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Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.

Publication ,  Journal Article
Horn, ME; Reinke, EK; Couce, LJ; Reeve, BB; Ledbetter, L; George, SZ
Published in: J Orthop Surg Res
November 23, 2020

BACKGROUND: The Patient-Reported Outcomes Measurement Information SystemⓇ (PROMISⓇ) is a dynamic system of psychometrically sound patient-reported outcome (PRO) measures. There has been a recent increase in the use of PROMIS measures, yet little has been written about the reporting of these measures in the field of orthopedics. The purpose of this study was to conduct a systematic review to determine the uptake of PROMIS measures across orthopedics and to identify the type of PROMIS measures and domains that are most commonly used in orthopedic research and practice. METHODS: We searched PubMed, Embase, and Scopus using keywords and database-specific subject headings to capture orthopedic studies reporting PROMIS measures through November 2018. Our inclusion criteria were use of PROMIS measures as an outcome or used to describe a population of patients in an orthopedic setting in patients ≥ 18 years of age. We excluded non-quantitative studies, reviews, and case reports. RESULTS: Our final search yielded 88 studies published from 2013 through 2018, with 57% (50 studies) published in 2018 alone. By body region, 28% (25 studies) reported PROMIS measures in the upper extremity (shoulder, elbow, hand), 36% (32 studies) reported PROMIS measures in the lower extremity (hip, knee, ankle, foot), 19% (17 studies) reported PROMIS measures in the spine, 10% (9 studies) reported PROMIS measures in trauma patients, and 6% (5 studies) reported PROMIS measures in general orthopedic patients. The majority of studies reported between one and three PROMIS domains (82%, 73 studies). The PROMIS Computerized Adaptive Test (CAT) approach was most commonly used (81%, 72 studies). The most frequently reported PROMIS domains were physical function (81%, 71 studies) and pain interference (61%, 54 studies). CONCLUSION: Our review found an increase in the reporting of PROMIS measures over the recent years. Utilization of PROMIS measures in orthopedic populations is clinically appropriate and can facilitate communication of outcomes across different provider types and with reduced respondent burden. REGISTRATION: The protocol for this systematic review was designed in accordance with the PRISMA guidelines and is registered with the PROSPERO database (CRD42018088260).

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Published In

J Orthop Surg Res

DOI

EISSN

1749-799X

Publication Date

November 23, 2020

Volume

15

Issue

1

Start / End Page

553

Location

England

Related Subject Headings

  • Research
  • Psychometrics
  • Patient Reported Outcome Measures
  • Orthopedics
  • Orthopedics
  • Humans
  • Health Information Systems
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

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Horn, M. E., Reinke, E. K., Couce, L. J., Reeve, B. B., Ledbetter, L., & George, S. Z. (2020). Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review. J Orthop Surg Res, 15(1), 553. https://doi.org/10.1186/s13018-020-02068-9
Horn, Maggie E., Emily K. Reinke, Logan J. Couce, Bryce B. Reeve, Leila Ledbetter, and Steven Z. George. “Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.J Orthop Surg Res 15, no. 1 (November 23, 2020): 553. https://doi.org/10.1186/s13018-020-02068-9.
Horn, Maggie E., et al. “Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.J Orthop Surg Res, vol. 15, no. 1, Nov. 2020, p. 553. Pubmed, doi:10.1186/s13018-020-02068-9.
Journal cover image

Published In

J Orthop Surg Res

DOI

EISSN

1749-799X

Publication Date

November 23, 2020

Volume

15

Issue

1

Start / End Page

553

Location

England

Related Subject Headings

  • Research
  • Psychometrics
  • Patient Reported Outcome Measures
  • Orthopedics
  • Orthopedics
  • Humans
  • Health Information Systems
  • 3202 Clinical sciences
  • 1103 Clinical Sciences