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Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review
Chloe R Wong1, Marta Karpinski2, Kristen M Davidge1,3
1From the Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Plastic and Reconstructive Surgery. Global Open
|December 20, 2024
Summary
Patient-reported outcome measures (PROMs) are crucial for assessing peripheral nerve injury recovery. This review found 141 PROMs, but none comprehensively capture patient outcomes, highlighting a need for a new, integrated tool.
Area of Science:
- Neuroscience
- Clinical Research
- Patient-Reported Outcomes
Background:
- Peripheral nerve injuries significantly impact patient function and well-being.
- Patient-reported outcome measures (PROMs) are essential for evaluating treatment effectiveness and patient-centered goals.
- Assessing the comprehensiveness of existing PROMs is vital for improving patient management.
Purpose of the Study:
- To systematically review and analyze patient-reported outcome measures (PROMs) used in adult peripheral nerve injury research.
- To evaluate how comprehensively current PROMs capture outcomes important to patients with peripheral nerve injuries.
Main Methods:
- A systematic literature review was conducted across major databases (Ovid MEDLINE, Scopus, Web of Science, Embase) up to August 2022.
- Included studies focused on adult patients (≥18 years) with traumatic or acquired peripheral nerve injuries, utilizing PROMs for quality of life or satisfaction assessment.
- Data extraction and synthesis were performed on identified PROMs and their application in relevant study designs (RCTs, cohort, observational).
Main Results:
- A total of 378 studies were reviewed, identifying 141 unique PROMs.
- The identified PROMs were diverse, including disease-specific (14%), function-specific (7%), mental health-specific (13%), quality of life-specific (8%), body region-specific (23%), symptom-specific (21%), satisfaction-specific (2%), and generic (11%).
- Considerable heterogeneity exists in the PROMs utilized, with no single measure comprehensively assessing all relevant patient outcomes.
Conclusions:
- The current landscape of PROMs for peripheral nerve injuries is fragmented and lacks a comprehensive instrument.
- There is a significant need to develop a novel, integrated PROM tailored to the multifaceted needs of patients with peripheral nerve injuries.
- A comprehensive PROM would enhance the evaluation of treatment efficacy and improve patient-centered care in peripheral nerve injury management.
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