Core outcome sets through the healthcare ecosystem: the case of type 2 diabetes mellitus

Trials

Nicola Harman¹  Susanna Dodd¹  Paula R. Williamson¹  Toni Tan²  Mark Minchin²  Nichole Taske² 

[1] Department of Health Data Science, University of Liverpool (a member of Liverpool Health Partners);NICE Centre for Guidelines/Quality and Leadership Programme;

关键词: Core outcome sets;    Electronic health records;    Quality indicators;    Quality standards;    Clinical guidelines;   

DOI  :  10.1186/s13063-020-04403-1

来源: DOAJ

【 摘 要 】

Abstract Background It is increasingly accepted that insufficient attention has been given to the patient health outcomes that are important to measure in comparative effectiveness research that will inform decision-making. The relationship between outcomes chosen for comparative effectiveness research, outcomes used in decision-making in routine care, and outcome data recorded in electronic health records (EHR) is also poorly understood. The COMET Initiative ( http://www.comet-initiative.org/ . Accessed 3 Apr 2020) supports and encourages the development and use of ‘core outcome sets’ (COS), which represent the minimum set of patient health outcomes that should be measured and reported for a specific condition. There is growing interest in identifying how COS might fit into the different stages of the healthcare research and delivery ecosystem, and whether inclusion in the EHR might facilitate this. Methods We sought to determine the degree of overlap between outcomes within COS for research and routine care, EMA, FDA and NICE guidelines, NICE quality statements/indicators, EHR and a point-of-care randomised clinical trial, using type 2 diabetes (T2D) as a case study. Results There is substantial agreement about important patient outcomes for T2D for research and healthcare, with associated coverage within the UK general practice EHR. Conclusions This case study has demonstrated the potential for efficient research and value-based healthcare when the EHR can include COS for both research and care, where the COS comprises outcomes of importance to all relevant stakeholders. However, this concordance may not hold more generally, as the focus on patient-centred outcomes may well be greater in T2D than in other conditions. Work is ongoing to examine other clinical areas, in order to highlight any current inefficiencies when health outcomes in research and healthcare do not agree with core outcomes identified by patients, clinicians and other key stakeholders.

【 授权许可】

Unknown