Guide For Selection of Appropriate Patient-Reported Outcome Measures and Clinically Significant Outcome Thresholds in...

Area of Science:

• Orthopaedic Sports Medicine
• Rehabilitation Science
• Clinical Epidemiology

Background:

• Patient-reported outcome measures (PROMs) are essential for evaluating patient health status after knee arthroscopy.
• Numerous validated PROMs exist, but consensus on the best metrics for specific populations and procedures is lacking.
• Selecting an appropriate PROM requires evaluating its validity, reliability, responsiveness, clinical significance, and potential ceiling effects.

Purpose of the Study:

• To provide a comprehensive overview of commonly used PROMs in orthopaedic sports medicine knee procedures.
• To review the applicability of these PROMs for various knee pathologies.
• To present scoring, interpretation, psychometric properties, and clinically significant outcome values for selected PROMs.

Main Methods:

• Narrative review of popular PROMs used in orthopaedic sports medicine knee procedures.
• Analysis of psychometric properties (validity, reliability, responsiveness).
• Examination of clinical significance metrics (Minimal Clinically Important Difference, Patient-Acceptable Symptomatic State, Substantial Clinical Benefit).

Main Results:

• PROMs are vital but require careful selection based on psychometric properties and clinical relevance.
• Ceiling effects are a limitation in some PROMs for knee procedures.
• Clinically significant outcomes are population- and study-specific, requiring individual interpretation.

Conclusions:

• The review details popular PROMs for knee arthroscopy, aiding in appropriate selection.
• Understanding PROM psychometric properties and clinical significance is crucial for accurate patient evaluation.
• Guidance is provided for interpreting PROM results in the context of specific knee pathologies and patient populations.