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Patient-Reported Outcomes: Time to Integrate Into Outcomes Reporting?
Rachel L Medbery1, Felix G Fernandez1, Onkar V Khullar1
1Section of General Thoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Seminars in Thoracic and Cardiovascular Surgery
|June 10, 2019
Summary
Patient-reported outcomes (PRO) enhance surgical research beyond objective data. Integrating subjective patient experiences improves quality-centered surgical care and decision-making.
Area of Science:
- Surgical outcomes research
- Patient-centered care
- Health informatics
Background:
- Traditional surgical research relies on objective data (morbidity, mortality) from medical records and registries.
- Objective data has driven quality improvement, healthcare reform, and reimbursement policies.
- High-quality, patient-centered care necessitates incorporating subjective patient experiences.
Purpose of the Study:
- To review the historical development and integration of patient-reported outcomes (PRO) in surgical research.
- To explore current applications and future implications of PRO in thoracic surgery.
- To highlight the importance of subjective data alongside objective measures for comprehensive surgical assessment.
Main Methods:
- Literature review of historical trends in surgical outcomes research.
- Analysis of tools and methodologies for integrating PRO into surgical data collection.
- Examination of existing literature on PRO in thoracic surgery.
Main Results:
- Patient-reported outcomes (PRO) are increasingly influencing healthcare delivery and surgical decision-making.
- The integration of PRO provides a more holistic view of surgical outcomes.
- Current literature shows a growing body of evidence utilizing PRO in various surgical fields.
Conclusions:
- Incorporating PRO is crucial for advancing surgical outcomes research and delivering patient-centered care.
- Future research in thoracic surgery should leverage PRO to refine treatment strategies and improve patient experience.
- A balanced approach using both objective and subjective data is essential for comprehensive surgical quality assessment.
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