Patient-Reported Outcome Measure Use in Guidelines Published by the American Academy of Ophthalmology


Journal Ophthalmology
Status 審查完成
校稿者 蕭靜熹 醫師

Ophthalmology Volume 130, Number 11, November 2023


這篇文章以”發表於美國眼科學院 (AAO)的指引中使用患者報告結果量表(Patient-Reported Outcome Measures (PROMs) 為題,回顧了患者報告結果量表的使用情況。而PROMs是一種標準化工具,可提供患者健康狀況或與健康相關的生活品質資訊。文章發現,儘管基礎研究提供了患者基於證據的照顧基礎,並回答了特定研究問題,但這些參數本身無法充分捕捉患者的感受。因此,為促進更好的照顧品質和健康結果,建議在管理建議中合適時應納入PROMs。

此外,共識性陳述,基於最佳可得證據、臨床專業知識和患者經驗形成的臨床實踐指引 (Clinical Practice Guidelines) 在臨床中具有重要作用,且在探討眼科疾病治療的2458份研究中,未能發現PROMs 的廣泛應用。對此提出了需要改善眼科診療中PROMs 的運用,以協助患者在臨床中共享決策。

總的來說,意見建議需要進一步加強PROMs 在眼科領域的驗證與質量評估,並提供了解釋臨界顯著差異的方法,並呼籲臨床照顧與最終目標——患者認為最有益與有影響的照顧相結合。

English Abstract

This review discusses the use of Patient-Reported Outcome Measures (PROMs) in clinical practice guidelines published by the American Academy of Ophthalmology. It stresses the importance of incorporating PROMs into management recommendations due to their ability to capture a patient’s experience with a given condition. The study reveals that PROMs are not consistently considered in ophthalmology guidelines, highlighting the need for their active incorporation into clinical trials and research. The review also emphasizes the importance of assessing the quality and validation of PROMs in ophthalmology. Additionally, it advocates for the use of Minimal Important Differences (MIDs) to interpret PROM results effectively. The study concludes by underlining the need to bridge the gap between research and clinical practice, with a focus on enhancing patient-centered outcomes in ophthalmology.