Understanding providers' perspectives using patient-reported outcomes in a pain management setting: a pilot study

Pain Manag. 2024 Apr 4. doi: 10.2217/pmt-2023-0084. Online ahead of print.

Abstract

Aim: This pilot study evaluated an electronic patient-reported outcomes collection system in pain management to understand providers' experiences using the data, and how it affects their patient interaction and guides their clinical decision-making. Materials & methods: Using stratified convenience sampling, nine semi-structured interviews were conducted with consented pain physicians. The transcribed, de-identified interviews were coded and analyzed. Results: Although most physicians utilized patient reported outcomes (PROs), one-third reported no significant change in their practice since implementation and 56% stated it does not influence their treatment recommendations. Conclusion: Despite the importance of measuring the impact of chronic pain on quality of life, there are significant limitations to the real-world use of PRO that may limit the patient's assessment and care.

Keywords: HRQoL; PRO; PROMIS; chronic pain; health related quality of life; physician perspectives.