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Impact of sentinel lymph node mapping on quality of life
Published in Charles F. Levenback, Ate G.J. van der Zee, Robert L. Coleman, Clinical Lymphatic Mapping in Gynecologic Cancers, 2022
Mariana Antonella Nigra, Pedro T. Ramirez, Larissa Meyer
PROs have the potential to improve the quality and patient-centeredness of medical care in a variety of ways. They can be used at the patient level to improve interactions between patients and clinicians and can also be used in research to identify benefits and harms of interventions. Finally, they have a role in policy making and population surveillance, including contributing to guideline development, informing coverage and reimbursement decisions, evaluating care quality, and identifying the impacts of policy options. This initiative of the Patient-Reported Outcomes Measurement Information System (PROMIS) establishes a national resource for precise and efficient measurement of PROs. The main goal of the PROMIS initiative is to develop and evaluate to the clinical research community a set of publicly available, efficient, and flexible PRO measurements, including QoL.38 The PROMIS Network has developed a comprehensive repository of electronic patient-reported outcomes measures (ePROs) of major symptom domains that have been validated in cancer patients.
Emerging Topics
Published in Demissie Alemayehu, Birol Emir, Michael Gaffney, Interface between Regulation and Statistics in Drug Development, 2020
Demissie Alemayehu, Birol Emir, Michael Gaffney
One major barrier that limits the wider use of PROs by healthcare systems in general is the scarcity of best practices in the use of validated instruments, especially when the comparability of data collected from disparate sources is desired. One framework, mentioned earlier, is the Patient-Reported Outcomes Measurement Information System (PROMIS), which aims to enhance and standardize measurement of several selected PROs. While the PROMIS network is growing, and actively developing and validating PROs in several new domains, it is still far from getting acceptance by regulatory agencies.
Health Economics and Outcomes Research in Precision Medicine
Published in Demissie Alemayehu, Joseph C. Cappelleri, Birol Emir, Kelly H. Zou, Statistical Topics in Health Economics and Outcomes Research, 2017
Demissie Alemayehu, Joseph C. Cappelleri, Birol Emir, Josephine Sollano
Applications and relevance of IRT for PROs has increased considerably over the last several years. For instance, IRT has been the cornerstone of the Patient-Reported Outcomes Measurement Information System (PROMIS), a large initiative of the National Institute of Health (NIH), which aims to revolutionize the way PROs are selected and employed in clinical research and practice evaluation. The broad objectives of the NIH PROMIS network are to develop and test a large bank of items measuring PROs; create a computerized adaptive testing system that allows for an efficient, psychometrically robust assessment of PROs in clinical research involving a wide range of chronic diseases; and create a publicly available system that can be added to and modified periodically, and which allows clinical researchers to access a common repository of items and computerized adaptive tests (Cella et al., 2007a,b).
Country-specific reference values for PROMIS® pain, physical function and participation measures compared to US reference values
Published in Annals of Medicine, 2023
Caroline B. Terwee, Leo D. Roorda
The Patient-Reported Outcomes Measurement Information System (PROMIS®) initiative has developed IRT-based PROMs to measure commonly relevant outcomes such as physical function, pain, fatigue, sleep disturbances, anxiety, depression and the ability to participate in social roles and activities. These PROMs are applicable to adults and children with or without (chronic) diseases [31–33]. PROMIS measures can be administered as fixed short forms or CAT. Evidence for sufficient psychometric properties across patient populations is growing [34–40]. PROMIS measures have been translated into more than 60 languages and are increasingly used across countries [41]. For example, Dutch-Flemish translations of PROMIS measures are available for more than 30 domains and have been validated in different populations [42–52]. PROMIS has recently been recommended as the preferred measurement system for assessing commonly relevant PROs in Dutch daily medical specialty care across patient conditions [53].
Exploratory analysis of college students’ occupational engagement during COVID-19
Published in Journal of Occupational Science, 2022
Valerie Tapia, Elizabeth B. Isralowitz, Kelly Deng, Nikki T. Nguyen, Maggie Young, Dominique H. Como, Melissa Martinez, Thomas Valente, Sharon A. Cermak
PROMIS Short Form v 1.0 Satisfaction with Discretionary Social Activities 7a (PSDA7a) from the Patient-Reported Outcomes Measurement Information System (PROMIS) is a 7-item assessment that measures satisfaction levels with the ability to participate in and dedicate time to leisure occupations and relationships with friends. An example of an item is “In the past seven days … I am satisfied with my ability to do things for fun at home (like reading, listening to music, etc.)” with possible responses on a 5-point Likert scale (1 = not at all, 2 = a little bit, 3 = somewhat, 4 = quite a bit, 5 = very much). This measure has been translated into different languages and has strong reliability in diverse settings (Hahn et al., 2016; Nagl et al., 2015).
Patient reported outcomes affecting quality of life in socioeconomically disadvantaged cancer patients
Published in Journal of Psychosocial Oncology, 2022
Farya Phillips, Elizabeth Prezio, Mihailo Miljanic, Ashley Henneghan, Jen Currin-McCulloch, Barbara Jones, Elizabeth Kvale, Boone Goodgame, S. Gail Eckhardt
The Patient Reported Outcomes Measurement Information System (PROMIS) is a NIH Roadmap Initiative, created to advance the assessment of patient-reported outcomes (PRO) in chronic diseases.18,19 We used Computer Adaptive Tests: items are dynamically selected for administration from an item bank based upon the respondent’s previous answers, in which typically 4–12 items with a high level of measurement precision were included. The response to the first item will guide the system’s choice of the next item for the participant. The participant’s response to the second item will dictate the selection of the following question, and so on. As additional items are administered, the potential for error is reduced and confidence in the respondent’s score increases. The CAT will continue until either the standard error drops below a specified level (on the T-score metric 3.0 for adult cancer CAT), or the participant has answered the maximum number of questions (12), whichever occurs first. When evaluating precision, not all questions are equally informative. The flexibility of a CAT to choose more informative questions offers more precision. All of the PROMIS measures were reported using a 5-point Likert scale, from never (0) to almost always (4). We used PROMIS measures for anxiety, depression, pain interference, fatigue, and physical function. A higher PROMIS T-score represents more of the concept being measured.