Development of the American College of Rheumatology’s Patient-reported Outcome Quality Measures for Systemic Lupus Erythematosus

Details

• Alternative Title:
  Arthritis Care Res (Hoboken)
• Personal Author:
  Katz, Patricia P. ; Barber, Claire E.H. ; Duarte-García, Alí ; Garg, Shivani ; Machua, Wambui ; Rodgers, Wendy ; Santiago-Casas, Yesenia ; Suter, Lisa ; Bartels, Christie M. ; Yazdany, Jinoos
• Description:
  Background:
  
  As part of a Centers for Disease Control and Prevention-funded ACR initiative, we sought to develop quality measures related to Patient Reported Outcome Measure (PROM) use for SLE clinical care.
  
  Methods:
  
  An expert workgroup composed of physician, patient, and researcher representatives convened to identify PRO domains of greatest importance to people with SLE. A patient advisory panel separately ranked domains. PROMs assessing priority domains were identified through structured literature review and detailed psychometric reviews were conducted for each PROM. In a Delphi process, the expert workgroup rated PROMs on content validity, psychometric quality, feasibility of implementation, and importance for guiding patient-self management. The patient advisory panel reviewed PROMs in parallel and contributed to the final recommendations.
  
  Results:
  
  Among relevant PRO domains, the workgroup and patient partners ranked depression, physical function, pain, cognition, and fatigue as high-priority domains. The workgroup recommended at least once yearly measurement for 1) assessment of depression using the Patient Health Questionnaire or Patient Reported Outcomes Measurement Information System (PROMIS) depression scales; 2) assessment of physical function using PROMIS physical function scales or the Multi-Dimensional Health Assessment Questionnaire (MDHAQ); and 3) optional assessments of fatigue and cognition. Pain scales evaluated were not found to be sufficiently superior to what is already assessed in most SLE clinic visits.
  
  Conclusions:
  
  Expert workgroup members and patient partners recommend that clinicians assess depression and physical function at least once yearly in all people with SLE. Additional PROMs addressing cognition and fatigue can also be assessed. Next steps are to incorporate PROM-based quality measures into the ACR’s RISE registry.
  
  
• Subjects:
  Consensus Delphi Technique Humans Lupus Erythematosus, Systemic Patient Reported Outcome Measures Psychometrics Reproducibility Of Results Rheumatology United States
• Source:
  Arthritis Care Res (Hoboken). 76(6):777-787
• Pubmed ID:
  38225171
• Pubmed Central ID:
  PMC11132939
• Document Type:
  Journal Article
• Funding:
  K24 AR074534/AR/NIAMS NIH HHSUnited States/ ; UL1 TR002373/TR/NCATS NIH HHSUnited States/ ; CC/CDC HHSUnited States/ ; CC/CDC HHSUnited States/ ; STAR-19-0611/CIHR SI2-169745/Canadian Institutes of Health Research Institute of Musculoskeletal Health and Arthritis/ ; K24-AR-074534/NIH/National Institute of Arthritis and Musculoskeletal and Skin Diseases/
• Volume:
  76
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:4038992142ae032e1019f92b7c2a507eea08fcfe8606fac6c91ae48b9f5d6874f3997e9843ff5eb289656713cd5a2bc0fa9c27add7c139a76e328611153021b8
• Download URL:
  https://stacks.cdc.gov/view/cdc/157053/cdc_157053_DS1.pdf
• File Type:
  [PDF - 464.41 KB ]