Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers.
Authors
Suchsland, Monica Zigman
Lavallee, Danielle C
Lord, Sally
Jarvik, Jeffrey G
Findlay, Steven
Trikalinos, Thomas A
Chou, Roger
Green, Beverly B
Wernli, Karen J
Fitzpatrick, Annette L
Bossuyt, Patrick M
Publication Date
2021-10-06Journal Title
BMJ Qual Saf
ISSN
2044-5415
Publisher
BMJ
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Thompson, M. J., Suchsland, M. Z., Hardy, V., Lavallee, D. C., Lord, S., Devine, E. B., Jarvik, J. G., et al. (2021). Patient-centred outcomes of imaging tests: recommendations for patients, clinicians and researchers.. BMJ Qual Saf https://doi.org/10.1136/bmjqs-2021-013311
Abstract
BACKGROUND: Imaging tests are one of the most frequently used diagnostic modalities in healthcare, but the benefits of their direct impacts on clinical decision-making have been countered by concerns that they can be overused. Assessing the relative value of imaging tests has largely focused on measures of test accuracy, which overlooks more comprehensive benefits and risks of imaging tests, particularly their impact on patient-centred outcomes (PCOs). We present the findings of the Patient Reported Outcomes of Diagnostics (PROD) research study in response to a methodological gap in the area of diagnostic test comparative effectiveness research. METHODS: Over a 3-year period, the PROD Study engaged with multiple stakeholders to identify existing conceptual models related to PCOs for imaging testing, conducted primary research and evidence synthesis, and developed consensus recommendations to describe and categorise PCOs related to imaging testing. RESULTS: The PROD framework categorises PCOs from imaging studies within four main domains: information or knowledge yielded, physical impact, emotional outcomes and test burden. PCOs interact with each other and influence effects across domains, and can be modified by factors related to the patient, clinical situation, healthcare team and the testing environment. CONCLUSIONS: Using PCOs to inform healthcare decision-making will require ways of collating and presenting information on PCOs in ways that can inform patient-provider decision-making, and developing methods to determine the relative importance of outcomes (including test accuracy) to one another.
Keywords
Original research, 1506, comparative effectiveness research, decision support, clinical, evaluation methodology, patient-centred care, quality improvement methodologies
Sponsorship
Patient-Centered Outcomes Research Institute (PCORI) (ME-1503-29245)
Identifiers
bmjqs-2021-013311
External DOI: https://doi.org/10.1136/bmjqs-2021-013311
This record's URL: https://www.repository.cam.ac.uk/handle/1810/336544
Rights
Licence:
https://creativecommons.org/licenses/by/4.0/
Statistics
Total file downloads (since January 2020). For more information on metrics see the
IRUS guide.