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The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions.
Boersma, Emily Z; Kortlever, Joost T P; Loeb, Michael D; McDonald, John; Vagner, Gregg A; Ring, David; Driscoll, Matt.
Afiliación
  • Boersma EZ; Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
  • Kortlever JTP; Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
  • Loeb MD; Texas orthopedics, Midtown Medical II Building, Austin, TX, USA.
  • McDonald J; Texas orthopedics, Midtown Medical II Building, Austin, TX, USA.
  • Vagner GA; Orthopedic specialists of Austin, Austin, TX, USA.
  • Ring D; Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
  • Driscoll M; Austin Regional Clinic, Austin, TX, USA.
J Patient Exp ; 7(6): 1595-1601, 2020 Dec.
Article en En | MEDLINE | ID: mdl-33457619
To determine whether greater patient-reported symptom intensity and functional limitation influence expressed preferences for discretionary diagnostic and treatment interventions, we studied the association of patient factors and several Patient Reported Outcome Measure (PROM) scores with patient preferences for diagnostic and treatment interventions before and after the visit, a cross-sectional cohort study. One hundred and forty-three adult patients who completed several PROMs were asked their preferences for diagnostic and treatment interventions before and after a visit with an orthopedic surgeon. Patients with better physical function had fewer preferences for specific diagnostic interventions after the visit (P = .02), but PROM scores had no association with preferences for treatment interventions before or after the visit. A greater percentage of patients expressed the preference for no diagnostic or treatment intervention after the visit with a physician than before (diagnostic intervention; 2.1% before vs 30% after the visit; P ≤ .001 and treatment intervention; 2.1% before vs 17% after the visit; P ≤ .001). This study suggests that physician expertise may be more reassuring to people with more adaptive mind sets.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: J Patient Exp Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Idioma: En Revista: J Patient Exp Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos