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making , but also on aggregate levels (e.g., for performance measures, in cohort
studies for comparative effectiveness research, and registries that are used to deliver
on-market data) [ 10 – 14 ]. They have been applied in population-based monitoring
[ 10 – 14 ]. Furthermore, the use of disease-specifi c PROMs as (primary) outcome
parameters of clinical trials in drug development has evolved and is now demanded
by the European Medicines Agency [ 15 ] and the US Food and Drug Administration
[ 16 ]. PROMs have even been used for health-economic studies and hence allow to
substantiate health policy decisions [ 17 ]. PROMs are available from various web-
sites in a diverse manner (see Table 15.1 ).
Paper-based assessments of PROMs are usually easily handled by patients or
their accompanying relatives/friends, but their incorporation into clinical use, deci-
sion making, or scientifi c purposes is time-consuming [ 18 , 19 ]. Thus, paper-based
Table 15.1 Link list of ePROMs
Link Annotation
http://dgrh.de/klassifi kationskrite.html Provision of PDFs of PROMs for German-
speaking countries
http://www.medal.org Provision of multilanguage PROMs
http://www.nihpromis.org/?AspxAutoDetect
CookieSupport=1#2
System that allows assessments of PROMs
as health status (physical, mental, and social
well-being)
http://oml.eular.org/ Comprehensive database of validated
patient-reported instruments (indices,
questionnaires, scales, or others) used in
rheumatology (European League Against
Rheumatism)
http://www.rheumatology.org/Practice-
Quality/Clinical- Support/Quality-
Measurement/
Disease-Activity-Functional-Status-
Assessments
Quality measures the American College of
Rheumatology approved for use in clinical
practice and research
https://www.assessmentcenter.net/ An Internet site that provides a tool for
online data collection, includes instruments
from PROMIS (The Patient-Reported
Outcome Measurement Information System)
http://www.rheuma-online.de/selbsthilfe/
online-monitoring/online-monitoring-der-
rheumatoiden-arthritis/online- monitoring-
der-krankheitsaktivitaet-einer-chronischen-
polyarthritis-rheumatoiden-arthritis-der-
elektronische-disease-activity-score-online-
edas-online.html
Online self-monitoring rheumatoid arthritis
http://www.rheumatologie-berlin.de/aerzte/
assessment.html
German Online-Assessments, for example,
BASDAI, ASDAS, BASFI, and DAS28
http://www.meteorfoundation.com/ Free online tool to assess Rheumatoid
Arthritis Disease Activity in clinical practice
ASDAS Ankylosing Spondylitis Disease Activity Score, BASDAI Bath Ankylosing Spondylitis
Disease Activity Index, BASFI Bath Ankylosing Spondylitis Disease Functional Index, DAS28
Disease Activity Score 28
J. Richter et al.