![]() ![]() ![]() ![]() We also agree that in doing so we will take important steps towards tackling some of the practical and cultural challenges which we have failed to address adequately. We have to do much better in placing patient perspective at the centre of cancer research and of cancer care. We have failed to exploit the opportunities presented by Patient Reported Outcome Measures (PROMs) that can help us do so. Clinical researchers and health service developers have yet to place the patient perspective and the patient-centred approach centre stage. In the article he takes an overview of cancer research, recognising the progress that has been made both in cancer diagnosis and treatment and in patient outcomes, but enters substantial and important challenges. We write in response to Roger Wilson’s thoughtful, stimulating and challenging paper “Patient led PROMs must take centre stage in cancer research”, published in Research Involvement and Engagement. Active research programmes on methodology and closer working between healthcare professionals, cancer patients and patient advocates are the key requirements to speed up the use and application of PROMs and which should bring benefits to cancer patients and healthcare services. Barriers to placing PROMs centre stage in all of these areas of activity remain in methodology and to a degree in professional attitudes and culture. We conclude that there has been substantial scientific progress but that it has, arguably, been relatively slow. We have critically evaluated what has been achieved to use patient reported outcomes in randomised controlled trials, in routine clinical practice and in population surveys. In response to Roger Wilson’s challenge to place a patient-centred approach using Patient Reported Outcome Measures (PROMs) across all of the patient pathway, we have summarised progress over 40 years. However, there is a great deal more work to be done on methodology and perhaps to change attitudes and cultures within the healthcare professions before they can deliver all of their potential to bring benefits to cancer patients. There is good evidence that PROMs can contribute valuable inputs into the results of randomised controlled trials, clinical consultations and surveys of whole populations even at a national level. When they are used, studies and cancer service developments are clearly constrained to focus on what matters to patients rather than, perhaps what matters to health service professionals or recent exciting but perhaps relatively unproven new technologies. They provide a powerful way of working out whether an aspect of diagnosis or treatment for cancer is bringing real benefits to patients that can be measured using these structured questionnaires. The ability to collect information from patients using structured questionnaires (known as Patient Reported Outcome Measures or PROMs) which ask about clinical issues (such as disease symptoms or treatment side-effects) as well as social, emotional and psychological issues has existed for 40 years. The lesbian story line was fine, Prisha is a so-so character.Roger Wilson challenged cancer professionals in research and care to place the patient perspective and patient reported outcome measures centre stage. Sam was a good friend for Bess but I didn't really buy their romance, and we honestly didn't learn to much about him, it just happens that his dialogue was more entertaining than Ethan's. Every time he left the show I would immediately forget about him. Ethan had little personality and wasn't even interesting as a friend to Bess. She didn't really have crazy romantic chemistry with either boy, which made it hard to care. The parts I didn't care for were the love triangle. I loved watching her brother too, and the ups and downs of their family. The best parts were seeing Bess develop and become a more confident musician. Considering they didn't have much time across 10 episodes to dive into a bunch of plots I think they did well. I was super excited for this show because I love Sara B's music and Colton Ryan is one of my favorite broadway actors. ![]()
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