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PROMs in paediatric knee ligament injury: use the Pedi-IKDC and avoid using adult PROMs
M Dietvorst1, M Reijman2, B van Groningen2
1Department of Orthopaedic Surgery, Máxima Medical Center, Eindhoven, The Netherlands. martijndietvorst@gmail.com.
Insights
The Pedi-IKDC is a valid patient-reported outcome measure (PROM) for children with knee ligament injuries. Adult PROMs are not recommended for pediatric use due to comprehension issues.
Area of Science:
- Pediatric Orthopedics
- Rehabilitation Medicine
- Clinical Epidemiology
Background:
- Knee ligament injuries are common in children.
- Assessing outcomes in pediatric patients requires validated instruments.
- Patient-reported outcome measures (PROMs) are crucial for evaluating treatment efficacy.
Purpose of the Study:
- To systematically review the psychometric properties of PROMs used in children with knee ligament injuries.
- To provide an evidence-based overview of the validity, reliability, and responsiveness of these measures.
- To assess the comprehensibility of PROMs in the pediatric population.
Main Methods:
- Systematic literature search of PubMed, EMBASE, and Cochrane databases.
- Inclusion of diagnostic studies evaluating psychometric properties and comprehensibility.
- Focus on PROMs for children (<18 years) with knee ligament injuries, following PRISMA guidelines.
Main Results:
- Ten studies were included in the review.
- The Pedi-IKDC demonstrated acceptable psychometric properties in four studies.
- The KOOS-Child showed acceptable psychometric properties in one study, while adult PROMs presented comprehension challenges.
Conclusions:
- The Pedi-IKDC is a suitable PROM for pediatric knee ligament injuries, being valid, reliable, and responsive.
- KOOS-Child is a potential alternative, though less studied.
- Adult PROMs are not advised for pediatric use in this context.
Purpose:
The aim of this systematic review was to present an evidence-based overview of psychometric properties of patient-reported outcome measures (PROMs) for children with knee ligament injury.
Methods:
A systematic search of literature was performed in PubMed, EMBASE and Cochrane databases. The inclusion criteria were diagnostic studies evaluating psychometric properties (validity, reliability, responsiveness) and comprehensibility of PROMs as well as studies including children (age < 18 years) with knee ligament injury. The systematic review was performed following the PRISMA statement.
Results:
Ten studies were included. Eight studies evaluated psychometric properties of PROMs, and two studies analysed comprehensibility of PROMs. The Pedi-IKDC has been evaluated in four studies and has acceptable psychometric properties. The KOOS-Child is evaluated in one study and has acceptable psychometric properties. The use of adult PROMs in children causes problems in comprehensibility.
Conclusion:
The Pedi-IKDC is an adequate PROM for children with knee ligament injuries. It is valid, reliable and responsive. The KOOS-Child might be an alternative PROM for the Pedi-IKDC, but has only been evaluated in one study. The clinical relevance of the present systematic review is that adult versions of PROMs are not recommended in children and adolescents.
Level Of Evidence:
III.
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