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Understanding providers' perspectives using patient-reported outcomes in a pain management setting: a pilot study
Lisa R Witkin1, Abha Kasubhai1, Silis Y Jiang1
1Department of Anesthesiology, Weill Cornell Medicine, NY 10065, USA.
Pain Management
|April 4, 2024
Summary
This pilot study found that while pain physicians use electronic patient-reported outcomes (PROs), many do not significantly alter their clinical decisions or patient interactions. Real-world PRO use has limitations impacting chronic pain assessment and care.
Area of Science:
- Pain Medicine
- Health Informatics
- Clinical Practice Research
Background:
- Electronic patient-reported outcomes (ePROs) are increasingly used in healthcare.
- Understanding provider experiences with ePRO data is crucial for effective implementation in pain management.
Purpose of the Study:
- To evaluate an electronic patient-reported outcomes collection system in pain management.
- To explore pain physicians' experiences with ePRO data, its impact on patient interaction, and clinical decision-making.
Main Methods:
- Pilot study utilizing semi-structured interviews with nine pain physicians.
- Stratified convenience sampling for participant selection.
- Qualitative analysis of transcribed, de-identified interview data.
Main Results:
- Most physicians utilized patient-reported outcomes (PROs).
- One-third reported no significant practice change post-implementation.
- 56% stated PROs did not influence their treatment recommendations.
Conclusions:
- Electronic patient-reported outcomes have significant limitations in real-world pain management settings.
- Current PRO implementation may not fully enhance patient assessment or guide clinical decisions effectively.
- Further research is needed to optimize PRO utilization in chronic pain care.
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