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An Update on Patient-Reported Outcomes in Asthma
Tianshi David Wu1, Zuzana Diamant2, Nicola A Hanania3
1Section of Pulmonary, Critical Care, and Sleep Medicine, Baylor College of Medicine, Houston TX; Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston TX.
Patient-reported outcome measures (PROMs) are crucial for asthma assessment. New PROMs may enhance risk detection and drug development, but their clinical utility requires further research.
Area of Science:
- Pulmonary Medicine
- Health Outcomes Research
- Clinical Trial Methodology
Background:
- Patient-reported outcomes (PROs) provide unique health insights not measurable by physical means.
- Patient-reported outcome measures (PROMs) standardize the assessment of PROs.
- PROMs are increasingly important in asthma clinical practice and research.
Purpose of the Study:
- To critically appraise patient-reported outcome measures (PROMs) for asthma.
- To provide an update on the current use of PROMs in asthma management and research.
- To highlight novel PROMs for improved asthma assessment.
Main Methods:
- Review of existing literature on asthma-specific PROMs.
- Discussion of the development and application of novel PROMs.
- Critical appraisal of the utility and limitations of PROMs in asthma.
Main Results:
- Asthma-specific PROMs assess symptoms, medication use, exacerbations, and functional impairments.
- Current guidelines incorporate PROMs for asthma control, but real-world effectiveness data are limited.
- New PROMs, like the Asthma Impairment and Risk Questionnaire and CompEx, show promise for risk detection and clinical trials.
Conclusions:
- PROMs are essential tools for comprehensive asthma assessment.
- Novel PROMs may improve identification of high-risk patients and accelerate drug discovery.
- Further research is imperative to establish the practical utility of PROMs in clinical settings.
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