The use of real-world effectiveness measurements in clinical settings at Helsinki University Hospital: a systematic literature review

Author:

Koskinen Kati12,Hytönen Maija3,Räsänen Pirjo4

Affiliation:

1. External Evaluation Unit, University of Helsinki & Helsinki University Hospital, University of Eastern Finland, Finland

2. Hospital District of Helsinki and Uusimaa, External Evaluation Unit, Tynnyrintekijänkatu 1 C, Helsinki, Finland

3. Department of Otorhinolaryngology – Head & Neck Surgery, University of Helsinki & Helsinki University Hospital, Finland

4. External Evaluation Unit, University of Helsinki & Helsinki University Hospital, Finland

Abstract

Aim: Patient reported outcomes collected alongside clinical trials do not reflect real-world effectiveness (RWE). This review assessed the use of RWE measurements in routine clinical treatment and the instruments applied to collect that data. Materials & methods: The RWE articles published from HUS (Helsinki University Hospital) were extracted from several databases. Results: Out of 170 eligible articles, generic health-related quality of life instruments were used in 87 (51.2%) and disease-specific health-related quality of life instruments in 58 (34.1%) articles as a primary measurement. Most of the articles pertained to surgery, gynecology and pediatric surgery. Conclusion: The number of articles assessing RWE is very limited compared with all the articles published from HUS. Thus, we still have limited information about the effectiveness of the treatment in real life.

Publisher

Future Medicine Ltd

Subject

Health Policy

Reference11 articles.

1. Helsinki University Hospital (2019). www.hus.fi

2. Drummond MF , Sculpher MJ , Claxton K , Stoddart GL , Torrance GW . Methods for the Economic Evaluation of Health Care Programmes (4th Edition). Oxford University Press, Oxford, UK, 20–73 (2015).

3. TRULY INEFFICIENT OR PROVIDING BETTER QUALITY OF CARE? ANALYSING THE RELATIONSHIP BETWEEN RISK-ADJUSTED HOSPITAL COSTS AND PATIENTS' HEALTH OUTCOMES

4. Sintonen H , Pekurinen M , Linnakko E . Terveystaloustiede (Health Economics) (2nd Edition). WSOY, Porvoo, Finland, 45–49 (1997).

5. Drummond MF , McGuire A . Economic Evaluation in Health Care: Merging Theory with Practice. Oxford University Press, Oxford, UK, 25–32 (2001).

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