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Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice

Tools for measuring patients’ perceived health and quality of life, such as patient-reported outcome measures (PROMs), inform clinical decisions for patients requiring radiation therapy. However, there may be inconsistencies in how patients interpret and respond to PROMs due to cultural, environment...

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Autores principales: Kwon, Jae-Yung, Russell, Lara, Coles, Theresa, Klaassen, Robert J., Schick-Makaroff, Kara, Sibley, Kathryn M., Mitchell, Sandra A., Sawatzky, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139498/
https://www.ncbi.nlm.nih.gov/pubmed/35621641
http://dx.doi.org/10.3390/curroncol29050251
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author Kwon, Jae-Yung
Russell, Lara
Coles, Theresa
Klaassen, Robert J.
Schick-Makaroff, Kara
Sibley, Kathryn M.
Mitchell, Sandra A.
Sawatzky, Richard
author_facet Kwon, Jae-Yung
Russell, Lara
Coles, Theresa
Klaassen, Robert J.
Schick-Makaroff, Kara
Sibley, Kathryn M.
Mitchell, Sandra A.
Sawatzky, Richard
author_sort Kwon, Jae-Yung
collection PubMed
description Tools for measuring patients’ perceived health and quality of life, such as patient-reported outcome measures (PROMs), inform clinical decisions for patients requiring radiation therapy. However, there may be inconsistencies in how patients interpret and respond to PROMs due to cultural, environmental, personal, or experiential factors. Differential item functioning (DIF) and response shift (RS) refer to differences in the meaning of PROMs between patients or over time (respectively). DIF and RS can threaten the accurate interpretation and use of PROMs, potentially resulting in erroneous conclusions about effectiveness, and flawed individual-level clinical decision-making. Given the empirical evidence of DIF and RS, we aim to review clinical implications and solutions for addressing DIF and RS by providing vignettes from collaborative examinations with workshop participants, as well as the literature. By making these methodological concepts accessible and relevant, for practice, clinicians may feel more confident to ask clarifying questions of patients when PROM scores and the contextual patient information do not align. PROM scores need to be interpreted via dialogue with the patient to avoid misinterpretation due to DIF and RS, which could diminish patient–clinician communication and impede shared decision-making. This work is part of an interdisciplinary knowledge translation initiative focused on the interpretation of PROM scores by clinically-oriented audiences.
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spelling pubmed-91394982022-05-28 Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice Kwon, Jae-Yung Russell, Lara Coles, Theresa Klaassen, Robert J. Schick-Makaroff, Kara Sibley, Kathryn M. Mitchell, Sandra A. Sawatzky, Richard Curr Oncol Article Tools for measuring patients’ perceived health and quality of life, such as patient-reported outcome measures (PROMs), inform clinical decisions for patients requiring radiation therapy. However, there may be inconsistencies in how patients interpret and respond to PROMs due to cultural, environmental, personal, or experiential factors. Differential item functioning (DIF) and response shift (RS) refer to differences in the meaning of PROMs between patients or over time (respectively). DIF and RS can threaten the accurate interpretation and use of PROMs, potentially resulting in erroneous conclusions about effectiveness, and flawed individual-level clinical decision-making. Given the empirical evidence of DIF and RS, we aim to review clinical implications and solutions for addressing DIF and RS by providing vignettes from collaborative examinations with workshop participants, as well as the literature. By making these methodological concepts accessible and relevant, for practice, clinicians may feel more confident to ask clarifying questions of patients when PROM scores and the contextual patient information do not align. PROM scores need to be interpreted via dialogue with the patient to avoid misinterpretation due to DIF and RS, which could diminish patient–clinician communication and impede shared decision-making. This work is part of an interdisciplinary knowledge translation initiative focused on the interpretation of PROM scores by clinically-oriented audiences. MDPI 2022-04-27 /pmc/articles/PMC9139498/ /pubmed/35621641 http://dx.doi.org/10.3390/curroncol29050251 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kwon, Jae-Yung
Russell, Lara
Coles, Theresa
Klaassen, Robert J.
Schick-Makaroff, Kara
Sibley, Kathryn M.
Mitchell, Sandra A.
Sawatzky, Richard
Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice
title Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice
title_full Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice
title_fullStr Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice
title_full_unstemmed Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice
title_short Patient-Reported Outcomes Measurement in Radiation Oncology: Interpretation of Individual Scores and Change over Time in Clinical Practice
title_sort patient-reported outcomes measurement in radiation oncology: interpretation of individual scores and change over time in clinical practice
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139498/
https://www.ncbi.nlm.nih.gov/pubmed/35621641
http://dx.doi.org/10.3390/curroncol29050251
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