OBJECTIVES: In an effort to standardise the use of patient-reported outcomes measures (PROMs), the International Consortium for Health Outcomes Measurements (ICHOM) has proposed a minimum set required to evaluate patients with inflammatory arthritis. We aim to explore their pattern of use among Spanish rheumatologists in routine care and to explore potential barriers that could hinder their implementation.

METHODS: Two round-Delphi targeted at rheumatologists were conducted, guided by a Scientific Committee composed of 4 expert rheumatologists. The survey assessed the current use, appropriateness, and feasibility of the Visual Analogical Scale (VAS) to evaluate pain and fatigue, Health Assessment Questionnaire (HAQ) for functional capacity, generics Health-Related Quality of Life (HRQoL) questionnaires for health impact, self-administered comorbidity questionnaire (SCQ) for comorbidity and Work Productivity and Activity Impairment Questionnaire (WPAI) for work/school productivity. Barriers to implement PROMs in clinical practice were explored. A 7-point Likert scale was used. Consensus was reached when ≥75% rated 6-7 (agreement) or 1-2 (disagreement).

RESULTS:

CONCLUSIONS: Pain, fatigue, and physical function are routinely assessed using PROMs by Spanish rheumatologists. However, other domains as HRQoL or work/school productivity are not commonly implemented. To promote the use of PROMs strategies including optimising consultation time and facilitating PROMs collection into medical records are required.