Patient-reported Outcomes: A Paradigm Shift in the Measurement of Clinical Outcomes
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School
The main purpose of medical care is to improve patients' satisfaction and quality of life rather than to fulfil clinicians' preferences in providing care. Recent years have witnessed a paradigm shift in the measurement of clinical outcomes, with increased focus on the patient's perspective. There is a growing interest in patient-reported outcomes (PROs) in the medical field, which goes along with a global trend calling for more 'patient-centered care'. The author studied a patient-reported outcome study carried out at the University of Michigan, in which a representative study of the effectiveness of using an implant in the proximal interphalangeal joint is introduced. Based on PROs measures, patients were found to be satisfied when pain was relieved and appearance improved, even if there was a relatively high rate of complications; complications did not affect patients' satisfaction, even when hand function was impaired, for example. PROs measures have a potential impact on our daily clinical practice and may become key tools in clinical practice in the near future.
日医大医会誌 2018; 14(1), 8-13
patient-reported outcome, quality of life, outcome study, questionnaire, patient satisfaction
Shimpei Ono, MD, PhD, Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku Tokyo 113-8603, Japan