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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
Formato: Journal article
Lenguaje:English
Publicado: Oxford University Press 2017
_version_ 1826299416555814912
author 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
author_facet 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
author_sort Kim, AH
collection OXFORD
description <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>
first_indexed 2024-03-07T05:01:37Z
format Journal article
id oxford-uuid:d877f511-2182-44b4-a815-00f1a40eb01b
institution University of Oxford
language English
last_indexed 2024-03-07T05:01:37Z
publishDate 2017
publisher Oxford University Press
record_format dspace
spelling oxford-uuid:d877f511-2182-44b4-a815-00f1a40eb01b2022-03-27T08:48:57ZDeveloping a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensusJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d877f511-2182-44b4-a815-00f1a40eb01bEnglishSymplectic Elements at OxfordOxford University Press2017Kim, AHRoberts, CFeagan, BGBanerjee, RBemelman, WBodger, KDerieppe, MDignass, ADriscoll, RFitzpatrick, RGaarentstroom-Lunt, JHiggins, PDKotze, PGMeissner, JO'Connor, MRan, Z-HSiegel, CATerry, Hvan Deen, WKvan der Woude, CJWeaver, AYang, S-KSands, BEVermeire, STravis, SP<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>
spellingShingle 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
Developing a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensus
title Developing a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensus
title_full Developing a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensus
title_fullStr Developing a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensus
title_full_unstemmed Developing a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensus
title_short Developing a standard set of patient-centred outcomes for inflammatory bowel disease - an international, cross-disciplinary consensus
title_sort developing a standard set of patient centred outcomes for inflammatory bowel disease an international cross disciplinary consensus
work_keys_str_mv AT kimah developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT robertsc developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT feaganbg developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT banerjeer developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT bemelmanw developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT bodgerk developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT derieppem developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT dignassa developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT driscollr developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT fitzpatrickr developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT gaarentstroomluntj developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT higginspd developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT kotzepg developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT meissnerj developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT oconnorm developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT ranzh developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT siegelca developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT terryh developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT vandeenwk developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT vanderwoudecj developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT weavera developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT yangsk developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT sandsbe developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT vermeires developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus
AT travissp developingastandardsetofpatientcentredoutcomesforinflammatoryboweldiseaseaninternationalcrossdisciplinaryconsensus