The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions
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 pr...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-12-01
|
| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/2374373519897761 |
| _version_ | 1817970925458423808 |
|---|---|
| author | Emily Z Boersma MD Joost T P Kortlever MD Michael D Loeb MD John McDonald MD Gregg A Vagner MD David Ring MD, PhD Matt Driscoll MD |
| author_facet | Emily Z Boersma MD Joost T P Kortlever MD Michael D Loeb MD John McDonald MD Gregg A Vagner MD David Ring MD, PhD Matt Driscoll MD |
| author_sort | Emily Z Boersma MD |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T20:40:07Z |
| format | Article |
| id | doaj.art-c85cd680f42b469dbed89a585b84ca49 |
| institution | Directory Open Access Journal |
| issn | 2374-3735 2374-3743 |
| language | English |
| last_indexed | 2024-04-13T20:40:07Z |
| publishDate | 2020-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-c85cd680f42b469dbed89a585b84ca492022-12-22T02:30:54ZengSAGE PublishingJournal of Patient Experience2374-37352374-37432020-12-01710.1177/2374373519897761The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific InterventionsEmily Z Boersma MD0Joost T P Kortlever MD1Michael D Loeb MD2John McDonald MD3Gregg A Vagner MD4David Ring MD, PhD5Matt Driscoll MD6 Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA Texas orthopedics, Midtown Medical II Building, Austin, TX, USA Texas orthopedics, Midtown Medical II Building, Austin, TX, USA Orthopedic specialists of Austin, Austin, TX, USA Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA Austin Regional Clinic, Austin, TX, USATo 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.https://doi.org/10.1177/2374373519897761 |
| spellingShingle | Emily Z Boersma MD Joost T P Kortlever MD Michael D Loeb MD John McDonald MD Gregg A Vagner MD David Ring MD, PhD Matt Driscoll MD The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions Journal of Patient Experience |
| title | The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions |
| title_full | The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions |
| title_fullStr | The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions |
| title_full_unstemmed | The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions |
| title_short | The Association Between Patient-Reported Outcome Measurement Scores and Preference for Specific Interventions |
| title_sort | association between patient reported outcome measurement scores and preference for specific interventions |
| url | https://doi.org/10.1177/2374373519897761 |
| work_keys_str_mv | AT emilyzboersmamd theassociationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT joosttpkortlevermd theassociationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT michaeldloebmd theassociationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT johnmcdonaldmd theassociationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT greggavagnermd theassociationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT davidringmdphd theassociationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT mattdriscollmd theassociationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT emilyzboersmamd associationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT joosttpkortlevermd associationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT michaeldloebmd associationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT johnmcdonaldmd associationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT greggavagnermd associationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT davidringmdphd associationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions AT mattdriscollmd associationbetweenpatientreportedoutcomemeasurementscoresandpreferenceforspecificinterventions |