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Assessing Patient-Reported Outcomes in Pediatric Rheumatic Diseases: Considerations and Future Directions
Christina K Zigler1, Rachel L Randell2, Bryce B Reeve3
1Department of Population Health Sciences, Center for Health Measurement, Duke University School of Medicine, 215 Morris Street, Suite 235, DUMC 104023, Durham, NC 27701, USA.
Insights
Patient-reported outcomes (PROs) are vital for children with pediatric rheumatic diseases (PRDs). PROs enhance patient care and research by capturing the child's health status directly, with caregiver reports as a valuable supplement.
Area of Science:
- Pediatric Rheumatology
- Health Outcomes Research
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) are crucial for children with pediatric rheumatic diseases (PRDs).
- PROs offer direct insights into a child's health status, enhancing patient experience and care.
- Caregiver-proxy reports are important when direct PRO collection is not feasible.
Purpose of the Study:
- To describe the current application of PROs in pediatric rheumatic diseases.
- To align existing research with best practices for clinical care and research.
- To identify emerging developments and future research directions in PROs for PRDs.
Main Methods:
- Review of current literature and practices regarding PROs in PRDs.
- Alignment of research findings with established best practice recommendations.
- Identification of novel advancements and gaps in PRO utilization for PRDs.
Main Results:
- PROs are increasingly recognized as essential in PRD healthcare and research.
- Current practices vary, necessitating alignment with best practice guidelines.
- New developments show promise for improving PRO collection and application.
Conclusions:
- Integrating PROs into pediatric rheumatic disease management is critical.
- Standardizing PRO use and addressing research gaps will advance patient-centered care.
- Future research should focus on optimizing PROs for diverse PRD populations.
Abstract:
For children with pediatric rheumatic diseases (PRDs), the inclusion of patient-reported outcomes (PROs) is critical to inform decision making in health care delivery and research settings. PROs are direct reports from a child on their health status, without interpretation by anyone else. PROs improve understanding of the patient experience, allow clinicians to provide patient-centered care, and add value to clinical trials. When PROs cannot be collected directly from the patient, caregiver-proxy reports can provide important information on the child's more observable symptoms and functioning. In this article, we describe the current use of PROs in specific PRDs, align current research with best practice recommendations for both clinical care and research settings, highlight exciting new developments, and identify areas for future research.
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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...
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