Arthroscopy. 2023 Mar;39(3):851-852. doi: 10.1016/j.arthro.2022.08.018.
Patient-reported outcome measures (PROMs) are critical tools in hip preservation research for evaluating the efficacy of current treatments, as well as identifying risk factors associated with suboptimal outcomes. These measures have been used for quality improvement, for monitoring of health plan performance, and even for reimbursement models. Over the past 2 decades, legacy hip outcome scores have been developed that are patient-centric and evaluate hip-specific function after surgery. There has been a recent trend in using the Patient-Reported Outcomes Measurement Information System (PROMIS), a tool developed by the National Institutes of Health for evaluating PROMs, in the field of hip arthroscopy. However, on the basis of the evidence in the literature, it is unlikely that PROMIS is superior to legacy PROMs regarding evaluation of hip function, nor is it as responsive to quantifying meaningful changes in function that are important to patients. As such, clinicians and researchers alike should likely continue using legacy PROMs to evaluate patients' functional outcomes after hip arthroscopy while continuing to explore the clinical applications of other PROMIS domains.
患者报告的结局测量（PROMs）是髋关节保留研究中的关键工具，可用于评估当前治疗方法的疗效，以及确定与治疗效果不理想相关的风险因素。这些措施已用于质量改进、健康计划绩效监测，甚至用于报销模式。在过去的 20 年中，已经开发出了以患者为中心的传统髋关节结局评分，用于评估手术后髋关节的特定功能。最近，在髋关节镜检查领域，人们倾向于使用国家卫生研究院开发的用于评估 PROMs 的工具——患者报告结局测量信息系统（PROMIS）。然而，根据文献中的证据，PROMIS 在评估髋关节功能方面并不优于传统的 PROMs，也不能像传统 PROMs 那样敏感地量化对患者重要的有意义的功能变化。因此，临床医生和研究人员应该继续使用传统的 PROMs 来评估髋关节镜检查后患者的功能结局，同时继续探索其他 PROMIS 领域的临床应用。
