Journal of Allergy and Clinical Immunology
Volume 144, Issue 3, September 2019, Pages 671-681.e1
Harmonized outcome measures for use in asthma patient registries and clinical practice
Richard E. Gliklich, MD,a,b Mario Castro, MD, MPH,c Michelle B. Leavy, MPH,a Valerie G. Press, MD, MPH,d Amisha Barochia, MBBS, MHS,e Christopher L. Carroll, MD, MS,f Julie Harris, MBA,g Sarah S. Rittner, MA,h Robert Freishtat, MD, MPH,i Reynold A. Panettieri, Jr, MD,j and Giselle S. Mosnaim, MD, MSk Mo, Chicago, Ill, Bethesda, Md, Hartford, Conn, Portland, Ore, Washington, DC, and New Brunswick, NJ
Background: Asthma, a common chronic airway disorder, affects an estimated 25 million persons in the United States and 330 million persons worldwide. Although many asthma patient registries exist, the ability to link and compare data across registries is hindered by a lack of harmonization in the outcome measures collected by each registry.
Objectives: The purpose of this project was to develop a minimum set of patient- and provider-relevant standardized outcome measures that could be collected in asthma patient registries and clinical practice.
Methods: Asthma registries were identified through multiple sources and invited to join the workgroup and submit outcome measures. Additional measures were identified through literature searches and reviews of quality measures and consensus statements. Outcome measures were categorized by using the Agency for Healthcare Research and Quality’s supported Outcome Measures Framework. A minimum set of broadly relevant measures was identified. Measure definitions were harmonized through in-person and virtual meetings. Results: Forty-six outcome measures, including those identified from 13 registries, were curated and harmonized into a minimum set of 21 measures in the Outcome Measures Framework categories of survival, clinical response, events of interest, patient-reported outcomes, resource utilization, and experience of care. The harmonized definitions build on existing consensus statements and are appropriate for adult and pediatric patients.
Conclusions: The harmonized measures represent a minimum set of outcomes that are relevant in asthma research and clinical practice. Routine and consistent collection of these measures in registries and other systems would support creation of a national research infrastructure to efficiently address new questions and improve patient management and outcomes. (J Allergy Clin Immunol 2019;144:671-81.)