Gupta Puneet, Czerwonka Natalia, Desai Sohil S, deMeireles Alirio J, Trofa David P, Neuwirth Alexander L
Department of Orthopaedic Surgery, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY, 10032, USA.
Knee Surg Relat Res. 2023 Jan 19;35(1):3. doi: 10.1186/s43019-023-00177-3.
Patient reported outcome measures (PROMs) are essential for clinical research and patient-centric care because they allow us to capture patient perspectives on their health condition. In knee arthroplasty, PROMs are frequently used to assess the risks and benefits of new interventions, surgical approaches, and other management strategies. A few examples of PROMs used in total knee arthroplasty (TKA) include the Oxford Knee Score (OKS), Knee Injury and Osteoarthritis Outcome Score (KOOS), and the Forgotten Joint Score (FJS) (collectively referred to as "legacy" PROMs). More recently, attention has been brought to another PROM called the Patient-Reported Outcomes Measurement Information System (PROMIS). PROMIS was developed by the National Institute of Health (NIH) and has over 300 domains assessing various aspects of patient health, including pain, physical function, and mental health. With the use of PROMIS increasing in TKA literature, there is a need to review the advancements being made in understanding and applying PROMIS for this population. Thus, the purpose of this study is to provide insight on the utilization, advantages, and disadvantages of PROMIS within the field of knee arthroplasty and to provide a comparison to legacy PROMs.
患者报告结局测量(PROMs)对于临床研究和以患者为中心的医疗至关重要,因为它们使我们能够了解患者对自身健康状况的看法。在膝关节置换术中,PROMs常用于评估新干预措施、手术方法和其他管理策略的风险与益处。全膝关节置换术(TKA)中使用的一些PROMs示例包括牛津膝关节评分(OKS)、膝关节损伤和骨关节炎结局评分(KOOS)以及遗忘关节评分(FJS)(统称为“传统”PROMs)。最近,人们开始关注另一种称为患者报告结局测量信息系统(PROMIS)的PROM。PROMIS由美国国立卫生研究院(NIH)开发,拥有300多个领域,用于评估患者健康的各个方面,包括疼痛、身体功能和心理健康。随着TKA文献中对PROMIS的使用不断增加,有必要回顾在理解和应用PROMIS于该人群方面所取得的进展。因此,本研究的目的是深入了解PROMIS在膝关节置换领域的应用、优点和缺点,并与传统PROMs进行比较。