1 Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
2 Department of Orthopaedics and Rehabilitation, Oregon Health & Sciences University, Portland, OR, USA.
Foot Ankle Int. 2018 Dec;39(12):1389-1393. doi: 10.1177/1071100718809066. Epub 2018 Oct 31.
Outcome measures evaluate various aspects of patient health, and when appropriately utilized can provide valuable information in both clinical practice and research settings. The orthopedic community has placed increasing emphasis on patient-reported outcome measures, recognizing their value for understanding patients' perspectives of treatment outcomes. Patient-reported outcomes are information directly reported by patients regarding their perceptions of health, quality of life, or functional status without interpretation by healthcare providers. The American Orthopaedic Foot & Ankle Society (AOFAS) supports the use of validated patient-reported outcome (PRO) instruments to assess patient general health, functional status, and outcomes of treatment. It is not possible to recommend a single instrument to collect quality orthopedic data as the selection is dependent on the population being examined and the question being asked. We support the use of the PROMIS Physical Function Computerized Adaptive Test (PF CAT) or Lower Extremity Computerized Adaptive Test (LE CAT), which can be assessed with other domains such as Pain Interference. In addition, a disease-specific measure can be used when available.
结局测量评估患者健康的各个方面,并且在临床实践和研究环境中恰当使用时,可以提供有价值的信息。骨科领域越来越重视患者报告的结局测量,认识到它们对于了解患者对治疗结果的看法的价值。患者报告的结局是患者直接报告的关于他们对健康、生活质量或功能状态的看法的信息,而无需医疗保健提供者进行解释。美国矫形足踝协会(AOFAS)支持使用经过验证的患者报告结局(PRO)工具来评估患者的一般健康、功能状态和治疗结果。不可能推荐单一的仪器来收集优质的矫形数据,因为选择取决于所检查的人群和所提出的问题。我们支持使用 PROMIS 身体功能计算机自适应测试(PF CAT)或下肢计算机自适应测试(LE CAT),它可以与其他领域(如疼痛干扰)一起评估。此外,当有可用的疾病特异性测量时,可以使用。