A Patient-centred approach to measuring quality in kidney care: PROMS and PREMS

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Purpose of review
Chronic kidney disease (CKD) is associated with symptoms that can significantly reduce the health-related quality of life (HRQOL) of patients. Patient-reported outcome and experience measures (PROMs and PREMs) may assist with the evaluation of HRQOL and quality of care from the patient perspective. This review focuses on evidence from recent studies exploring the role of PROMs and PREMs in the measurement of quality in CKD care.

Recent findings
PROMs are increasingly used in CKD research as measures of clinical effectiveness, whilst the current use of PROMs in routine clinical settings and PREMs in all settings is more limited. Electronic PROMs may be sensitive enough to detect clinically relevant PRO changes. Patients on frequent shorter-hours daily haemodialysis may experience better HRQOL compared to those on conventional haemodialysis. PROM data may correlate significantly with clinical parameters. PREMs are being utilised by healthcare professionals to inform service improvements.

PROMs and PREMs may facilitate the measurement of quality in renal care and aid the tailoring of care to individual patients. PROMs may have a potential role as prognostic markers.
Original languageEnglish
Pages (from-to)442-449
JournalCurrent Opinion in Nephrology and Hypertension
Issue number6
Publication statusPublished - Nov 2017


  • patient-reported outcome measures
  • PROMs
  • patient-reported experience measures
  • PREMs
  • chronic kidney disease
  • quality of life
  • quality of care


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