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Patient-reported Outcomes in Clinical Trials of Inflammatory Bowel Disease: A Systematic Review and Meta-analysis - PubMed

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  • #clinical trials
  • #inflammatory bowel disease
  • #patient-reported outcomes
  • Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) are increasingly important in clinical trials for inflammatory bowel disease (IBD).
  • A systematic review and meta-analysis of 132 randomized controlled trials (RCTs) identified 29 PROMs, with IBD Questionnaire, PRO-2, Euro QoL survey, and 36-item Short Form being most common.
  • PROM reporting shows substantial heterogeneity in outcome definitions and formats.
  • Pooled placebo outcome rates for PROMs range from 25.2% to 43.6%, with smaller effect sizes compared to primary endpoints.
  • Only a minority of 78 PROMs were extensively validated, including IBD Control, IBD Disability Index, and IBDQ; none followed regulatory recommendations.