Efficient and automated collection of PROMs and PREMs providing doctors with real-time insights into patient progress and enabling tailored treatment plans for musculoskeletal impaired patients.

Pitch Initiative:

PrismaScan is web-based software in which PROMs and PREMs are offered in an efficient and automated manner. Aim is to make this process minimal time consuming for both patient and doctor. The clear visualization of the results can be an added value for diagnostics and monitoring of the treatment effects. Currently, PrismaScan is used in a population which mainly consists of patients with chronic complaints of the musculoskeletal system. All patients who make a first appointment automatically receive an invitation to complete the questionnaire the next day. Due to a direct link with the electronic patient file, no additional
administrative actions are required. The questionnaires can be completed on a mobile phone. The questionnaires have been selected for the ability to provide quick answers, and the questions must be clinically relevant to the doctor. This way, the patient spends little time answering the questions and this gives the doctor a flying start to the consultation hour. The patient hears the information which was entered into the questionnaires back from the physician and therefore the patient may feel heard and understood. Patients fill in (checkbox) what the main complaint is and what other complaints exist. This ‘self-diagnosis’ (ICD-11
codes) is checked by the doctor and can be adjusted if necessary. The patient indicates on a VAS scale how much pain is experienced and answers PROMIS Physical Functioning questions through Computer Adaptive Testing (CATs) The necessary relevant PROMIS information is collected within an average of 4 to 5 questions. In total, a patient has to spend about 40 to 50 seconds answering all questions. Since it takes less than a minute to answer the questions, most
people (74%)are willing to answer the follow-up questions again after6 weeks and after 6 months without any encouragement.

The PREMs are administered anonymously after 8 weeks. The current patient group mainly consists of people with chronic lower back complaints, pelvic
complaints and neck complaints, but also shoulder, hip, knee and ankle complaints. The basic Musculoskeletal Medicine treatment consists of manual mobilization techniques sometimes combined with additional injection therapy and often combined with an adequate short-term
stabilization training program specifically aimed at mobility restrictions in the relevant movement chains.

By using PrismaScan in practice, doctors gain insight into the patient’s course of complaints, but it also provides insight into how the entire patient population is doing during and after treatment. Preliminary results show that with a response rate of 74% the mean VAS pain score decreases from 6.0 to 3.7 within 6 weeks and is stable (3.6) after 6 months. The PROMIS Physical Function Score increases from 43.7 to 46.8 in 6 weeks and 47.4 after 6 months (Population mean is 50).