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Orthopaedic registries with patient-reported outcome measures
Ian Wilson1, Eric Bohm2, Anne Lübbeke3
1Concordia Joint Replacement Group, Winnipeg, Manitoba, Canada.
EFORT Open Reviews
|June 19, 2019
Summary
Patient-reported outcome measures (PROMs) enhance joint replacement registry data beyond implant survival. PROMs capture patient-centered outcomes like pain relief and improved quality of life, offering a more comprehensive view of surgical success.
Area of Science:
- Orthopaedic surgery
- Health outcomes research
- Medical informatics
Background:
- Total joint arthroplasty aims to reduce pain and improve function, but patient satisfaction rates vary (80% for TKA, 90% for THA).
- Traditional registry endpoints like revision surgery are insufficient for measuring overall treatment success.
- Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs) directly capture patient experiences and health status.
Purpose of the Study:
- To highlight the increasing use and importance of PROMs in orthopaedic arthroplasty registries.
- To explain how PROMs provide a more patient-centered perspective on surgical outcomes compared to traditional metrics.
- To discuss the benefits and practical considerations of implementing PROMs in clinical practice.
Main Methods:
- Review of the role and application of PROMs in national and regional orthopaedic arthroplasty registries.
- Discussion of how PROMs complement traditional measures like implant survivorship.
- Analysis of the potential impact of PROMs on value-based care, quality improvement, and shared decision-making.
Main Results:
- PROMs expand registry data beyond implant survival to include patient-relevant outcomes such as pain relief, functional restoration, and quality of life.
- PROMs data can inform value-based care, support quality assurance, refine surgical indications, and improve surgical timing.
- The implementation of PROMs collection involves practical considerations including cost, patient burden, and resource intensity.
Conclusions:
- PROMs offer a valuable, patient-centered addition to orthopaedic arthroplasty registries, providing a more comprehensive assessment of surgical success.
- Integrating PROMs can enhance quality improvement initiatives and shared decision-making in joint replacement surgery.
- While beneficial, the implementation of PROMs requires careful consideration of associated costs and resource demands.
Keywords:
hip arthroplastyjoint registryknee arthroplastypatient-reported outcomepatient-reported outcome measureMore Related Videos
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