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From the editors' desk| Volume 95, ISSUE 8, P1419-1422, August 2014

Why Disability and Rehabilitation Specialists Should Lead the Way in Patient-Reported Outcomes

Published:April 11, 2014DOI:https://doi.org/10.1016/j.apmr.2014.03.022
      An audio podcast accompanies this article.
      Patient-reported outcomes (PROs), or any report directly from patients about their health status, including functional status and feelings, are becoming increasingly recognized as important for many reasons. Not only do PROs represent the patients' view of their health status, but they are more reflective of real life than many objective performance measures historically used in clinical research.
      • Amtmann D.
      • Cook K.F.
      • Johnson K.L.
      • Cella D.
      The PROMIS initiative: involvement of rehabilitation stakeholders in development and examples of applications in rehabilitation research.
      PROs are also more predictive of distal outcomes such as mortality in cancer, as well as function and quality of life (QOL) in people with low back pain, than are “objective” measures of disease status (such as imaging findings).
      • Jarvik J.J.
      • Hollingworth W.
      • Heagerty P.
      • Haynor D.R.
      • Deyo R.A.
      The Longitudinal Assessment of Imaging and Disability of the Back (LAIDBack) Study: baseline data.
      • Chou R.
      • Fu R.
      • Carrino J.A.
      • Deyo R.A.
      Imaging strategies for low-back pain: systematic review and meta-analysis.

      List of abbreviations:

      CER (comparative effectiveness research), EHR (electronic health record), NIH (National Institutes of Health), PRO (patient-reported outcome), PROMIS (Patient-Reported Outcomes Measurement Information System), QOL (quality of life)
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