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What are PROMs?. PROMs are measures of health status that come directly from patients They are used by comparing scores before and after treatment or over longer-periodsThey focus on patient outcomes rather than just adverse event. PROMs are not?. Clinical measuresDiagnostic resultsRange of m
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1. Patient-Reported Outcome Measures (PROMs) Jiri Chard
POIS Audit
The Royal College of Surgeons of England
2. What are PROMs? PROMs are measures of health status that come directly from patients
They are used by comparing scores before and after treatment or over longer-periods
They focus on patient outcomes rather than just adverse event
3. PROMs are not Clinical measures
Diagnostic results
Range of motion
Blood tests
Patient experience
Choice
Waiting times
However, there is likely to be interaction
4. What are PROMs used for? Efficacy and cost-effectiveness of interventions or treatment options
Referral thresholds, access to care and health inequalities; patient follow-up.
Relative clinical quality of elective procedures, benchmarking performance; exercising choice.
Quality of care given to patients with long-term conditions
5. Choosing a PROM Validity
does it measure what is says it measures?
Reliability
does each give the same measure each time?
Responsiveness
can it measure clinical significant changes?
Precision
can you differentiate different patient groups?
Acceptability
will people complete it?
Feasibility
can it be routinely used?
6. Challenges to using PROMs Sample size - need large numbers
Recruitment rate - routine collection
Data analysis - missing values & risk-adjustment
Data presentation - avoiding league tables
Use of data - aide or answer?