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Evaluating Patient-Reported Outcomes in Cushing's Syndrome
Namrata Gumaste1, Leena Shah2, Khadeen Christi Cheesman2
1Department of Medicine, Weill Cornell Medicine, New York-Presbyterian Hospital, 505 East 70th Street, Suite 450, New York, NY 10021, USA.
Patient-reported outcomes (PROs) capture patient experiences with Cushing's syndrome (CS) signs, symptoms, and quality of life. This review examines PROs in active CS and post-treatment, considering long-term outcomes.
Area of Science:
- Endocrinology
- Clinical Research
- Patient-Centered Care
Background:
- Patient-reported outcomes (PROs) are increasingly vital in clinical research and practice.
- PROs capture health status directly from patients, offering unique insights.
- Cushing's syndrome (CS) significantly impacts patients' quality of life.
Purpose of the Study:
- To review patient-reported outcomes (PROs) in Cushing's syndrome (CS).
- To examine PROs concerning signs, symptoms, quality of life, and comorbidities in active CS.
- To explore PROs in CS patients following surgery, radiotherapy, and medical therapy, including long-term outcomes.
Main Methods:
- Literature review focusing on studies reporting patient-reported outcomes in Cushing's syndrome.
- Analysis of PRO data related to active CS and post-treatment phases.
- Exploration of long-term outcomes in remission, persistence, and recurrence of CS.
Main Results:
- PROs provide critical data on the patient experience of CS symptoms and treatment burden.
- Health-related quality of life is a key PRO domain affected by CS and its management.
- Long-term PRO trends in CS remission, persistence, and recurrence require further investigation.
Conclusions:
- Integrating PROs is essential for a comprehensive understanding of Cushing's syndrome.
- PROs enhance the assessment of treatment efficacy and patient well-being in CS.
- Future research should focus on longitudinal PRO data to guide CS management.
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