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AOFAS Position Statement Regarding Patient-Reported Outcome Measures.

Harold B Kitaoka1, James E Meeker2, Phinit Phisitkul3

  • 11 Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Foot & Ankle International
|November 1, 2018
PubMed
Summary
This summary is machine-generated.

Patient-reported outcome measures (PROMs) are crucial in orthopedics for understanding patient perspectives. The American Orthopaedic Foot & Ankle Society (AOFAS) recommends validated PRO instruments like PROMIS PF CAT or LE CAT for comprehensive patient assessment.

Keywords:
PROPROMISanklecomputer adaptive testingpatient-reported outcomes

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Area of Science:

  • Orthopedic research
  • Patient-reported outcomes
  • Health informatics

Background:

  • Outcome measures are vital in clinical practice and research for evaluating patient health.
  • The orthopedic field increasingly values patient-reported outcome measures (PROMs) to capture patient perspectives.
  • Patient-reported outcomes (PROs) provide direct patient insights into health, quality of life, and function.

Purpose of the Study:

  • To highlight the importance of validated patient-reported outcome instruments in orthopedics.
  • To guide the selection of appropriate PRO instruments for orthopedic data collection.
  • To support the use of specific PROMIS measures and disease-specific instruments.

Main Methods:

  • Review of current practices and recommendations for outcome measurement in orthopedics.
  • Emphasis on the value of patient-reported outcomes (PROs) directly from patients.
  • Support for validated PRO instruments, including computerized adaptive tests.

Main Results:

  • No single instrument is universally ideal; selection depends on the specific population and research question.
  • The PROMIS Physical Function Computerized Adaptive Test (PF CAT) and Lower Extremity Computerized Adaptive Test (LE CAT) are supported.
  • These measures can be combined with other domains like Pain Interference, and disease-specific measures are also recommended.

Conclusions:

  • Validated PRO instruments are essential for comprehensive orthopedic assessment.
  • The PROMIS PF CAT and LE CAT offer flexible and valuable data collection options.
  • A combination of general and disease-specific PRO measures ensures thorough evaluation of patient outcomes.