A scoping review and mapping exercise comparing the content of patient-reported outcome measures (PROMs) across heart disease-specific scales

Journal of Patient-Reported Outcomes

on behalf of the Collaboration and Exchange in Swedish cardiovascular caring Academic Research (CESAR) group¹  Bengt Fridlund²  Beatrix Algurén³  Dan Malm⁴  Jan Mårtensson⁴  Kristofer Årestedt⁵  Michaela Coenen⁶ 

[1] ;Centre of Interprofessional Collaboration within Emergency care (CICE), Linnaeus University;Department of Food and Nutrition, and Sport Science, Faculty of Education, University of Gothenburg;Department of Nursing, School of Health and Welfare, Jönköping University;Faculty of Health and Life Sciences, Linnaeus University;Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, Research Unit for Biopsychosocial Health, LMU Munich;

关键词: International Classification of Functioning, Disability and Health;    Heart disease;    Healthcare quality, Patient outcome assessment;    Patient-reported outcome measures;    Person-centered;    Review;   

DOI  :  10.1186/s41687-019-0165-7

来源: DOAJ

【 摘 要 】

Abstract Background Over the past decade, the importance of person-centered care has led to increased interest in patient-reported outcome measures (PROMs). In cardiovascular care, selecting an appropriate PROM for clinical use or research is challenging because multimorbidity is often common in patients. The aim was therefore to provide an overview of heart-disease specific PROMs and to compare the content of those outcomes using a bio-psycho-social framework of health. Methods A scoping review of heart disease-specific PROMs, including arrhythmia/atrial fibrillation, congenital heart disease, heart failure, ischemic heart disease, and valve diseases was conducted in PubMed (January 2018). All items contained in the disease-specific PROMs were mapped to WHO’s International Classification of Functioning, Disability and Health (ICF) according to standardized linking rules. Results A total of 34 PROMs (heart diseases in general n = 5; cardiac arrhythmia n = 6; heart failure n = 14; ischemic heart disease n = 9) and 147 ICF categories were identified. ICF categories covered Body functions (n = 61), Activities & Participation (n = 69), and Environmental factors (n = 17). Most items were about experienced problems of Body functions and less often about patients’ daily activities, and most PROMs were specifically developed for heart failure and no PROM were identified for valve disease or congenital heart disease. Conclusions Our results motivate and provide information to develop comprehensive PROMs that consider activity and participation by patients with various types of heart disease.

【 授权许可】

Unknown