Gagnier Joel J
Department of Orthopaedic Surgery, University of Michigan Health System, MedSport, Domino's Farms, 24 Frank Lloyd Wright Drive, 48105 Ann Arbor, Michigan.
Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan.
J Orthop Res. 2017 Oct;35(10):2098-2108. doi: 10.1002/jor.23604. Epub 2017 Jun 13.
Patient reported outcome measures (PROMs) are key tools when performing clinical research and PROM data are increasingly used to inform clinical decision-making, patient-centered care, health policy and more recently, reimbursement decisions. PROMs must possess particular properties before they are used. Thus purpose of this paper is to give an overview of PROMs, their definition, how their evidence can be assessed, how they should be reported in clinical research, how to choose PROMs, the types of PROMs available in orthopaedics, where these measures can be found, PROMs in orthopaedic clinical practice and what are some key next steps in this field. If PROMs are used in accordance with the guidance in this article, I believe we will gain considerable insight into PROMs in orthopaedics and will advance this field in a way that can contribute to science, improve patient care and save considerable resources. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:2098-2108, 2017.
患者报告结局指标（PROMs）是进行临床研究时的关键工具，并且PROM数据越来越多地用于为临床决策、以患者为中心的护理、卫生政策以及最近的报销决策提供信息。在使用PROMs之前，它们必须具备特定的属性。因此，本文的目的是概述PROMs、其定义、如何评估其证据、在临床研究中应如何报告、如何选择PROMs、骨科中可用的PROMs类型、在哪里可以找到这些指标、骨科临床实践中的PROMs以及该领域接下来的一些关键步骤。如果按照本文中的指南使用PROMs，我相信我们将对骨科中的PROMs有相当深入的了解，并将以有助于科学发展、改善患者护理和节省大量资源的方式推动该领域的发展。© 2017骨科研究协会。由威利期刊公司出版。《矫形外科研究杂志》35:2098 - 2108，2017年。
