Developing a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensus

<p>Background and Aims: Success in delivering value-based healthcare involves measuring outcomes that matter most to patients. Our aim was to develop a minimum Standard Set of patient-centred outcome measures for inflammatory bowel disease (IBD), for use in different healthcare settings.</p...

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Bibliographic Details
Main Authors: Kim, AH, Roberts, C, Feagan, BG, Banerjee, R, Bemelman, W, Bodger, K, Derieppe, M, Dignass, A, Driscoll, R, Fitzpatrick, R, Gaarentstroom-Lunt, J, Higgins, PD, Kotze, PG, Meissner, J, O'Connor, M, Ran, Z-H, Siegel, CA, Terry, H, van Deen, WK, van der Woude, CJ, Weaver, A, Yang, S-K, Sands, BE, Vermeire, S, Travis, SP
Format: Journal article
Language:English
Published: Oxford University Press 2017
Description
Summary:<p>Background and Aims: Success in delivering value-based healthcare involves measuring outcomes that matter most to patients. Our aim was to develop a minimum Standard Set of patient-centred outcome measures for inflammatory bowel disease (IBD), for use in different healthcare settings.</p><p> Methods: An international working group (n=25) representing patients, patient associations, gastroenterologists, surgeons, specialist nurses, IBD registries and patient-reported outcome measure (PROM) methodologists participated in a series of teleconferences incorporating a modified Delphi process. Systematic review of existing literature, registry data, patient focus groups and open review periods were used to reach consensus on a minimum set of standard outcome measures and risk adjustment variables. Similar methodology has been used in 21 other disease areas (www.ichom.org). </p><p>Results: A minimum Standard Set of outcomes was developed for patients (aged ≥16) with IBD. Outcome domains included survival and disease control (survival, disease activity/remission, colorectal cancer, anaemia), disutility of care (treatment-related complications), healthcare utilisation (IBD-related admissions, emergency room visits) and patient-reported outcomes (including quality of life, nutritional status and impact of fistulae) measured at baseline and at 6 or 12 month intervals. A single PROM (IBD-Control questionnaire) was recommended in the Standard Set and minimum risk adjustment data collected at baseline and annually were included: demographics, basic clinical information and treatment factors.</p><p> Conclusions: A Standard Set of outcome measures for IBD has been developed based on evidence, patient input and specialist consensus. It provides an international template for meaningful, comparable and easy-to-interpret measures as a step towards achieving value-based healthcare in IBD. (248 words).</p>