Paul Souvik, Barik Sitanshu, Raj Vikash, Raj Manish, Kalia Roop Bhushan, Goyal Tarun, Arora Manit, Nazeer Muhammed
Orthopedics, All India Institute of Medical Sciences, Rishikesh, India.
Orthopedics, All India Institute of Medical Sciences, Deoghar, India.
J Orthop. 2023 Feb 16;37:59-63. doi: 10.1016/j.jor.2023.02.009. eCollection 2023 Mar.
The aim of this study is to describe the usage of PROM, its use or lack of use, barriers in using it and its future prospect among the arthroplasty surgeons from a developing country like India.
An online survey was conducted by emailing an anonymous questionnaire to orthopaedic surgeons working in three tertiary care academic institutions and two tertiary care private hospitals. All orthopaedic surgeons or residents who have been performing or assisting in arthroplasty and arthroscopy were included in the study. The study was cross-sectional in design based on a single response from all surgeons.
The mean age of the 87 surgeons participating in this study was 38.6 ± 4.7 years. 62.1% of surgeons had used PROMs for both clinical as well as research purposes at some point. 25.9% of surgeons had an adequate understanding of the function, benefits, and drawbacks of PROMs. Among the barriers against using PROMs, time constraint was agreed upon by most of the surgeons (59.5%). 64.3% of surgeons were willing to incorporate the PROMs into their daily practice if the barriers are overcome.
The limitations of use of PROM should also be borne in mind before embarking on its widespread implementation. Involvement of regulatory and professional societies as well as substantial investment in manpower, money and time is required for making the use of PROMs regular.
本研究旨在描述患者报告结局测量（PROM）在像印度这样的发展中国家的关节置换外科医生中的使用情况、其使用或未使用的情况、使用中的障碍以及未来前景。
通过向在三家三级医疗学术机构和两家三级医疗私立医院工作的骨科医生发送匿名问卷进行在线调查。所有进行或协助关节置换和关节镜检查的骨科医生或住院医师都纳入了本研究。该研究基于所有外科医生的单一回复，采用横断面设计。
参与本研究的87名外科医生的平均年龄为38.6±4.7岁。62.1%的外科医生在某些时候将PROM用于临床以及研究目的。25.9%的外科医生对PROM的功能、益处和缺点有充分的了解。在使用PROM的障碍中，大多数外科医生（59.5%）认同时间限制。如果障碍得以克服，64.3%的外科医生愿意将PROM纳入他们的日常实践。
在广泛实施PROM之前，也应牢记其使用的局限性。为了使PROM的使用常态化，需要监管机构和专业协会的参与以及在人力、资金和时间方面的大量投入。
