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Updated: Oct 9, 2025

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Patient-Reported Outcomes in Children With Chronic Kidney Disease
Leonela Villegas1, Sandra Amaral2
1Division of Nephrology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.
Insights
Patient-reported outcomes (PROs) offer valuable insights into the health of children with chronic kidney disease (CKD). This review explores PRO development and implementation to improve care for pediatric CKD patients.
Area of Science:
- Nephrology
- Pediatrics
- Health Outcomes Research
Background:
- Patient-reported outcomes (PROs) capture patient perspectives on health, distinct from clinician assessments.
- PROs are crucial for understanding the daily experiences of children with chronic kidney disease (CKD).
- PROs address a gap in optimizing health and well-being for pediatric CKD populations.
Purpose of the Study:
- To review the development and implementation of PROs for children with CKD.
- To identify knowledge gaps in clinical and research applications of PROs for pediatric CKD.
- To highlight future directions and challenges in PRO utilization for this population.
Main Methods:
- Literature review of PRO development.
- Analysis of PRO implementation strategies in pediatric CKD.
- Synthesis of current challenges and future research avenues.
Main Results:
- PROs provide unique insights into the lived experiences of children with CKD.
- Existing PROs may not fully capture all relevant domains for pediatric CKD.
- Knowledge gaps exist in the widespread clinical and research application of PROs.
Conclusions:
- PROs are essential for comprehensive care and research in pediatric CKD.
- Further research is needed to refine PRO development and implementation for children with CKD.
- Addressing implementation challenges is key to maximizing the benefits of PROs in pediatric nephrology.
Abstract:
Patient-reported outcomes (PROs) are quantitative assessments of a patient's perspective on their health and are derived directly from the patient, as opposed to clinician interpretation. PROs can serve as unique tools to improve health care providers' understanding of the patient's daily lived experience and highlight salient domains that are specific to children with chronic kidney disease (CKD). As such, PROs fill an important gap in achieving optimal health and well-being for children with CKD. However, several knowledge gaps remain in the implementation of PROs within both the clinical and research realms. This review provides a broad overview of PRO development, implementation for children with CKD, and highlights future directions and challenges.
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