Patient-Reported Outcome Measures-What Data Do We Really Need?

Area of Science:

• Orthopedics
• Health Services Research
• Quality Improvement

Background:

• Traditional quality assessment for joint replacement focused on process measures and adverse events.
• Patient-reported outcome measures (PROMs) are increasingly prioritized for a patient-centered approach to healthcare quality.
• The Centers for Medicare and Medicaid Services (CMS) has incorporated specific PROMs for joint replacement quality assessment.

Purpose of the Study:

• To review general health and joint-specific PROMs used in research for treatment efficacy.
• To discuss the relevance of these PROMs to new CMS quality assessment criteria for total hip and total knee replacement (THR and TKR).
• To explore future directions in PROMs for assessing patient quality of life and satisfaction after orthopedic procedures.

Main Methods:

• Review of existing literature on general health and joint-specific PROMs.
• Analysis of the relevance of PROMs, including HOOS, JR and KOOS, JR, to CMS quality assessment criteria for THR and TKR.
• Discussion of potential future measurement platforms like wearable technologies and patient-specific surveys.

Main Results:

• CMS has adopted HOOS, JR and KOOS, JR for quality assessment in THR and TKR.
• PROMs represent a shift towards patient-centered quality assessment, complementing traditional metrics.
• HOOS, JR and KOOS, JR are seen as valuable but potentially interim solutions.

Conclusions:

• The integration of PROMs like HOOS, JR and KOOS, JR marks a significant step towards patient-centered quality assessment in joint replacement surgery.
• Future research should explore novel technologies to capture a comprehensive understanding of patient outcomes and satisfaction.
• Advanced measurement platforms may provide deeper insights into patient quality of life after orthopedic procedures.