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Patients' Preference Regarding Patient-Reported Outcome Measures for Hidradenitis Suppurativa: A Cross-Sectional
Johanna C van Huijstee1, Nicole D K Koerts2, Colin C Spence3
1Department of Dermatology, Erasmus University Medical Center, Rotterdam, The Netherlands, j.vanhuijstee@erasmusmc.nl.
Summary
Patients found little difference in value or burden between three hidradenitis suppurativa (HS) outcome measures. Qualitative feedback suggests the HiSQOL may be preferred due to its HS-specific symptom inclusion.
Area of Science:
- Dermatology
- Patient-Reported Outcome Measures (PROMs)
- Clinical Research
Background:
- Growing research in hidradenitis suppurativa (HS) necessitates accurate outcome measures.
- Existing subjective measures may not align with patient priorities.
- Need for patient-centered outcome assessment in HS research.
Purpose of the Study:
- To assess patient preferences for three distinct PROMs: DLQI, HiSQOL, and Skindex-17.
- To compare the perceived value and burden of different HS outcome measures from a patient perspective.
- To identify the most preferred patient-reported outcome measure for HS research.
Main Methods:
- Cross-sectional, multi-center study involving 200 HS patients in the Netherlands.
- Patients completed DLQI, HiSQOL, and Skindex-17 PROMs, followed by the QQ-10 questionnaire.
- Preference evaluation utilized QQ-10 value/burden scores, ranking, and open-ended feedback.
Main Results:
- No clear patient preference emerged based on QQ-10 value (66.3%-69.2%) or burden scores (23.8%-24.4%).
- Skindex-17 was ranked highest (41.5%), but received significant content-focused criticism.
- HiSQOL received fewer comments, primarily regarding design, and was ranked second (31.5%).
Conclusions:
- Patient preference among DLQI, HiSQOL, and Skindex-17 was not definitively established by quantitative scores.
- Qualitative data suggests HiSQOL may be a more suitable PROM for HS patients.
- HiSQOL's inclusion of HS-specific symptoms is a key factor for potential patient preference.