Evidence map›Paper›PMID 27123987›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

Agreeing the content of a patient-reported outcome measure for primary care: a Delphi consensus study.

Mairead Murphy, Sandra Hollinghurst, Chris Salisbury

Abstract readConsensus Statement
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  10. Evaluating the content of a patient-reported outcome measure for people with multimorbidity: a Delphi consensus.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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  12. Observational
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  14. Primary Care Outcomes Questionnaire: psychometric testing of a new instrument.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mairead MurphyCentre for Academic Primary Care, School for Social and Community Medicine, University of Bristol, Bristol, UK.
Sandra HollinghurstCentre for Academic Primary Care, School for Social and Community Medicine, University of Bristol, Bristol, UK.
Chris SalisburyCentre for Academic Primary Care, School for Social and Community Medicine, University of Bristol, Bristol, UK.

Funding

Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

backgroundAs the first contact for any health-related need, primary care clinicians often address multiple patient problems, with a range of possible outcomes. There is currently no patient-reported outcome measure (PROM) which covers this range of outcomes. Therefore, many research studies into primary care services use PROMs that do not capture the full impact of these services.

objectiveThe study aim was to identify outcomes sought by primary care patients which clinicians can influence, thus providing the basis for a new primary care PROM.

methodsWe used a Delphi process starting with an outcomes list inductively derived in a prior qualitative study. Thirty-five experts were recruited into patient, clinician and academic panels. Participants rated each outcome on whether it was (i) relevant to health, (ii) influenced by primary care and (iii) detectable by patients. In each round, outcomes which passed/failed preset levels of agreement were accepted/rejected. Remaining outcomes continued to the next round.

resultsThe process resulted in a set of outcomes occupying the domains of health status, health empowerment (internal and external), and health perceptions. Twenty-six of 36 outcomes were accepted for inclusion in a PROM. Primary care having insufficient influence was the main reason for exclusion.

conclusionsTo our knowledge, this is the first time PROM outcomes have been agreed through criteria which explicitly exclude outcomes less relevant to health, uninfluenced by primary care or undetected by patients. The PROM in development covers a unique set of outcomes and offers an opportunity for enhanced research into primary care.

Indexed as

Patient Reported Outcome MeasuresPrimary Health CareDelphi TechniqueFemaleHealth StatusHumansMaleSurveys and Questionnairesconsensus studyDelphiprimary carePROMquestionnaire

Identifiers

PMID27123987
PMCPMC5354062

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.