Evidence map›Paper›PMID 31606809›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2020

Capturing the patient voice: implementing patient-reported outcomes across the health system.

Elizabeth Austin, Cynthia LeRouge, Andrea L Hartzler, Courtney Segal, Danielle C Lavallee

Abstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

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

  1. Pooled it
  2. Pooled it
  3. Translating clinical and patient-reported data to tailored shared decision reports with predictive analytics for knee and hip arthritis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
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  14. Applicability of the PRISMA-COSMIN guidelines for systematic reviews of outcome measurement instruments to ISOQOL's special interest group for clinical practice.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
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  17. The first steps in the development of a cancer-specific patient-reported experience measure item bank (PREM-item bank): towards dynamic evaluation of experiences.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Review
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  19. How to make PROMs work: qualitative insights from leaders at United States hospitals with successful PROMs programs.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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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

5 authors.

Elizabeth AustinSurgical Outcomes Research Center, University of Washington, 1107 NE 45th Street, Suite 502, Box 354808, Seattle, WA, 98105, USA. austie@uw.edu.ORCID http://orcid.org/0000-0002-4221-1362
Cynthia LeRougeInformation Systems and Business Analytics, Florida International University, Miami, FL, USA.
Andrea L HartzlerDepartment of Biomedical Informatics and Medical Education, University of Washington, Seattle, WA, USA.
Courtney SegalSurgical Outcomes Research Center, University of Washington, 1107 NE 45th Street, Suite 502, Box 354808, Seattle, WA, 98105, USA.
Danielle C LavalleeSurgical Outcomes Research Center, University of Washington, 1107 NE 45th Street, Suite 502, Box 354808, Seattle, WA, 98105, USA.

Funding

Developing Design Principles to Integrate PROs into clinical practice through HIT: Data, user experience, and workflow requirements for PRO DashboardsR01HS023785 · AHRQ · UNIVERSITY OF WASHINGTON · PI LAVALLEE, DANIELLE MARIE · 2015 to 2019
$2.4M
Agency for Healthcare Research and Quality R01HS023785AHRQ HHS R01 HS023785
6 · The paper itself

Abstract

purposeSupporting the capture and use of patient-reported outcomes (PROs) at the point-of-care enriches information about important clinical and quality of life outcomes. Yet the ability to scale PROs across healthcare systems has been limited by knowledge gaps around how to manage the diversity of PRO uses and leverage health information technology. In this study, we report learnings and practice insights from UW Medicine's practice transformation efforts to incorporate patient voice into multiple areas of care.

methodsUsing a participatory, action research approach, we engaged with UW Medicine clinical and administrative stakeholders experienced with PRO implementation to inventory PRO implementations across the health system, characterize common clinical uses for PROs, and develop recommendations for system-wide governance and implementation of PROs.

resultsWe identified a wide breadth of PRO implementations (n = 14) in practice and found that nearly half (47%) of employed PRO measures captured shared clinical domains (e.g., depression). We developed three vignettes (use cases) that illustrate how users interact with PROs, characterize common ways PRO implementations support clinical care across the health system (1) Preventive care, (2) Chronic/Specialty care, and (3) Surgical/Interventional care), and elucidate opportunities to enhance efficient PRO implementations through system-level standards and governance.

conclusionsPractice transformation efforts increasingly require integration of the patient voice into clinical care, often through the use of PROs. Learnings from our work highlight the importance of proactively considering how PROs will be used across the layers of healthcare organizations to optimize the design and governance of PROs.

Indexed as

Patient Reported Outcome MeasuresDelivery of Health CareHumansQuality of LifeAction researchCare transformationDepressionImplementationPatient engagementPatient-reported outcomes

Identifiers

PMID31606809
PMCPMC6995985

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.