Patient-Reported Experience (PREMs) and Outcome (PROMs) Measures in Diabetic Foot Disease Management-A Scoping Review

Area of Science:

• Medical research
• Health services research
• Patient-centered care

Background:

• Diabetic foot syndrome (DFS) is a chronic diabetes complication significantly impacting patient quality of life (QoL).
• Patient-reported experience measures (PREMs) and patient-reported outcome measures (PROMs) assess patient perceptions of health and healthcare.
• There is a need to evaluate existing PREMs and PROMs for applicability to DFS patients.

Purpose of the Study:

• To review the literature on PREMs and PROMs for diabetic foot syndrome (DFS).
• To evaluate the characteristics of existing measures.
• To determine if current measures are suitable or can be developed for DFS patients in specialized care settings.

Main Methods:

• A systematic literature search was conducted across CINAHL, Scopus, and PubMed (2000-2024).
• Studies included patients with DFS using PREMs or PROMs.
• Studies using self-assessment, open questions, or PROMs for diabetes without DFS were excluded.

Main Results:

• 53 studies met the inclusion criteria; none utilized PREMs.
• 46 studies used generic PROMs, often combined with specific tools for large populations.
• 7 studies employed specific PROMs for smaller populations focusing on particular pathology aspects.

Conclusions:

• The current literature predominantly features generic assessment tools.
• No established gold standard PROM or PREM exists for evaluating QoL or patient perceptions in DFS.
• Further research is essential to develop specific and reliable PREM/PROM questionnaires for complex DFS patients.