Determining the Effectiveness of Using Patient-Reported Outcomes in Pediatric Clinical Practices
Lei Cheng1, Qiongfang Kang2, Yanqing Wang3
1School of Nursing, Fudan University, China.
Insights
Patient-reported outcomes (PROs) show a weak but positive trend in pediatric care. Further research with rigorous designs is needed to confirm their impact and guide integration into clinical practice.
Area of Science:
- Pediatric Health Outcomes Research
- Clinical Informatics
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) are crucial for understanding pediatric patient experiences.
- Evidence synthesizing the effectiveness of PROs in pediatric clinical settings is limited.
- This study addresses the need to evaluate PROs' impact in pediatric care.
Purpose of the Study:
- To evaluate the effectiveness of utilizing patient-reported outcomes in pediatric clinical practices.
- To synthesize existing evidence on PRO implementation in pediatric healthcare.
Main Methods:
- A systematic literature search was conducted across English and Chinese databases.
- Studies published from database inception to January 2020 examining PRO effectiveness in pediatric clinical practices were included.
- Ten articles meeting the inclusion criteria were analyzed.
Main Results:
- The ten included studies exhibited considerable variation in design, sample size, and PRO administration.
- An assessment of effect sizes for PROs across patient, process of care, and health service outcomes was performed.
- Out of 70 measured outcomes, 32 showed positive effects, 5 negative, and 33 mixed results.
Conclusions:
- The use of PROs in pediatric clinical practice demonstrates a weak but positive trending impact.
- More robust study designs are required to control for bias and accurately assess PROs' influence.
- Future implementation models should address influencing factors for successful PRO integration into pediatric care.
Problem:
Patient-reported outcomes (PROs) are increasingly recognized in pediatric clinical care as adding essential information relevant to actual care. However, the effectiveness of using PROs in pediatric clinical settings has not been fully explored with synthesized evidence. The aim of this study was to evaluate the effectiveness of using patient-reported outcomes in pediatric clinical practices.
Eligibility Criteria:
We searched four English and three Chinese databases to identify studies that examine the effectiveness of using PROs in pediatric clinical practices published from the inception date of each database to January 2020.
Sample:
Ten articles met the inclusion criteria.
Results:
There was wide a variation in the ten studies' designs, samples, PROs administered (type, length, timing, mode), and type of outcomes evaluated. The effect sizes of using PROs on three categories of outcomes (patient, process of care and health service) were assessed. Of 70 measured outcomes, 32 were positive, 5 were negative, and 33 were mixed.
Conclusions:
Overall, there is a weak but trending positive impact of using PROs in pediatric clinical practice.
Implications:
More rigorous study designs with sources of bias controlled are needed to more directly assess the impact of using PROs in pediatric care. If findings continue to be positive, then an implementation model addressing the numerous influencing factors is recommended to integrate PROs into pediatric care.
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