keywords included 'patient reported outcome measures', 'PROM', 'quality of life', 'children', and 'otolaryngology'.
- Limited search to English-language articles published between 1996 and 2016.
Main Results:
- The search identified 656 articles, with 63 deemed relevant to the study.
- Relevant articles included general pediatric PROMs applied to otolaryngology.
- Disease-specific PROMs for pediatric otolaryngology conditions were also identified.
Conclusions:
- A substantial number of patient-reported outcome measures are documented in pediatric otolaryngology research.
- Standardization of PROMs in this field is needed.
- Increased standardization would facilitate data pooling and enhance the validation of assessment tools.
Background:
Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed.
Methods:
A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: 'health assessment questionnaire', 'structured questionnaire', 'questionnaire', 'patient reported outcome measures', 'PROM', 'quality of life' or 'survey', and 'children' or 'otolaryngology'. The search was limited to English-language articles published between 1996 and 2016.
Results:
The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures.
Conclusion:
A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.
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Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Methods of Documentation II: POMR