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Implementación de medidas de resultados reportados por los pacientes: una revisión de alcance de las guías existentes

Randi Thisakya Jayasinghe¹, Susannah Ahern¹, Ashika D Maharaj¹

¹School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

|January 16, 2026

Objetivos:

Para identificar los documentos orientadores existentes, tales como guías, marcos de trabajo, listas de verificación y recomendaciones sobre la implementación de medidas de resultados reportados por los pacientes (PROMs) en ensayos clínicos, práctica clínica y registros clínicos.

Study Design:

Revisión de alcance.

MéTodos:

Se llevó a cabo una búsqueda bibliográfica en cinco bases de datos científicas desde la creación de las mismas hasta junio de 2024. Se realizaron búsquedas en Google Scholar y en sitios de literatura gris para identificar documentos orientadores pertinentes. Se incluyó la documentación existente, incluidas guías, marcos de trabajo, listas de verificación y recomendaciones para la implementación de PROMs en ensayos clínicos, práctica asistencial y registros clínicos. Se realizó una síntesis narrativa de las publicaciones seleccionadas.

Resultados:

En total, se identificaron y evaluaron la elegibilidad de 4905 registros, y 177 publicaciones fueron sometidas a un cribado de texto completo, lo que resultó en 38 documentos orientadores en esta revisión. De los 38, 18 (47 %) eran documentos orientadores para el uso de PROMs en ensayos clínicos, 12 (32 %) en la práctica clínica y ocho (21 %) en registros clínicos. La mayoría de las guías y recomendaciones versaban sobre la implementación de los PROMs en ensayos clínicos y en la práctica clínica, mientras que solo se publicaron unas pocas recomendaciones para registros clínicos.

Conclusiones:

Esta revisión identificó principalmente documentos orientadores para la implementación de los PROMs en la práctica y en los ensayos clínicos. Existe una laguna en la literatura respecto a las guías para la implementación de los PROMs en los registros clínicos. Dado el creciente reconocimiento de los registros clínicos y de los datos de los PROMs para la mejora de la calidad de la atención sanitaria y la atención centrada en el paciente, resultaría beneficiosa una guía estándar basada en la evidencia para implementar los PROMs en los registros clínicos de manera eficiente.

Palabras clave:

Registros clínicos Directrices y recomendaciones Calidad de vida relacionada con la salud Medidas de resultados informadas por el paciente Resultados informados por el paciente

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