PROM a contemporary approach to assessing the quality of life of patients with cancer

Cover Page

Cite item

Full Text

Abstract

PRO (patient reported outcomes) is a patient's subjective assessment of health and quality of life, without interpretation by a specialist. PROM (patient reported outcomes measure) – questionnaires are used to analyzing this data. Assessment of the quality of life is a perspective direction, which allows to improve the quality of medical care and treatment results. Today, there are many questionnaires PROM, their reliability and validity has been proven in numerous studies. Unified standards and methods for developing and evaluating questionnaires have been developed. Interest in the use of quality of life questionnaires is increasing constantly. However, studies analyzing the data of the PROM questionnaires are rarely found in the national literature. Quality of life is also poorly researched in clinical practice. The aim of the literature review is to present modern methods for assessing the quality of life of patients, especially with cancer. A review of the most widespread and reliable questionnaires and assessment instruments for the quality of life of a patient has been carried out. The analysis of world experience of their use in clinical practice, for patients with cancer has been performed. Examples of both general and specific questionnaires are given. PROM questionnaires are widely used among patients with cancer. However, incorrect use of PROMs is found in the literature, and in patients with certain nosologies PROM data studied poorly. Further analysis of the potential of PROM questionnaires implementation is required, as well as their translation and adaptation for use in Russian health care.

About the authors

Igor E. Khatkov

Loginov Moscow Clinical Scientific and Practical Center; Yevdokimov Moscow State University of Medicine and Dentistry

Email: niks97@list.ru
ORCID iD: 0000-0002-4088-8118

д-р мед. наук, проф., дир. ГБУЗ «МКНПЦ им. А.С. Логинова», зав. каф. факультетской хирургии №2 ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow; Moscow

Olga A. Minaeva

Loginov Moscow Clinical Scientific and Practical Center

Email: niks97@list.ru
ORCID iD: 0000-0002-0294-1424

канд. мед. наук, нач. отд. экспертизы качества медицинской помощи

Russian Federation, Moscow

Sergey A. Domrachev

Loginov Moscow Clinical Scientific and Practical Center; Yevdokimov Moscow State University of Medicine and Dentistry

Email: niks97@list.ru
ORCID iD: 0000-0001-5194-5416

д-р мед. наук, вед. науч. сотр. ГБУЗ «МКНПЦ им. А.С. Логинова», проф. каф. факультетской хирургии №2 ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow; Moscow

Maxim A. Priymak

Loginov Moscow Clinical Scientific and Practical Center

Email: niks97@list.ru
ORCID iD: 0000-0003-4984-9526

зам. глав. врача по медицинской части

Russian Federation, Moscow

Nikita O. Solovyev

Loginov Moscow Clinical Scientific and Practical Center

Author for correspondence.
Email: niks97@list.ru
ORCID iD: 0000-0002-1295-8035

клинический ординатор

Russian Federation, Moscow

Pavel S. Tyutyunnik

Loginov Moscow Clinical Scientific and Practical Center; Yevdokimov Moscow State University of Medicine and Dentistry

Email: niks97@list.ru
ORCID iD: 0000-0002-6410-7355

врач-хирург отд-ния высокотехнологичной хирургии и хирургической эндоскопии ГБУЗ «МКНПЦ им. А.С. Логинова», ассистент каф. факультетской хирургии №2 ФГБОУ ВО «МГМСУ им. А.И. Евдокимова»

Russian Federation, Moscow; Moscow

References

  1. Weldring T, Smith SM. Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs). Health Serv Insights. 2013;6:61-8. doi: 10.4137/HSI.S11093
  2. Callahan LF. The History of Patient-Reported Outcomes in Rheumatology. Rheum Dis Clin North Am. 2016;42(2):205-17. doi: 10.1016/j.rdc.2016.01.012
  3. Swedish Association of Local Authorities and Regions. Quality registries. Available at: www.kvalitetsregister.se/om_kvalitetsregister/quality_registries. Accessed: 08.12.2021.
  4. Patient-Reported Outcome Measures: Use in Medical Product Development to Support Labeling Claims Guidance for Industry 2009. Available at: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/patient-reported-outcome-measures-use-medical-product-development-support-labeling-claims. Accessed: 08.12.2021.
  5. Mak KS, van Bommel AC, Stowell C, et al. Defining a standard set of patient-centred outcomes for lung cancer. Eur Respir J. 2016;48(3):852-60. doi: 10.1183/13993003.02049-2015
  6. Australian Commission on Safety and Quality in Health Care (the Commission). Available at: https://www.safetyandquality.gov.au/our-work/indicators-measurement-and-reporting/patient-reported-outcome-measures. Accessed: 08.12.2021.
  7. Новик А.А., Ионова Т.И. Руководство по исследованию качества жизни в медицине. СПб., 2002 [Novik AA, Ionova TI. Rukovodstvo po issledovaniiu kachestva zhizni v meditsine. Saint Petersburg, 2002 (in Russian)].
  8. Janssen MF, Pickard AS, Golicki D, et al. Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study. Qual Life Res. 2013;22(7):1717-27. doi: 10.1007/s11136-012-0322-4
  9. Hunt SM, McEwen J, McKenna SP. Measuring health status: a new tool for clinicians and epidemiologists. J R Coll Gen Pract. 1985;35(273):185-8.
  10. Richards HS, Blazeby JM, Portal A, et al. A real-time electronic symptom monitoring system for patients after discharge following surgery: a pilot study in cancer-related surgery. BMC Cancer. 2020;20(1):543. doi: 10.1186/s12885-020-07027-5.
  11. Ong WL, Schouwenburg MG, van Bommel ACM, et al. A Standard Set of Value-Based Patient-Centered Outcomes for Breast Cancer: The International Consortium for Health Outcomes Measurement (ICHOM) Initiative. JAMA Oncol. 2017;3(5):677-85. doi: 10.1001/jamaoncol.2016.4851
  12. Kerrigan K, Patel SB, Haaland B, et al. Prognostic Significance of Patient-Reported Outcomes in Cancer. JCO Oncol Pract. 2020;16(4):e313-23. doi: 10.1200/JOP.19.00329
  13. Dai WF, Beca J, Guo H, et al. Are population-based patient-reported outcomes associated with overall survival in patients with advanced pancreatic cancer? Cancer Med. 2020;9(1):215-24. doi: 10.1002/cam4.2704
  14. Pusic AL, Klassen AF, Scott AM, et al. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg. 2009;124(2):345-53. doi: 10.1097/PRS.0b013e3181aee807
  15. Davies CF, Macefield R, Avery K, et al. Patient-Reported Outcome Measures for Post-mastectomy Breast Reconstruction: A Systematic Review of Development and Measurement Properties. Ann Surg Oncol. 2021;28(1):386-404. doi: 10.1245/s10434-020-08736-8
  16. Santosa KB, Qi J, Kim HM, et al. Long-term Patient-Reported Outcomes in Postmastectomy Breast Reconstruction. JAMA Surg. 2018;153(10):891-9. doi: 10.1001/jamasurg.2018.1677
  17. Nelson JA, Allen RJ Jr, Polanco T, et al. Long-term Patient-reported Outcomes Following Postmastectomy Breast Reconstruction: An 8-year Examination of 3268 Patients. Ann Surg. 2019;270(3):473-83. doi: 10.1097/SLA.0000000000003467
  18. Zerillo JA, Schouwenburg MG, van Bommel ACM, et al. An International Collaborative Standardizing a Comprehensive Patient-Centered Outcomes Measurement Set for Colorectal Cancer. JAMA Oncol. 2017;3(5):686-94. doi: 10.1001/jamaoncol.2017.0417
  19. Besson A, Deftereos I, Chan S, et al. Understanding patient-reported outcome measures in colorectal cancer. Future Oncol. 2019;15(10):1135-46. doi: 10.2217/fon-2018-0723
  20. Rees JR, Whale K, Fish D, et al. Patient-reported outcomes in randomised controlled trials of colorectal cancer: an analysis determining the availability of robust data to inform clinical decision-making. J Cancer Res Clin Oncol. 2015;141(12):2181-92. doi: 10.1007/s00432-015-1970-x
  21. Rutherford C, Campbell R, White K, King M. Patient-reported outcomes as predictors of survival in patients with bowel cancer: a systematic review. Qual Life Res. 2019;28(11):2871-87. doi: 10.1007/s11136-019-02255-0
  22. Bouazza YB, Chiairi I, El Kharbouchi O, et al. Patient-reported outcome measures (PROMs) in the management of lung cancer: A systematic review. Lung Cancer. 2017;113:140-51. doi: 10.1016/j.lungcan.2017.09.011
  23. Polański J, Chabowski M, Jankowska-Polańska B, et al. Histological subtype of lung cancer affects acceptance of illness, severity of pain, and quality of life. J Pain Res. 2018;11:727-33. doi: 10.2147/JPR.S155121
  24. Brønserud MM, Iachina M, Green A, et al. Patient-reported outcomes (PROs) in lung cancer: Experiences from a nationwide feasibility study. Lung Cancer. 2019;128:67-73. doi: 10.1016/j.lungcan.2018.12.014
  25. Martin NE, Massey L, Stowell C, et al. Defining a standard set of patient-centered outcomes for men with localized prostate cancer. Eur Urol. 2015;67(3):460-7. doi: 10.1016/j.eururo.2014.08.075
  26. Morgans AK, van Bommel AC, Stowell C, et al. Development of a Standardized Set of Patient-centered Outcomes for Advanced Prostate Cancer: An International Effort for a Unified Approach. Eur Urol. 2015;68(5):891-8. doi: 10.1016/j.eururo.2015.06.007
  27. Protopapa E, van der Meulen J, Moore CM, Smith SC. Patient-reported outcome (PRO) questionnaires for men who have radical surgery for prostate cancer: a conceptual review of existing instruments. BJU Int. 2017;120(4):468-81. doi: 10.1111/bju.13896
  28. Hoffman KE, Penson DF, Zhao Z, et al. Patient-Reported Outcomes Through 5 Years for Active Surveillance, Surgery, Brachytherapy, or External Beam Radiation With or Without Androgen Deprivation Therapy for Localized Prostate Cancer. JAMA. 2020;323(2):149-63. doi: 10.1001/jama.2019.20675
  29. Nguyen-Nielsen M, Møller H, Tjønneland A, Borre M. Patient-reported outcome measures after treatment for prostate cancer: Results from the Danish Prostate Cancer Registry (DAPROCAdata). Cancer Epidemiol. 2020;64:101623. doi: 10.1016/j.canep.2019.101623
  30. Xu J, Evans TJ, Coon C, et al. Measuring patient-reported outcomes in advanced gastric cancer. Ecancermedicalscience. 2013;7:351. doi: 10.3332/ecancer.2013.351
  31. Straatman J, van der Wielen N, Joosten PJ, et al. Assessment of patient-reported outcome measures in the surgical treatment of patients with gastric cancer. Surg Endosc. 2016;30(5):1920-9. doi: 10.1007/s00464-015-4415-3
  32. Maharaj AD, Samoborec S, Evans SM, et al. Patient-reported outcome measures (PROMs) in pancreatic cancer: a systematic review. HPB (Oxford). 2020;22(2):187-203. doi: 10.1016/j.hpb.2019.09.002

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. Number of publications including PROM data. National Library of Medicine.

Download (71KB)

Copyright (c) 2022 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies