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Using Patient-Reported Outcome Measures for Improved Decision-Making in Patients with Gastrointestinal Cancer – the Last Clinical Frontier in Surgical Oncology?

Identifieur interne : 001E74 ( Pmc/Checkpoint ); précédent : 001E73; suivant : 001E75

Using Patient-Reported Outcome Measures for Improved Decision-Making in Patients with Gastrointestinal Cancer – the Last Clinical Frontier in Surgical Oncology?

Auteurs : Kjetil S Reide [Norvège] ; Annbj Rg H. S Reide [Norvège]

Source :

RBID : PMC:3682158

Abstract

The genomic era has introduced concepts of “personalized medicine” and “targeted therapy” in the field of oncology. Medicine has become increasingly complex with a plethora of potential dilemmas in diagnosis, treatment, and management. The focus on classical outcomes for clinical decision-making is now increasingly being replaced by patient-reported outcome measures (PROMs). PROMs should increasingly now be in the center of patient-centered decision-making, based on valid, reliable, and clinically useful measures delivered directly by the patient to the caregiver. Surgeons’ ability to interpret and apply PROMs and quality of life results must improve by education and further research, and has an unreleased potential to contribute to a better understanding of the patients’ well-being. A number of caveats must be addressed before this can be brought to fruition; standardization for valid items; appropriate use of instruments; correct timing of the application; missing data handling, compliance, and respondent drop-outs are but a few issues to be addressed. Based on the apparent lack of use in both research and clinical work, it should call for an educational effort to address this among surgeons caring for patients with cancer.


Url:
DOI: 10.3389/fonc.2013.00157
PubMed: 23785670
PubMed Central: 3682158


Affiliations:


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PMC:3682158

Le document en format XML

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<p>The genomic era has introduced concepts of “personalized medicine” and “targeted therapy” in the field of oncology. Medicine has become increasingly complex with a plethora of potential dilemmas in diagnosis, treatment, and management. The focus on classical outcomes for clinical decision-making is now increasingly being replaced by patient-reported outcome measures (PROMs). PROMs should increasingly now be in the center of patient-centered decision-making, based on valid, reliable, and clinically useful measures delivered directly by the patient to the caregiver. Surgeons’ ability to interpret and apply PROMs and quality of life results must improve by education and further research, and has an unreleased potential to contribute to a better understanding of the patients’ well-being. A number of caveats must be addressed before this can be brought to fruition; standardization for valid items; appropriate use of instruments; correct timing of the application; missing data handling, compliance, and respondent drop-outs are but a few issues to be addressed. Based on the apparent lack of use in both research and clinical work, it should call for an educational effort to address this among surgeons caring for patients with cancer.</p>
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</TEI>
<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Front Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">Front Oncol</journal-id>
<journal-id journal-id-type="publisher-id">Front. Oncol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Oncology</journal-title>
</journal-title-group>
<issn pub-type="epub">2234-943X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23785670</article-id>
<article-id pub-id-type="pmc">3682158</article-id>
<article-id pub-id-type="doi">10.3389/fonc.2013.00157</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oncology</subject>
<subj-group>
<subject>Perspective Article</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Using Patient-Reported Outcome Measures for Improved Decision-Making in Patients with Gastrointestinal Cancer – the Last Clinical Frontier in Surgical Oncology?</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Søreide</surname>
<given-names>Kjetil</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Søreide</surname>
<given-names>Annbjørg H.</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Gastrointestinal Surgery, Stavanger University Hospital</institution>
,
<addr-line>Stavanger</addr-line>
,
<country>Norway</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Clinical Medicine, University of Bergen</institution>
,
<addr-line>Bergen</addr-line>
,
<country>Norway</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Stokka Geriatric Care Facility, Stavanger Municipality</institution>
,
<addr-line>Stavanger</addr-line>
,
<country>Norway</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Paolo Pietro Bianchi, European Institute of Oncology, Italy</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Katie S. Nason, University of Pittsburgh, USA; Malin Sund, Umea University Hospital, Sweden</p>
</fn>
<corresp content-type="corresp" id="cor1">*Correspondence: Kjetil Søreide, Department of Gastrointestinal Surgery, Stavanger University Hospital, POB 8100, Armauer Hansens Vei 7, N-4068 Stavanger, Norway e-mail:
<email>ksoreide@mac.com</email>
</corresp>
<fn fn-type="other" id="fn001">
<p>This article was submitted to Frontiers in Surgical Oncology, a specialty of Frontiers in Oncology.</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>14</day>
<month>6</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="collection">
<year>2013</year>
</pub-date>
<volume>3</volume>
<elocation-id>157</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>11</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>6</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2013 Søreide and Søreide.</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in other forums, provided the original authors and source are credited and subject to any copyright notices concerning any third-party graphics etc.</license-p>
</license>
</permissions>
<abstract>
<p>The genomic era has introduced concepts of “personalized medicine” and “targeted therapy” in the field of oncology. Medicine has become increasingly complex with a plethora of potential dilemmas in diagnosis, treatment, and management. The focus on classical outcomes for clinical decision-making is now increasingly being replaced by patient-reported outcome measures (PROMs). PROMs should increasingly now be in the center of patient-centered decision-making, based on valid, reliable, and clinically useful measures delivered directly by the patient to the caregiver. Surgeons’ ability to interpret and apply PROMs and quality of life results must improve by education and further research, and has an unreleased potential to contribute to a better understanding of the patients’ well-being. A number of caveats must be addressed before this can be brought to fruition; standardization for valid items; appropriate use of instruments; correct timing of the application; missing data handling, compliance, and respondent drop-outs are but a few issues to be addressed. Based on the apparent lack of use in both research and clinical work, it should call for an educational effort to address this among surgeons caring for patients with cancer.</p>
</abstract>
<kwd-group>
<kwd>patient-reported outcomes</kwd>
<kwd>quality of life</kwd>
<kwd>cancer</kwd>
<kwd>surgery</kwd>
<kwd>research</kwd>
</kwd-group>
<counts>
<fig-count count="2"></fig-count>
<table-count count="0"></table-count>
<equation-count count="0"></equation-count>
<ref-count count="45"></ref-count>
<page-count count="5"></page-count>
<word-count count="4262"></word-count>
</counts>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Norvège</li>
</country>
</list>
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<noRegion>
<name sortKey="S Reide, Kjetil" sort="S Reide, Kjetil" uniqKey="S Reide K" first="Kjetil" last="S Reide">Kjetil S Reide</name>
</noRegion>
<name sortKey="S Reide, Annbj Rg H" sort="S Reide, Annbj Rg H" uniqKey="S Reide A" first="Annbj Rg H." last="S Reide">Annbj Rg H. S Reide</name>
<name sortKey="S Reide, Kjetil" sort="S Reide, Kjetil" uniqKey="S Reide K" first="Kjetil" last="S Reide">Kjetil S Reide</name>
</country>
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</affiliations>
</record>

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