Session 5.1 - Patient reported outcomes Flashcards

1
Q

What are patient reported outcomes and why is it important to use patient-based outcomes as a measure of health?

A
  • PB outcomes are a measure of health and assess wellbeing from a patients point of view by assigning a score before and after treatment
  • Mortality not always accurately recorded and cannot access quality of care
  • Morbidity cannot get information about patient experience
  • Get more information then a biomedical test and provides the ability to look for iatrogenic factors of care
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2
Q

What is a HRQoL?

A

-Health related quality of life. A measure used in patient reported outcomes which takes the quality of life in clinical medicine and represents it as a functional effect on the life of a patient

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3
Q

In what situations can PROMs be used?

A

-Clinically, economically, audits, RCTs, service quality

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4
Q

Give 3 examples of treatments where PROMs are currently used

A
  • Hip/knee replacement
  • Hernias
  • Varicose veins
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5
Q

What factors do HRQoL take into account?

A

-Physical function and symptoms, global judgements of healthm psychological well-being, cognitive function, personal constructs and satisfaction with care

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6
Q

What mathods are used to measure HRQoL? State the advantages and disadvantages of each method

A
  • Qualitative and quantitative methods
  • Qual -> interviews are good for initial assessment and develeopment of quantitative methods, Resource hungry and not easy to evaluate
  • Quan -> questionnaires are easy to evaluate but force people into specific groups
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7
Q

Why are PROMs a valuable measure of health?

A
  • Reliable -> accurate over time and internally consistent
  • Valid -> assesses one aspect at a time
  • Allows comparisons between different groups of patients using standardised measures
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8
Q

What are the differences between generic and specific instruments used to measure HRQoL?

A
  • Generic provide tools used to assess any population and gain an overall perception of health as well as social, emotional and physical functioning
  • Specific instruments evaluate a series of diseases, sites or health dimensions
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9
Q

What are the advantages and disadvantages of generic instruments to measure HRQoL?

A
  • Covers a broad range of health problems
  • Enables comparisons
  • Detect unexpected positive/megative effects
  • Less detailed
  • loss of relevance
  • less sensitive to change
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10
Q

What are the advantages and disadvantages of specific instruments to measure HRQoL?

A
  • Relevant to particular areas
  • Sensitive to sudden changes
  • Detailed
  • Comparison limited as restricted to specific topic
  • limited use
  • not good at detecting unexpected outcomes
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11
Q

Give an example of a generic instrument used to measure HRQoL

A

-SF36 -> questionnaire with a 4 week recall period which is widely used in research and population surveys covering physical, mental, social, role, pain and generic health

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12
Q

Give an example of a specific HRQoL tool

A
  • AIMS -> Arthritis Impact Measurement Scale
  • Oxford Hip Score
  • McGill Pain questionnaire
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