The impact of measuring patient-reported outcomes in clinical practice: a systematic review of the literature
Abstract
Objective The purpose of this paper is to summarize the best evidence regarding the impact of providing patient-reported outcomes (PRO) information to health care professionals in daily clinical practice.Methods Systematic review of randomized clinical trials (Medline, Cochrane Library; reference lists of previous systematic reviews; and requests to authors and experts in the field).Results Out of 1,861 identified references published between 1978 and 2007, 34 articles corresponding to 28 original studies proved eligible. Most trials (19) were conducted in primary care settings performed in the USA (21) and assessed adult patients (25). Information provided to professionals included generic health status (10), mental health (14), and other (6). Most studies suffered from methodologic limitations, including analysis that did not correspond with the unit of allocation. In most trials, the impact of PRO was limited. Fifteen of 23 studies (65%) measuring process of care observed at least one significant result favoring the intervention, as did eight of 17 (47%) that measured outcomes of care.Conclusions Methodological concerns limit the strength of inference regarding the impact of providing PRO information to clinicians. Results suggest great heterogeneity of impact; contexts and interventions that will yield important benefits remain to be clearly defined.
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In a representative study of the European general population including six countries, the 12-month prevalence rate for PTSD was 0.9%.
“the 12-month prevalence rates for PTSD and depression were 0.9 and 3.9%, respectively [9].”
From HELP@APP: Development and evaluation of a self-help app for traumatized Syrian refugees in Germany- A study protocol of a randomized controlled trial (2019) · cites this paper as [9]
In a representative study of the European general population including six countries, the 12-month prevalence rate for depression was 3.9%.
“the 12-month prevalence rates for PTSD and depression were 0.9 and 3.9%, respectively [9].”
From HELP@APP: Development and evaluation of a self-help app for traumatized Syrian refugees in Germany- A study protocol of a randomized controlled trial (2019) · cites this paper as [9]
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- Authors
- Valderas, J. M., Kotzeva, A., Espallargues, M., Guyatt, G., Ferrans, C. E., Halyard, M. Y., Revicki, D. A., Symonds, T., Parada, A., & Alonso, J.
- Affiliations
- University of Manchester (GB)
- McMaster University (CA)
- University of Illinois Chicago (US)
- Mayo Clinic in Arizona (US)
- Pfizer (United Kingdom) (GB)
- Universitat Pompeu Fabra (ES)
- Corresponding author
- Alonso, J.
- ORCID
- Venue
- Quality of Life Research
- Published
- 2008-01-04
- Volume
- 17
- Issue
- 2
- Pages
- 179-193
- ISSN
- 0962-9343 (ISSN-L)
- 1573-2649
- OpenAlex
- W2149103558
- Cited by
- 775
- References
- 76
- Citations by year
- 2026: 10 · 2025: 27 · 2024: 50 · 2023: 47 · 2022: 64 · 2021: 80 · 2020: 58 · 2019: 69 · 2018: 53 · 2017: 49 · 2016: 49 · 2015: 43 · 2014: 55 · 2013: 27 · 2012: 26
- FWCI
- 4.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Quality of Life Research (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- patient-reported outcomes, clinician feedback, mental health outcomes, primary care, process of care, health care outcomes, clinician decision-making, methodological limitations
- MeSH terms
- Feedback, Health Status Indicators, Humans, Quality of Life, Randomized Controlled Trials as Topic, Patient Satisfaction
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