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23-11-2024

Factors that impact the implementation of patient reported outcomes in routine clinical care for peripheral artery disease from the patient perspective

Auteurs: Teryn A. Holeman, Julie Hales, Amy M. Cizik, Susan Zickmund, Jacob Kean, Benjamin S. Brooke

Gepubliceerd in: Quality of Life Research

Abstract

Purpose

Patient reported outcome measures (PROMs) are well-suited for the longitudinal assessment of quality of life, including depression and physical limitations associated with peripheral artery disease (PAD) that are not routinely assessed in clinical care. This study was designed to gain the patient perspective to facilitate implementation of PROMs into clinical practice for PAD management.

Methods

Twenty-three patients with PAD at a single vascular surgery clinic were enrolled for a qualitative interview, July–December 2022. Patients completed PROMIS Physical Function and Depression assessments before undergoing semi-structured interviews. Two researchers used an inductive thematic analysis to analyze emergent themes from transcribed interviews.

Results

The average age of participants was 69.5 ± 8.2 years; 91% were Caucasian, and 39% were female. Qualitative interviews revealed three implementation-related themes: (1) patient preferences on the timing and type of PROMs collected, (2) PROMs applications in outpatient PAD care, including discussions with their physician, and (3) the clinical value of PROMs. Overall, patients with PAD prefer PROMs related to quality of life and physical function over other domains. Patients appreciate the convenience to complete PROMs before their appointment. Patients would like to verbally discuss meaningful score changes with their providers without the use of graphical aids. Most patients believe PROMs are valuable in their clinical care if their physician reviews the results and the PROM questions apply to their disease symptoms.

Conclusions

Patient preferences inform future successful implementations and will improve patient completion rates for the collection and clinical use of PROMs in PAD clinical care.

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Titel: Factors that impact the implementation of patient reported outcomes in routine clinical care for peripheral artery disease from the patient perspective
Auteurs: Teryn A. Holeman
Julie Hales
Amy M. Cizik
Susan Zickmund
Jacob Kean
Benjamin S. Brooke
Publicatiedatum: 23-11-2024
Uitgeverij: Springer New York
Gepubliceerd in: Quality of Life Research
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-024-03842-6

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Factors that impact the implementation of patient reported outcomes in routine clinical care for peripheral artery disease from the patient perspective

Abstract

Purpose

Methods

Results

Conclusions

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Abstract

Purpose

Methods

Results

Conclusions

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