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Table 5 Impact by outcome dimensions

From: The use of patient-reported outcome measures to improve patient-related outcomes – a systematic review

  

Micro-level

  

Meso-/macro-level

 

Number of studies

Improvement (%)

Quality of studies (average)

Number of studies

Improvement (%)

Quality of studies (average)

PROMs

Functioning

      

 Physical

29

12 (41)

1.9

2

0

1.0

 Mental

25

8 (32)

1.8

1

0

1.0

 Social

16

6 (38)

1.8

1

0

1.0

HRQoL

29

11 (38)

1.8

5

2 (40)

1.6

Role limitations

      

 Physical

5

1 (17)

2.0

-

-

-

 Emotional

5

0

2.0

-

-

-

General health perceptions

8

6 (75)

2.4

1

0

1.0

Symptoms combined

46

26 (57)**

1.9

5

3 (60)**

1.6

 Depression

25

14 (56)

1.8

2

0

2.5

 Anxiety

14

6 (43)

2.0

2

1 (50)

2.5

 Alcohol use/disorder

3

1 (33)

1.7

-

-

-

 Pain

17

7 (42)**

1.9

5

2 (40)

1.6

 Vitality/fatigue

5

3 (60)

1.8

1

0

3.0

 Nausea

4

0

2.3

2

1 (50)

1.0

Decision-conflict and readiness

4

3 (75)

 

-

-

-

PREMs

Satisfaction

23

10 (43)

2.0

-

-

-

Patient-physician relationship

5

1 (20)

2.0

-

-

-

Experience with care

7

4 (57)

2.0

-

-

-

Supportive needs

3

1 (33)

2.7

-

-

-

Patient-activation

7

4 (57)

2.1

-

-

-

Physician awareness of HRQoL

2

0

2.0

-

-

-

Clinical outcomes

Complications*

8

1 (13)

1.8

2

0

1.5

(Re)admissions

17

5 (29)

2.2

-

-

-

Emergency department visits

12

7 (58)

2.4

-

-

-

Survival

5

0

2.0

-

-

-

Lab values

4

2 (50)

2.0

-

-

-

Outcome same as PROM used in intervention

32

18 (56)**

1.8

7

3 (42)**

1.4

Outcome not the same as PROM used in intervention

36

26 (72)

2.0

1

1 (100)

2.0

  1. *Complications also vary by domain and intervention, e.g., a bleed in myocardial infarction patients
  2. **One study showed a deterioration
  3. PROM Patient-Reported Outcome Measure; PREM Patient-Reported Experience Measure, HRQoL Health-Related Quality of Life