Snyder Valier Alison R, Huxel Bliven Kellie C, Lam Kenneth C, Valovich McLeod Tamara C
Department of Athletic Training, Arizona School of Health Sciences, A.T. Still University, Mesa, AZ, United States.
School of Osteopathic Medicine in Arizona, A.T. Still University, Mesa, AZ, United States.
Front Sports Act Living. 2022 Nov 2;4:1006905. doi: 10.3389/fspor.2022.1006905. eCollection 2022.
Injury prevention and rehabilitation research often address variables that would be considered clinician-oriented outcomes, such as strength, range of motion, laxity, and return-to-sport. While clinician-oriented variables are helpful in describing the physiological recovery from injury, they neglect the patient perspective and aspects of patient-centered care. Variables that capture patient perspective are essential when considering the impact of injury and recovery on the lives of patients. The inclusion of patient-reported outcome measures (PROMs) as dependent variables in sports medicine research, including injury prevention and rehabilitation research, provides a unique perspective regarding the patient's perception of their health status, the effectiveness of treatments, and other information that the patient deems important to their care. Over the last 20 years, there has been a significant increase in the use of PROMs in sports medicine research. The growing body of work gives opportunity to reflect on what has been done and to provide some ideas of how to strengthen the evidence moving forward. This mini-review will discuss ideas for the inclusion of PROMs in sports medicine research, with a focus on critical factors, gaps, and future directions in this area of research. Important elements of research with PROMs, including instrument selection, administration, and interpretation, will be discussed and areas for improvement, consideration, and standardization will be provided.
损伤预防与康复研究通常关注那些可被视为以临床医生为导向的结果变量，如力量、活动范围、松弛度以及重返运动的情况。虽然以临床医生为导向的变量有助于描述损伤后的生理恢复情况，但它们忽视了患者的观点以及以患者为中心的护理方面。在考虑损伤和恢复对患者生活的影响时，能够体现患者观点的变量至关重要。将患者报告结局测量指标（PROMs）纳入运动医学研究（包括损伤预防与康复研究）中的因变量，能提供关于患者对自身健康状况的认知、治疗效果以及患者认为对其护理很重要的其他信息的独特视角。在过去20年里，PROMs在运动医学研究中的使用显著增加。不断增多的研究成果为反思已做的工作以及提供如何加强后续证据的思路提供了契机。本综述将讨论在运动医学研究中纳入PROMs的思路，重点关注该研究领域的关键因素、差距和未来方向。还将讨论使用PROMs进行研究的重要要素，包括工具选择、实施和解读，并提供有待改进、考虑和标准化的领域。
