Outcomes Assessment in Clinical Settings: A Consensus Statement on Principles and Best Practices in Project Management

Davies, Allyson Ross; Doyle, M. Anne Thomas; Lansky, David; Rutt, Wilmer M.; Stevic, Marcia Orsolits; Doyle, John B.

doi:10.1016/s1070-3241(16)30049-9

Cited by 48 publications

(33 citation statements)

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“…The scores generated showed that the measure was able to differentiate between levels of health in individuals at a single time point and in the same individuals over time, thereby satisfying an important feature for a useful health status measure in health outcome assessment [16]. The preoperative SF-36 scores ranged from a minimum of 14.7 in the domain of role limitation due to physical factors to 61.1 in mental health, which were generally low scores (Table 3).…”

Section: Discussionmentioning

confidence: 98%

Assessment of changes in general health status using the short-form 36 questionnaire 1 year following coronary artery bypass grafting

Lindsay¹

2000

European Journal of Cardio-Thoracic Surgery

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Objective: The problem addressed in the study was to gain a greater understanding of the health bene®ts of coronary artery bypass grafting (CABG). The purpose of the study was to assess general health status, using the short-form (SF)-36 questionnaire, approximately 12 months following CABG, and to document any associations between pre-operative health status, level of social support, coronary artery disease (CAD) risk factors, CAD symptom severity and post-operative health status. Methods: The study was prospective and observational in design and included assessments at two time points, namely pre-operatively in a hospital outpatient department (1995±1996) and postoperatively at home (1996±1997). Two hundred and fourteen patients awaiting elective CABG were recruited a month before the expected date of operation. Pre-operative assessment included: (1), severity of symptoms; (2), CAD risk factors; (3), SF-36 questionnaire; and (4), social activities questionnaire. Post-operative assessment measured health status using the SF-36 instrument (mean, 16.4 months). Correlation and multiple linear regression analyses were used to identify factors associated with improved health status following CABG. Results: Two hundred and fourteen patients were assessed pre-operatively and underwent CABG. There was a 4.8% 30-day mortality rate, and 183 patients were followed for a mean of 16.4 months after CABG. SF-36 scores following CABG were improved across all of the eight domains (P , 0:001). A higher social network score and higher pre-operative health status were associated with improved health status. Patients with lower health levels (SF-36 scores) prior to CABG were less likely to gain improvement in health (SF-36 scores) following CABG. Lower SF-36 scores following operation were in¯uenced by the presence of diabetes mellitus, cigarette smoking, younger age, a high socio-economic deprivation category and higher alcohol intake. Many patients had uncorrected CAD risk factors at pre-operative assessment. Conclusions: The SF-36 instrument was shown to be a useful and sensitive tool to assess differences and changes in the general health status of patients before and following CABG. High levels of social support were associated with improved health status post-operatively. Lower preoperative general health status, the presence of diabetes mellitus and cigarette smoking were associated with poorer post-operative general health status. q

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Section: Discussionmentioning

confidence: 98%

Assessment of changes in general health status using the short-form 36 questionnaire 1 year following coronary artery bypass grafting

Lindsay¹

2000

European Journal of Cardio-Thoracic Surgery

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“…As a result, treatment outcomes may be poorer in depleted than in well-nourished patients, as clearly shown in this long-term follow-up of a clinical trial of nutritional therapy. Outcomes research (eg, hard evidence on the effectiveness of adjuvant nutrition) is essential to prove the value of any nutritional intervention (25)(26)(27). Research should be actionoriented so that interventions leading to positive outcomes can be determined and ineffective practices phased out or discarded (28).…”

Section: Discussionmentioning

confidence: 99%

Individualized nutrition intervention is of major benefit to colorectal cancer patients: long-term follow-up of a randomized controlled trial of nutritional therapy

Ravasco¹,

Grillo²,

Camilo³

2012

The American Journal of Clinical Nutrition

203

188

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Background: In our published randomized trial in colorectal cancer, group 1 (n = 37) received individualized nutritional counseling and education about regular foods, group 2 (n = 37) received dietary supplements and consumed their usual diet of regular foods, and group 3 (n = 37) consumed their usual diet of regular foods. Neither group 2 nor group 3 received individualized counseling. Early nutritional counseling during radiotherapy was highly effective at reducing acute radiotherapy toxicity and improving nutritional intake/status and quality of life (QoL). Efficacy persisted for 3 mo after the intervention. Objective: The objective was to perform long-term follow-up in survivors of that clinical trial to specifically evaluate survival, late toxicity, QoL, and nutritional variables. Design: Medical data were collected from patients' records, and prescheduled interviews were conducted by dietitians for individualized evaluations. Analyses and comparisons between groups (adjusted for stage) were performed after a median follow-up of 6.5 (range: 4.9-8.1) y.

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“…From the perspective of the service provider, outcome research provides empirical information on the effectiveness of routine care for particular populations, and identifies opportunities for improvement. 11 standards are derived to some extent from outcome data although are often still grounded in expert opinion. 8,22 Best practice is specifically addressed through treatment outcome research, which evaluates the effectiveness of specific interventions in enhancing client outcomes.…”

Section: Why Is Outcome Research Important?mentioning

confidence: 99%

“…In a recent consensus statement on principles of best practice, outcomes management should involve '...the use of information and knowledge gained from outcome monitoring to achieve optimal patient outcomes through improved clinical decision making and service delivery' (p 9). 11 Public health administrators wish to ensure that health care funds are judiciously invested. There is an interest in cost containment that should be balanced with quality care.…”

Section: Why Is Outcome Research Important?mentioning

confidence: 99%

“…The steps involved in carrying out outcome studies are outlined in the consensus document by Davies and coworkers. 11 A number of research designs may be employed in outcome studies, depending on the type of project and the objectives being explored (see Cummings et al 28 for detailed descriptions of designs). For all studies, outcomes should ideally be assessed in a blind fashion using standardized procedures so as to yield more objective data.…”

Section: Why Is Outcome Research Important?mentioning

confidence: 99%

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Importance of outcome determination in pediatric rehabilitation

Majnemer

Limperopoulos

2002

Develop Med Child Neuro

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Outcomes Assessment in Clinical Settings: A Consensus Statement on Principles and Best Practices in Project Management

Cited by 48 publications

References 0 publications

Assessment of changes in general health status using the short-form 36 questionnaire 1 year following coronary artery bypass grafting

Assessment of changes in general health status using the short-form 36 questionnaire 1 year following coronary artery bypass grafting

Individualized nutrition intervention is of major benefit to colorectal cancer patients: long-term follow-up of a randomized controlled trial of nutritional therapy

Importance of outcome determination in pediatric rehabilitation

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