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Patient-reported Outcome Measures in Pediatric Orthopaedics.

Matthew Mohr1, Philip K McClure2, Niamh C Nowlan3

  • 1UCD School of Medicine, University College Dublin, Ireland.

Journal of the Pediatric Orthopaedic Society of North America
|November 19, 2025
PubMed
Summary

Patient-reported outcome measures (PROMs) improve care quality and patient engagement in pediatric orthopaedics. However, PROMs are underutilized, with a need for more condition-specific tools for better patient outcomes.

Keywords:
Health-related quality of life (HRQoL)Patient-reported outcome measures (PROMs)Pediatric orthopaedics

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Area of Science:

  • Orthopaedic Surgery
  • Health Services Research
  • Patient-Reported Outcomes

Background:

  • Patient-reported outcome measures (PROMs) capture health-related quality of life (HRQoL), enhancing patient perception of care, involvement, and clinical insight.
  • PROMs are currently underutilized in pediatric orthopaedic practice, with a notable lack of validated condition-specific tools.

Purpose of the Study:

  • To review the current use of PROMs in pediatric orthopaedics.
  • To provide a resource for clinicians on selecting and implementing PROMs.
  • To define key concepts and quality indicators for PROMs in this specialty.

Main Methods:

  • Literature review summarizing the application and status of PROMs in pediatric orthopaedics.
  • Discussion of PROM definitions, quality assessment, and selection criteria.
  • Identification of gaps in current PROM availability for pediatric orthopaedic conditions.

Main Results:

  • Health-related quality of life is the primary outcome measured by PROMs.
  • Validity (content, construct, criterion) is crucial for high-quality PROMs.
  • Generic PROMs have broad applicability, while condition-specific PROMs offer targeted insights.
  • Significant underutilization and a scarcity of high-quality, condition-specific PROMs exist in pediatric orthopaedics.

Conclusions:

  • Implementing PROMs can significantly benefit pediatric orthopaedic care by improving patient-centeredness and clinical decision-making.
  • There is a critical need for the development and validation of condition-specific PROMs in pediatric orthopaedics.
  • Clinicians should utilize available tools and protocols to aid in the selection and assessment of PROMs for their patients.