The Rise of PROs: What Traditional Risk Scores May Be Missing | JACC Baran

Hosts Mitsuaki Sawano, MD, and Satoshi Shoji, MD welcome Dr. Kazuya Nagao, MD (Kyoto University) to discuss his JACC: Heart Failure study, “Multidimensional Patient-Reported Outcomes in Acutely Decompensated Heart Failure: Prognostic Implications in a Real-World Cohort.” Using JROADHF-NEXT, this study examined three different PRO tools—KCCQ, EQ-5D-5L LSS, and PHQ-9—in patients hospitalized with acute heart failure. The episode explores why PROs repeatedly appear in JACC, how patient-reported health status captures information not reflected in traditional clinician-derived risk scores, and why mental health and overall quality of life may provide important prognostic signals beyond standard clinical assessment.