Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported Outcomes

The aim of cancer rehabilitation is to help patients regain functioning and social participation. In order to evaluate and optimize rehabilitation, it is important to measure its outcomes in a structured way. In this article, we review the different types of clinical outcome assessments (COAs), incl...

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Main Authors: Jens Lehmann, Maria Rothmund, David Riedl, Gerhard Rumpold, Vincent Grote, Michael J. Fischer, Bernhard Holzner
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/1/84
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author Jens Lehmann
Maria Rothmund
David Riedl
Gerhard Rumpold
Vincent Grote
Michael J. Fischer
Bernhard Holzner
author_facet Jens Lehmann
Maria Rothmund
David Riedl
Gerhard Rumpold
Vincent Grote
Michael J. Fischer
Bernhard Holzner
author_sort Jens Lehmann
collection DOAJ
description The aim of cancer rehabilitation is to help patients regain functioning and social participation. In order to evaluate and optimize rehabilitation, it is important to measure its outcomes in a structured way. In this article, we review the different types of clinical outcome assessments (COAs), including Clinician-Reported Outcomes (ClinROs), Observer-Reported Outcomes (ObsROs), Performance Outcomes (PerfOs), and Patient-Reported Outcomes (PROs). A special focus is placed on PROs, which are commonly defined as any direct report from the patient about their health condition without any interpretation by a third party. We provide a narrative review of available PRO measures (PROMs) for relevant outcomes, discuss the current state of PRO implementation in cancer rehabilitation, and highlight trends that use PROs to benchmark value-based care. Furthermore, we provide examples of PRO usage, highlight the benefits of electronic PRO (ePRO) collection, and offer advice on how to select, implement, and integrate PROs into the cancer rehabilitation setting to maximize efficiency.
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spelling doaj.art-5cbf8b35dcf74d4f92957568a0bf4e372023-11-23T11:15:46ZengMDPI AGCancers2072-66942021-12-011418410.3390/cancers14010084Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported OutcomesJens Lehmann0Maria Rothmund1David Riedl2Gerhard Rumpold3Vincent Grote4Michael J. Fischer5Bernhard Holzner6Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, AustriaDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, AustriaLudwig Boltzmann Institute for Rehabilitation Research, 1140 Vienna, AustriaLudwig Boltzmann Institute for Rehabilitation Research, 1140 Vienna, AustriaDepartment of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, University Hospital of Psychiatry II, Medical University of Innsbruck, 6020 Innsbruck, AustriaThe aim of cancer rehabilitation is to help patients regain functioning and social participation. In order to evaluate and optimize rehabilitation, it is important to measure its outcomes in a structured way. In this article, we review the different types of clinical outcome assessments (COAs), including Clinician-Reported Outcomes (ClinROs), Observer-Reported Outcomes (ObsROs), Performance Outcomes (PerfOs), and Patient-Reported Outcomes (PROs). A special focus is placed on PROs, which are commonly defined as any direct report from the patient about their health condition without any interpretation by a third party. We provide a narrative review of available PRO measures (PROMs) for relevant outcomes, discuss the current state of PRO implementation in cancer rehabilitation, and highlight trends that use PROs to benchmark value-based care. Furthermore, we provide examples of PRO usage, highlight the benefits of electronic PRO (ePRO) collection, and offer advice on how to select, implement, and integrate PROs into the cancer rehabilitation setting to maximize efficiency.https://www.mdpi.com/2072-6694/14/1/84outcome assessmentpatient-reported outcomespatient reported outcome measuresrehabilitationcancer rehabilitationvalue-based care
spellingShingle Jens Lehmann
Maria Rothmund
David Riedl
Gerhard Rumpold
Vincent Grote
Michael J. Fischer
Bernhard Holzner
Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported Outcomes
Cancers
outcome assessment
patient-reported outcomes
patient reported outcome measures
rehabilitation
cancer rehabilitation
value-based care
title Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported Outcomes
title_full Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported Outcomes
title_fullStr Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported Outcomes
title_full_unstemmed Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported Outcomes
title_short Clinical Outcome Assessment in Cancer Rehabilitation and the Central Role of Patient-Reported Outcomes
title_sort clinical outcome assessment in cancer rehabilitation and the central role of patient reported outcomes
topic outcome assessment
patient-reported outcomes
patient reported outcome measures
rehabilitation
cancer rehabilitation
value-based care
url https://www.mdpi.com/2072-6694/14/1/84
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