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Research ArticleOther Rheumatic Diseases

The State of Patient-Reported Outcome Measures in Rheumatology

Kenrick Manswell, Victoria Le, Kathryn Henry, Maximilian Casey, Natalie Anumolu and Michael S. Putman
The Journal of Rheumatology September 2024, 51 (9) 920-927; DOI: https://doi.org/10.3899/jrheum.2023-1073
Kenrick Manswell
1K. Manswell, BS, V. Le, BS, K. Henry, BS, M. Casey, BS, N. Anumolu, BS, M.S. Putman MD, MSci, Froedtert and the Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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Victoria Le
1K. Manswell, BS, V. Le, BS, K. Henry, BS, M. Casey, BS, N. Anumolu, BS, M.S. Putman MD, MSci, Froedtert and the Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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Kathryn Henry
1K. Manswell, BS, V. Le, BS, K. Henry, BS, M. Casey, BS, N. Anumolu, BS, M.S. Putman MD, MSci, Froedtert and the Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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Maximilian Casey
1K. Manswell, BS, V. Le, BS, K. Henry, BS, M. Casey, BS, N. Anumolu, BS, M.S. Putman MD, MSci, Froedtert and the Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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Natalie Anumolu
1K. Manswell, BS, V. Le, BS, K. Henry, BS, M. Casey, BS, N. Anumolu, BS, M.S. Putman MD, MSci, Froedtert and the Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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Michael S. Putman
1K. Manswell, BS, V. Le, BS, K. Henry, BS, M. Casey, BS, N. Anumolu, BS, M.S. Putman MD, MSci, Froedtert and the Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
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  • For correspondence: mputman@mcw.edu
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Abstract

Objective We sought to evaluate the quality and timeliness of patient-reported outcome (PRO) measure reporting, which have not been previously studied.

Methods Clinical trials that informed new US Food and Drug Administration (FDA) approvals for the first rheumatological indication between 1995 and 2021 were identified. Data were recorded to determine whether collected PROs were published, met minimum clinically important difference (MCID) or statistical significance (P < 0.05) thresholds, and were consistent with Consolidated Standards of Reporting Trials (CONSORT)-PRO standards. Hazard ratios and Kaplan-Meier estimate were used to assess the time from FDA approval to PRO publication.

Results Thirty-one FDA approvals corresponded with 110 pivotal trials and 262 reported PROs. Of the 90 included studies, 1 (1.1%) met all 5 recommended items, 10 (11.1%) met 4 items, 17 (18.9%) met 3 items, 21 (23.3%) met 2 items, 26 (28.9%) met 1 item, and 15 (16.7%) met none of the reporting standards. Most PROs met MCID thresholds (149/262; 56.9%) and were statistically significant (223/262; 85.1%). Of our subset analysis, one-third of PROs were not published upfront (70/212; 33%) and 1 of 9 (22/212; 10.4%) remained unpublished ≥ 4 years after initial trial reporting. Publication rates were highest for the Health Assessment Questionnaire–Disability Index (97.4%) and lowest for the 36-item Short Form Health Survey (81.8%). Less than half of these published PROs met MCID and statistical significance thresholds (94/212; 44.3%).

Conclusion One in 9 PROs remained unpublished for ≥ 4 years after initial trial reporting, and compliance with CONSORT-PRO reporting guidelines was poor. Efforts should be made to ensure PROs are adequately reported and expeditiously published.

Key Indexing Terms:
  • health assessment questionnaire
  • outcomes
  • quality of life
  • rheumatic diseases
  • Accepted for publication May 6, 2024.
  • Copyright © 2024 by the Journal of Rheumatology
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The State of Patient-Reported Outcome Measures in Rheumatology
Kenrick Manswell, Victoria Le, Kathryn Henry, Maximilian Casey, Natalie Anumolu, Michael S. Putman
The Journal of Rheumatology Sep 2024, 51 (9) 920-927; DOI: 10.3899/jrheum.2023-1073

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The State of Patient-Reported Outcome Measures in Rheumatology
Kenrick Manswell, Victoria Le, Kathryn Henry, Maximilian Casey, Natalie Anumolu, Michael S. Putman
The Journal of Rheumatology Sep 2024, 51 (9) 920-927; DOI: 10.3899/jrheum.2023-1073
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Keywords

HEALTH ASSESSMENT QUESTIONNAIRE
OUTCOMES
QUALITY OF LIFE
RHEUMATIC DISEASES

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