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Patient-Reported Outcome Measurement in Orthopaedic Trauma
Prakash Jayakumar1, Marilyn Heng, Bandele Okelana
1From the AO Innovation Translation Center, Clinical Science, AO Foundation, Dübendorf, Switzerland (Jayakumar, Rodriguez-Villalon, and Joeris), the University of Miami Health System Miller School of Medicine, Miami, FL (Heng), The Department of Surgery and Perioperative Care, University of Texas at Austin, Austin, TX (Dr. Okelana), Department of Orthopedics, Cedars-Sinai Medical Center, Los Angeles, CA (Dr. Vrahas), and Advancing Outcomes and Building Expertise in Research for Trauma Consortium.
Patient-reported outcome (PRO) measurements offer valuable insights into patient well-being beyond physical symptoms. Integrating PRO data can enhance musculoskeletal care, particularly for orthopaedic trauma patients, by addressing psychological and social factors.
Area of Science:
- Orthopaedic Surgery
- Patient-Reported Outcomes
- Musculoskeletal Care
Background:
- Patient-reported outcome (PRO) measurements are validated tools for quantifying patient capabilities, mindsets, and circumstances.
- PRO data, traditionally used in research, presents significant opportunities for advancing patient-centered musculoskeletal care.
- PRO insights augment the standard biomedical approach in managing orthopaedic trauma patients.
Purpose of the Study:
- To explore available PRO measures for quantifying patient aspects during orthopaedic trauma recovery.
- To define challenges in implementing PROs within the complex trauma setting.
- To highlight opportunities for PRO implementation in clinical decision support and outcome prediction.
Main Methods:
- Review of fixed-scale and computer adaptive PRO measures.
- Analysis of PRO data to identify psychological distress and social concerns in trauma populations.
- Exploration of challenges (human, technical, system-level) in trauma care settings.
Main Results:
- PRO measures reveal high prevalence of psychological distress and social concerns in trauma patients.
- Mindsets and circumstances significantly influence symptom intensity and capability levels.
- PRO data supports a biopsychosocial, multidisciplinary approach to orthopaedic trauma care.
Conclusions:
- PRO measurements are crucial for a comprehensive understanding of orthopaedic trauma patients' experiences.
- Integrating PROs can improve clinical decision-making, shared decision-making, and outcome prediction.
- Successful PRO implementation can lead to advanced care pathways for trauma populations.
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