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Patient-Reported Outcomes in Cardiothoracic Surgery.
Melanie Subramanian1, Benjamin D Kozower1, Lisa M Brown2
1Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Patient-reported outcomes (PROs) are crucial for quality of life in cardiothoracic surgery. Integrating PROs into clinical databases enhances patient-centered care and research effectiveness.
Area of Science:
- Cardiothoracic Surgery
- Patient-Centered Care
- Health Outcomes Research
Background:
- Current cardiothoracic research often overlooks patient-centered quality of life endpoints.
- Patient-reported outcomes (PROs) are underutilized in clinical research.
- Effective PRO measurement is key to high-quality patient care.
Purpose of the Study:
- Highlight principles of PRO measurement.
- Describe current PRO use in cardiothoracic surgery.
- Discuss challenges and potential for integrating PROs into large clinical databases.
Main Methods:
- Literature review of PubMed/EMBASE databases.
- Included clinical articles on PROs in cardiothoracic surgical outcomes and research.
Main Results:
- PROs capture patient-prioritized outcomes and quality of life data.
- PROs facilitate comparative effectiveness research.
- Further integration of PROs into routine care is necessary.
Conclusions:
- Integrating PROs into clinical practice is vital for patient-centered care.
- Incorporating PROs into registries like STS National Database can enhance research.
- PROs enrich comparative effectiveness research in cardiothoracic surgery.
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