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Patient-reported Outcomes (PROs) in clinical trials in paediatric dentistry
Fiona Gilchrist1, Zoe Marshman2
1Paediatric Dentistry, University of Sheffield, Sheffield, UK.
Insights
Patient-reported outcomes (PROs) offer unique patient insights in clinical trials, but data is often under-reported. This review explores PROs, their benefits, and best practices for their use and reporting in pediatric dentistry research.
Area of Science:
- Health Services Research
- Clinical Trials Methodology
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) are direct patient reports using validated measures (PROMs).
- PROs are increasingly used in clinical practice and research, offering benefits like reduced bias and enhanced accountability.
- Despite benefits, PRO data in clinical trials is frequently under-reported, hindering clinical practice adoption.
Purpose of the Study:
- To define PROs and PROMs and discuss their benefits.
- To guide the selection of appropriate PROMs for research questions.
- To address considerations for PRO use in pediatric dentistry and improve future reporting.
Main Methods:
- Literature review of PROs and PROMs in clinical research.
- Analysis of benefits and challenges associated with PRO data.
- Examination of reporting guidelines and case examples in pediatric dentistry.
Main Results:
- PROs provide valuable patient perspectives often missed by traditional assessments.
- Choosing the right PROM is crucial for valid and reliable data collection.
- Standardized reporting and core outcome sets can enhance PRO data utilization.
Conclusions:
- PROs are essential for patient-centered research, particularly in pediatric dentistry.
- Addressing under-reporting and improving data interpretation are key for clinical integration.
- Future research should focus on developing and implementing core outcome sets for consistent PRO reporting.
Abstract:
Patient-reported outcomes (PROs) are reports directly from patients without interpretation by clinicians or others and captured using validated patient-reported outcome measures (PROMs). These measures are increasingly employed in clinical practice and can be incorporated into clinical trials. Benefits of using PROs include reducing observer bias; eliciting unique views on aspects important to patients and increasing public accountability. Despite inclusion in clinical trials PRO data is often under-reported and the results may not be adopted into clinical practice due to concerns about the data generated. This review discusses what PROs are and how to measure them; the benefits of using PROs; how to choose an appropriate PROM to answer the research question; considerations for using PROs in paediatric dentistry and reporting guidelines. Finally, some examples of how PROs have been included in paediatric dentistry trials are given along with discussion of the development of core outcome sets and how these may improve reporting of PROs in the future.
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