Display options
Share it on

BMJ Open. 2019 Mar 30;9(3):e027354. doi: 10.1136/bmjopen-2018-027354.

Impact of using patient-reported outcome measures in routine clinical care of paediatric patients with chronic conditions: a systematic review protocol.

BMJ open

Sumedh Bele, Bijan Mohamed, Ashton Chugh, Lotte Haverman, Maria-Jose Santana

Affiliations

  1. Department of Community Health Sciences, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  2. Department of Pediatrics, University of Calgary Cumming School of Medicine, Calgary, Alberta, Canada.
  3. Psychosocial Department, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.

PMID: 30928963 PMCID: PMC6475156 DOI: 10.1136/bmjopen-2018-027354

Abstract

INTRODUCTION: Chronic diseases among children are associated with lower health-related quality of life (HRQOL) and higher utilisation of healthcare services. Integrating Patient-Reported Outcomes Measures (PROMs) in routine clinical care has been shown to reduce utilisation of healthcare services while improving patient outcomes. The objectives of our study are to: (1) identify previously implemented and evaluated PROMs for chronic conditions in paediatric settings; (2) consolidate the evidence to evaluate the impact of using PROMs on HRQOL, healthcare utilisation, patient outcomes (eg, symptoms control) and quality of care among paediatric patients with chronic conditions. The findings from this review will inform the future integration of PROMs in paediatric clinical practice.

METHODS AND ANALYSIS: We will systematically search the following electronic databases: MEDLINE, EMBASE, CINAHL, PsychINFO and Cochrane library. Reference lists of included studies will also be searched in Web of Science (Thomson Reuters) database to ensure more complete coverage. Two reviewers will independently screen the studies and abstract the data using standardised form. Extracted data will be analysed and synthesised. Finally, a narrative synthesis of summarised data will be presented.

ETHICS AND DISSEMINATION: Ethical approval is not required, as the proposed systematic review will use data from published research articles. The results of this study will be disseminated through publication in peer-reviewed journals, scientific conferences and meetings, and the lead author's doctoral dissertation.

PROSPERO REGISTRATION NUMBER: CRD42018109035.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: chronic conditions; health-related quality of life; patient-reported outcome measures; pediatric population; quality in healthcare

Conflict of interest statement

Competing interests: None declared.

References

  1. JAMA. 2007 Jun 27;297(24):2752-5 - PubMed
  2. BMJ. 2015 Jan 02;350:g7647 - PubMed
  3. Kidney Int. 2003 Jul;64(1):339-49 - PubMed
  4. Cochrane Database Syst Rev. 2013 Nov 06;(11):CD009853 - PubMed
  5. J Paediatr Child Health. 2016 Dec;52(12):1062-1069 - PubMed
  6. Physiotherapy. 2015 Jun;101(2):119-25 - PubMed
  7. Acad Pediatr. 2014 Sep-Oct;14(5 Suppl):S90-6 - PubMed
  8. J Hosp Med. 2015 May;10(5):294-300 - PubMed
  9. Curr Oncol. 2008 Aug;15(4):173-8 - PubMed
  10. JAMA. 2017 Jul 11;318(2):197-198 - PubMed
  11. Pediatr Clin North Am. 2003 Aug;50(4):859-78 - PubMed
  12. J Clin Pharm Ther. 2003 Dec;28(6):513-21 - PubMed
  13. J Clin Epidemiol. 2011 Apr;64(4):383-94 - PubMed
  14. Risk Manag Healthc Policy. 2016 Jul 05;9:143-56 - PubMed
  15. Qual Life Res. 2010 Apr;19(3):371-9 - PubMed
  16. Pediatrics. 2013 Feb;131(2):e533-43 - PubMed
  17. PLoS Med. 2009 Jul 21;6(7):e1000097 - PubMed
  18. Qual Life Res. 2014 Jun;23(5):1505-13 - PubMed
  19. BMJ Open. 2014 Jul 22;4(7):e005601 - PubMed
  20. Health Serv Insights. 2013 Aug 04;6:61-8 - PubMed
  21. PLoS One. 2017 Jun 2;12(6):e0178539 - PubMed
  22. Clin Exp Rheumatol. 2012 Nov-Dec;30(6):899-904 - PubMed
  23. Milbank Q. 2014 Dec;92(4):754-75 - PubMed
  24. Patient Educ Couns. 2010 Nov;81(2):235-44 - PubMed
  25. Am J Public Health. 1998 Apr;88(4):610-7 - PubMed
  26. Health Serv Res. 2015 Dec;50 Suppl 2:2116-54 - PubMed
  27. BMC Pediatr. 2011 Jan 12;11:3 - PubMed
  28. J Clin Oncol. 2014 May 10;32(14):1480-501 - PubMed
  29. Int J Technol Assess Health Care. 2012 Apr;28(2):138-44 - PubMed
  30. J Oncol Pract. 2014 Jul;10(4):e215-22 - PubMed
  31. Lung Cancer. 2017 Nov;113:140-151 - PubMed
  32. Health Qual Life Outcomes. 2006 Oct 11;4:79 - PubMed
  33. Patient. 2009 Sep 1;2(3):159-67 - PubMed
  34. Qual Life Res. 2018 May;27(5):1147-1157 - PubMed
  35. J Pediatr. 2012 Oct;161(4):662-670.e2 - PubMed

MeSH terms

Publication Types