Browsing by Author "Lehto, Anna-Rosa"

Objective: The choice of patient outcomes in clinical quality registries is crucial for comparable and relevant data collection. Ideally, a uniform outcome framework would guide the assessment of outcomes. We set out to find a suitable published framework and validate it in clinical quality registries. Study design and Setting: A literature review was conducted to find an outcome framework that is patient-centric, easy-to-use, shared with clinical research, and allows registry evaluation. Chosen outcome framework was validated by extracting and classifying outcomes from 63 clinical quality registries at HUS Helsinki University Hospital, Finland. Results: COMET taxonomy was chosen from 23 published frameworks. HUS Clinical quality registries showed great variation in outcome domains and in number of measures. Physiological outcomes were present in 98%, resource use in all, and functioning domains in 62% of the registries. Patient-reported outcome measures were found in 48% of the registries. Conclusions: The COMET taxonomy was suitable for evaluating the choice of outcomes in clinical quality registries while some improvements are suggested. HUS Helsinki University Hospital clinical quality registries exist at different maturity levels showing room for improvement in life impact outcomes and in outcome prioritization. This article offers a comparison point for other registry evaluators.