Journal
ARCHIVES OF DERMATOLOGICAL RESEARCH
Volume 313, Issue 1, Pages 17-24Publisher
SPRINGER
DOI: 10.1007/s00403-020-02074-1
Keywords
PROMIS; Dermatology; Atopic dermatitis; Acne; Pain; Anxiety
Categories
Funding
- University of Rochester Department of Dermatology
Ask authors/readers for more resources
PRO measures are crucial in clinical care, but a validated broad-spectrum measure suitable for all dermatology patients is currently lacking. An evaluation of a computer-adaptive health assessment using three PROMIS domains found that high PROMIS scores were associated with clinically relevant outcomes in various skin conditions.
Patient-reported outcome (PRO) measures play an important role in clinical care. Currently, a broad-spectrum, validated PRO measure suitable for all dermatology patients, as part of clinical care, does not exist. Patient-reported Outcome Measures Information System (PROMIS) measures track specific domain outcomes across all diseases. To assess the relevance and utility of a computer-adaptive health assessment consisting of three PROMIS domains in routine dermatologic care. This retrospective study evaluated a PROMIS health assessment, consisting of three computer-adaptive test domains (pain interference, anxiety, and depression), administered as part of routine clinical care in three dermatology clinics at an academic medical center. The primary objective was to identify clinically significant associations between high PROMIS domain scores (i.e.,tscore > 55) and dermatologic disease, as well as change in PROMIS domain scores in response to treatment. The majority of patients who initiated the assessment completed all domains (88.7%). In patients with atopic dermatitis, acne, hidradenitis suppurativa, and psoriasis, high PROMIS scores correlated with clinically relevant outcomes, such as severe disease, unsuccessful treatment, uncontrolled disease, and the presence of a mental health condition. PROMIS Pain Interference, anxiety and depression identified patients with severe disease, unsuccessful treatment regimens, poorly-controlled disease, and/or mental health comorbidities for multiple skin conditions. Further utilization of PROMIS domains in routine clinical care will promote patient-centered care and improve quality of care.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available