报告和利用患者报告结局测量信息系统（PROMIS®）测量在骨科研究和实践中的应用：系统评价。
Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.
机构信息
Duke Clinical Research Institute, Duke University, Durham, NC, USA.
Department of Orthopaedic Surgery, Duke University, Box 10042, Durham, NC, 27710, USA.
出版信息
J Orthop Surg Res. 2020 Nov 23;15(1):553. doi: 10.1186/s13018-020-02068-9.
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).
背景
患者报告结局测量信息系统（PROMIS）是一个心理测量学上合理的患者报告结局（PRO）测量的动态系统。PROMIS 测量的应用最近有所增加，但在矫形外科领域，关于这些测量的报告却很少。本研究的目的是进行系统评价，以确定 PROMIS 测量在矫形外科中的应用，并确定在矫形外科研究和实践中最常使用的 PROMIS 测量类型和领域。
方法
我们使用关键词和数据库特定的主题词在 PubMed、Embase 和 Scopus 中进行搜索，以捕获 2018 年 11 月前报告 PROMIS 测量的矫形外科研究。我们的纳入标准是使用 PROMIS 测量作为结局或用于描述矫形科患者人群的研究，患者年龄≥18 岁。我们排除了非定量研究、综述和病例报告。
结果
我们的最终搜索结果是 2013 年至 2018 年发表的 88 项研究，其中 57%（50 项研究）仅在 2018 年发表。按身体部位划分，28%（25 项研究）报告上肢（肩部、肘部、手部）的 PROMIS 测量，36%（32 项研究）报告下肢（髋部、膝部、踝部、足部）的 PROMIS 测量，19%（17 项研究）报告脊柱的 PROMIS 测量，10%（9 项研究）报告创伤患者的 PROMIS 测量，6%（5 项研究）报告一般矫形患者的 PROMIS 测量。大多数研究报告了 1 到 3 个 PROMIS 领域（82%，73 项研究）。最常用的是 PROMIS 计算机化自适应测试（CAT）方法（81%，72 项研究）。报告频率最高的 PROMIS 领域是身体功能（81%，71 项研究）和疼痛干扰（61%，54 项研究）。
结论
我们的综述发现，近年来 PROMIS 测量的报告有所增加。在矫形科人群中使用 PROMIS 测量是临床适宜的，可以促进不同类型提供者之间的结果沟通，并减少应答者的负担。
注册
本系统评价的方案是按照 PRISMA 指南设计的，并在 PROSPERO 数据库（CRD42018088260）中进行了注册。
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