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Tarantino MD, Mosalpuria K, Kolodny S, Zhang J, Vredenburg M, Jamieson BD. Safety, efficacy, and treatment satisfaction in adults with ITP who switched to avatrombopag from another TPO-RA. Blood Adv 2025; 9:2733-2743. [PMID: 40101243 DOI: 10.1182/bloodadvances.2024015635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2024] [Revised: 02/28/2025] [Accepted: 02/28/2025] [Indexed: 03/20/2025] Open
Abstract
ABSTRACT This phase 4, multicenter, open-label study was conducted to evaluate the safety, efficacy, and treatment satisfaction of switching to avatrombopag from another thrombopoietin receptor agonist (TPO-RA) in patients with immune thrombocytopenia (ITP). Adults who had received ≥90 days of treatment with eltrombopag or romiplostim and had a response (2 platelet counts [PCs] ≥50 × 109/L) switched to avatrombopag with no protocol-defined washout period. The primary end point was the incidence of treatment-emergent adverse events (TEAEs) and serious TEAEs. Secondary end points were the proportion of patients who had a PC between ≥50 × 109/L and ≤200 × 109/L (days 15, 30, 60, and 90) and change from baseline in each domain of the self-administered Treatment Satisfaction Questionnaire for Medication (TSQM) to day 90. Among 60 enrolled patients, 58.3% experienced TEAEs and 10.0% experienced serious TEAEs (1 related to avatrombopag [thrombocytopenia that resolved]; 5 unrelated [1 unrelated death]). A PC ≥50 × 109/L to ≤200 × 109/L was reported for 51.7%, 31.7% (mean PC, 256.2 × 109/L [standard deviation, 176.7 × 109/L]), 55.0%, 60.0%, and 55.0% at baseline and on days 15, 30, 60, and 90, respectively. TSQM scores increased from baseline to day 90 across all domains (mean change: convenience, +13.5; effectiveness, +14.4; global satisfaction, +14.2; side effects, +8.3). There was no correlation between stable avatrombopag dose (day 90) and previous TPO-RA dose (high or low). Patients with ITP may safely switch from another TPO-RA to avatrombopag and maintain adequate PCs while experiencing improved treatment satisfaction. This trial was registered at www.ClinicalTrials.gov as #NCT04638829.
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Bertl M, Schleitzer J, Kamp MA, von Sass C, Schwarz F, Schöffski O, Senft CA, Dinc N. Patient perspectives in neurosurgery: the role of patient-reported experience measures (PREM) in enhancing care quality. Neurosurg Rev 2025; 48:494. [PMID: 40481303 DOI: 10.1007/s10143-025-03654-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2025] [Revised: 04/28/2025] [Accepted: 06/01/2025] [Indexed: 06/11/2025]
Abstract
PURPOSE To evaluate the impact of Patient-Reported Experience Measures (PREMs) on satisfaction and care quality and identify factors influencing patient evaluations. A modified patient survey was conducted at the Department of Neurosurgery at the University Hospital Jena. Additionally, a comprehensive literature review was performed to contextualize the findings and assessed the significance and preferred applications of PREMs in current research. METHODS This monocentric study employed a modified questionnaire developed in accordance with internal quality standards. The questionnaire was distributed anonymously to neurosurgical inpatients treated at the University Hospital Jena between May 1, 2023 and July 31, 2023. Data collection took place through postal surveys and during discharge management. RESULTS Of the 159 patients included, 69 completed the questionnaire, with 46 responding by post and 23 in person. The response rate was 66.7% for postal surveys and 33.3% for on-site collection (p < 0.001). Overall satisfaction was high, with 96.8% of respondents indicating that they would recommend the hospital. More than half of patients rated care quality and physician communication as "very good". Patients who provided positive evaluations of physician communication were significantly more likely to rate overall care quality as "good" to "very good" (p = 0.002). Additionally, surgical treatment and hospital recommendation were identified as significant predictors of care quality. CONCLUSION Physician communication strongly correlates with patient satisfaction, symptom improvement, and treatment adherence. Expanding the use of PREMs and providing clinician training in relationship-centered communication can enhance patient-centered care, leading to measurable improvements in healthcare outcomes.
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Affiliation(s)
- Marie Bertl
- Department of Neurosurgery, Jena University Hospital, Friedrich-Schiller-University, Jena, Germany.
| | - Jana Schleitzer
- Quality Management Jena University Hospital, Friedrich-Schiller-University, Jena, Germany
| | - Marcel Alexander Kamp
- Center for Palliative and Neuro-palliative Care, Brandenburg Medical School, Faculty of Heath Sciences Brandenburg, Rüdersdorf Berlin, Germany
- Chair for Health Management, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Christiane von Sass
- Center for Palliative and Neuro-palliative Care, Brandenburg Medical School, Faculty of Heath Sciences Brandenburg, Rüdersdorf Berlin, Germany
- Chair for Health Management, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | - Falko Schwarz
- Department of Neurosurgery, Jena University Hospital, Friedrich-Schiller-University, Jena, Germany
- Quality Management Jena University Hospital, Friedrich-Schiller-University, Jena, Germany
| | - Oliver Schöffski
- Chair for Health Management, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
| | | | - Nazife Dinc
- Department of Neurosurgery, Jena University Hospital, Friedrich-Schiller-University, Jena, Germany
- Quality Management Jena University Hospital, Friedrich-Schiller-University, Jena, Germany
- Chair for Health Management, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany
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Pochrzęst-Motyczyńska A, Ostrowski J, Sys D, Pinkas J, Religioni U. Patient Satisfaction in Primary and Specialised Ambulatory Healthcare: A Web-Based Cross-Sectional Study in the Polish Population. Healthcare (Basel) 2025; 13:1147. [PMID: 40427983 PMCID: PMC12111024 DOI: 10.3390/healthcare13101147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2025] [Revised: 05/06/2025] [Accepted: 05/13/2025] [Indexed: 05/29/2025] Open
Abstract
Background: Patient satisfaction is one of the key patient-reported indicators of healthcare quality. In the study, we assess satisfaction with visits to primary healthcare (POZ) and specialised ambulatory healthcare (AOS). Methods: This web-based cross-sectional study was conducted in a representative sample of 725 patients from the Polish population in June 2023. The study employed the Patient Expectations Scale, comprising 18 statements addressing various aspects of a medical visit. Results: The average satisfaction rating for the medical visit was 7.41 (±2.34) out of 10, with a median of 8. Strong correlations were found between overall visit satisfaction and specific aspects of the doctor-patient interaction. The highest correlations were observed for expressions of empathy and support, such as "showed concern" (r = 0.73) and "encouraged me" (r = 0.68), as well as for clear communication about treatment ("presented a probable course of treatment" (r = 0.62) and disease consequences (r = 0.55). Presenting test results (r = 0.51) and treatment recommendations (r = 0.63) were also significantly associated with overall satisfaction (all p < 0.001). Conclusions: This study shows that patients reported higher satisfaction with specialised ambulatory care (AOS) than with family medicine (PR), mainly due to better communication, encouragement and concern from AOS doctors. Improving healthcare quality in Poland requires not only financial and organisational efforts but also a focus on patient expectations, supported by regular use of satisfaction measurement tools.
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Affiliation(s)
| | - Janusz Ostrowski
- School of Public Health, Centre of Postgraduate Medical Education, Kleczewska 61/63, 01-826 Warsaw, Poland
| | - Dorota Sys
- Department of Biochemistry and Molecular Biology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warsaw, Poland;
| | - Jarosław Pinkas
- School of Public Health, Centre of Postgraduate Medical Education, Kleczewska 61/63, 01-826 Warsaw, Poland
| | - Urszula Religioni
- School of Public Health, Centre of Postgraduate Medical Education, Kleczewska 61/63, 01-826 Warsaw, Poland
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Montastruc JL. Drugs and patient's dissatisfaction reporting: From a disproportionality pharmacovigilance analysis to social pharmacology. Therapie 2025:S0040-5957(25)00063-0. [PMID: 40379573 DOI: 10.1016/j.therap.2025.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2025] [Revised: 04/09/2025] [Accepted: 04/24/2025] [Indexed: 05/19/2025]
Abstract
INTRODUCTION Patient satisfaction is a key element in medical practice. Few studies have investigated patient satisfaction or dissatisfaction with their drug treatment. METHOD Using the World Health Organization (WHO) global pharmacovigilance database, we investigated, through disproportionality analyses, potential associations between exposure to drugs and "patient dissatisfaction with treatment" reports. All reports of "patient dissatisfaction with treatment" in adults until 31/12/2024 were included. RESULTS/DISCUSSION Results are expressed as reporting odds ratio (ROR). Among 506 reports, three quarters came from consumers, involving mainly women aged between 45 and 64. The main coreported term was drug inefficacy (before adverse drug reactions). The first anatomical therapeutic chemical (ATC) group was dermatological drugs (25.5%) followed by alimentary tract and metabolism (24.3%), nervous system (22.5%) drugs. A significant association was found with 22 drugs with the highest ROR values for plecanatide, efinaconazole and avatrombopag. CONCLUSION Despite its mandatory limitations (underreporting, selective reporting…), this study shows that pharmacovigilance data could help to understand some aspects of social pharmacology, here, patient dissatisfaction with their drug treatment.
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Affiliation(s)
- Jean-Louis Montastruc
- Emeritus Professor of Medical and Clinical Pharmacology, 31000 Toulouse, France; French Academy of Medicine, 75000 Paris, France.
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Tao Y, Shen Z, Guan T, Kang Y, Chen X, Zhang Y. The measurement properties of patient experience scales in the intensive care unit: A systematic review. Nurs Crit Care 2025; 30:e70005. [PMID: 40108977 DOI: 10.1111/nicc.70005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2024] [Revised: 01/03/2025] [Accepted: 02/08/2025] [Indexed: 03/22/2025]
Abstract
BACKGROUND As health care recipients, patients play an essential role in evaluating health care quality. Critical care patients have specific experiences that differ from those of regular patients. Existing instruments of patient experience to improve intensive care quality and their measurement properties should be defined. AIM To review the existing tools for measuring patient experience in the intensive care unit (ICU) and evaluate their measurement properties. STUDY DESIGN This is a systematic review. The PubMed, CINAHL complete, Ovid: Embase, ProQuest Health and Medical complete and Cochrane Library databases were systematically screened from their inception to 9 November 2022. All the research that reported the development and measurement properties of instruments for ICU patient-perceived care was included. The COnsensus-based Standards for the selection of health Measurement Instruments risk of bias checklist (COSMIN-RoB-Checklist) was applied to assess the psychometric indicators of the included studies. RESULTS The search yielded 565 documents, of which 15 scales described in 17 studies met the inclusion requirements. Of the 15 scales, seven assessed ICU patient satisfaction and eight assessed patient experience. We categorized the items from existing scales into different elements based on the National Health Service (NHS) framework. The most frequently assessed elements are 'Respect for patient-centred values, preferences and expressed needs', 'Information, communication and education' and 'Physical comfort' (93.33%, 14/15), while 'Transition and continuity' (33.33%, 5/15) is the least frequently measured. There are no studies presenting all the criteria of measurement properties outlined by the COSMIN. In the scale development part, only eight of the items met the requirements of the pilot test. Among all the measurement properties, internal consistency (80%, 12/15) and structural validity (80%, 12/15) were the two most frequently measured attributes. The three most uncommon measurement properties were retest reliability (five, 33.33%), responsiveness (four, 26.67%) and measurement error (three, 20%). CONCLUSIONS To enhance the quality of intensive care, it is essential to use professional scales to gather feedback from ICU patients. This systematic review examines existing tools and evaluates their measurement properties using the COSMIN-RoB-Checklist. Further research is needed to develop a strong patient experience framework and reliable psychometric properties. RELEVANCE TO CLINICAL PRACTICE Given the insufficient attention to critical care patients' experience, this review summarizes current patient experience scales in the intensive care unit and presents their measurement properties. This helps clinicians select more appropriate tools, develop better intensive care patient experience scales, enhance the understanding of intensive care quality and ultimately improve the excellence of work in ICUs.
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Affiliation(s)
- YuChen Tao
- Department of Nursing, Zhongshan Hospital Fudan University, Shanghai, China
- School of Nursing, Fudan University, Shanghai, China
| | - ZhiYun Shen
- Department of Nursing, Zhongshan Hospital Fudan University, Shanghai, China
| | - TingYu Guan
- School of Nursing, Fudan University, Shanghai, China
| | - Yicheng Kang
- Department of Nursing, Zhongshan Hospital Fudan University, Shanghai, China
| | - Xiao Chen
- Department of Nursing, Zhongshan Hospital Fudan University, Shanghai, China
| | - YuXia Zhang
- Department of Nursing, Zhongshan Hospital Fudan University, Shanghai, China
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Huang J, Yang J, Han M, Xue Z, Xu M, Qi H, Chen J, Xue C, Wang Y. Psychometric evaluation of patient-reported experience measures for peri-anesthesia care: A systematic review based on COSMIN guidelines. Int J Nurs Stud 2025; 161:104930. [PMID: 39427463 DOI: 10.1016/j.ijnurstu.2024.104930] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2024] [Revised: 10/07/2024] [Accepted: 10/09/2024] [Indexed: 10/22/2024]
Abstract
BACKGROUND Patient Reported Experience Measures (PREM) have become a critical component in assessing healthcare quality from the patient's perspective. Accurate and reproducible assessment tools are essential for generating robust and reliable results for evaluating peri-anesthesia patient experiences, identifying associated factors, and assessing the impact of healthcare interventions. However, there is currently no systematic review that consolidates all existing peri-anesthesia PREMs and evaluates their psychometric properties. OBJECTIVE To identify and assess the psychometric properties of PREMs for peri-anesthesia patients. DESIGN Systematic review of measurement properties following the COSMIN guidelines. METHODS Systematic searches were conducted in China National Knowledge Infrastructure, Wanfang, PubMed, Embase, Web of Science, CINAHL, and PsycINFO databases from January 1, 1993, to April 15, 2024. Studies reporting on the development and/or validation of any PREMs for use in the peri-anesthesia period were considered eligible. The measurement properties extracted included data on the item development process, content validity, structural validity, internal consistency, cross-cultural validity, reliability, hypothesis testing and responsiveness. For the same PREM across different studies, reliability coefficients were analyzed using a meta-analysis. The quality assessment, rating of measurement properties, synthesis, and modified grading of the evidence were carried out following the COSMIN methodology for systematic reviews. RESULTS A total of 26 studies encompassing 16 PREMs were included. Among them, the Patient Satisfaction with Perioperative Anesthetic Care questionnaire (PSPACq), Perception of Quality in Anesthesia (PQA), Sindhvananda General Anesthesia Satisfaction questionnaire, and Daycare Anesthesia Satisfaction (DAS) demonstrated moderate to high-quality evidence of adequate content validity and internal consistency, resulting in strong recommendations. Five PREMs exhibited high-quality evidence of inadequate structural validity and internal consistency, receiving a "not recommended" status. The remaining PREMs were weakly recommended. CONCLUSIONS This systematic review identified PSPACq and PQA as effective tools for assessing peri-anesthesia experiences in surgical patients, suitable for both research and clinical use. Future studies should focus on thoroughly evaluating the measurement properties of these two PREMs, as many aspects remain underexplored. A high risk of bias was noted in other PREMs, particularly in content validity, structural validity, and reliability, which increases uncertainty in the evidence base. REGISTRATION This study's protocol has been registered at PROSPERO under the registration number CRD42024537900.
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Affiliation(s)
- Jingying Huang
- Postanesthesia Care Unit, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Jin Yang
- Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Mengbo Han
- Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Zihao Xue
- Operating Room, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Miaomiao Xu
- Orthopedics Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Haiou Qi
- Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
| | - Jiaojiao Chen
- Orthopedics Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Caiya Xue
- Urology Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Yuting Wang
- Department of Anesthesiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
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Benson T, Benson A. Routine measurement of patient experience. BMJ Open Qual 2023; 12:bmjoq-2022-002073. [PMID: 36707125 PMCID: PMC9884896 DOI: 10.1136/bmjoq-2022-002073] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 12/23/2022] [Indexed: 01/28/2023] Open
Abstract
Patient experience is a key pillar of healthcare quality. We describe a framework of three short generic measures covering Patient Experience, Result Satisfaction and Service Integration. The Result Satisfaction measure is described for the first time.These measures capture twelve aspects of patient experience covering the relationship between patients and clinicians (Patient Experience), the immediate results of the consultation or treatment as perceived by patients (Result Satisfaction) and collaboration between different healthcare services and silos (Service Integration). Each measure has four items.These measures are compared with three national measures: the Friends and Family Test and the General Practice Patient Survey used in England, and HCAHPS used in US hospitals. The expected benefits of national measures are not being achieved and we need to think again about how best to tailor health services to meet patients' expectations.The three measures described (Patient Experience, Result Satisfaction and Service Integration) are generic, short and have low reading ages. They share common forms and scoring schemes, which mean that they can be used individually or in combination at all levels of a healthcare provider.
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Affiliation(s)
- Tim Benson
- R-Outcomes Ltd, Newbury, UK .,Institute of Health Informatics, UCL, London, UK
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