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Measurement of Upper Extremity-Specific Comfort and Capability
Chizitam F Ibezim1, Lee M Reichel, David Ring
1From the Dell Medical School, the University of Texas at Austin, Austin, TX.
Summary
Patient-reported outcome measures (PROMs) assess patient well-being and function. Research shows mindset and circumstances, not just physical condition, significantly influence these outcomes, guiding comprehensive care.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Health Outcomes Research
Background:
- Patient-reported outcome measures (PROMs) capture symptom intensity and functional capacity.
- Upper extremity PROMs emerged following general health PROMs.
- PROMs are transitioning from research tools to clinical applications.
Purpose of the Study:
- To evaluate the correlation between pathophysiology severity and patient-reported outcomes.
- To understand the factors influencing patient-reported outcome measure scores.
- To highlight the role of PROMs in developing biopsychosocial care models.
Main Methods:
- Analysis of over 20 years of research data on upper extremity PROMs.
- Comparison of PROM scores with radiographic and pathological findings.
- Investigating the influence of psychological and social factors on PROM results.
Main Results:
- Pathophysiology severity shows a weaker correlation with PROMs than initially expected.
- Mindset and patient circumstances explain a larger proportion of PROM score variation.
- PROMs are valuable for assessing patient experience beyond physical limitations.
Conclusions:
- Patient-reported outcome measures are crucial for understanding patient experience.
- Biopsychosocial factors significantly impact perceived health and function.
- Upper extremity PROMs support a holistic approach to patient care.
