From the Dell Medical School, the University of Texas at Austin, Austin, TX.
J Am Acad Orthop Surg. 2023 Oct 15;31(20):e876-e882. doi: 10.5435/JAAOS-D-23-00109. Epub 2023 Jun 16.
Patient-reported outcome measures (PROMs) quantify symptom intensity and magnitude of capability. Upper extremity PROMs were developed shortly after the advent of general health PROMs. PROMs are still primarily research tools, and their use with individual patients is still evolving. When PROMs were developed, the initial and intuitive expectation was a strong correlation of comfort and capability with pathophysiology severity. In other words, people with greater radiographic arthritis or larger degenerative tendon defects were expected to feel worse and do less. After more than 20 years of research using PROMs, it is clear that mindset and circumstances account for more of the variation in PROMs than pathophysiology severity. Mounting research establishes upper extremity PROMs and PROMs in general as useful tools for anchoring and developing comprehensive, biopsychosocial approaches to care.
患者报告的结局测量（PROMs）量化了症状的强度和能力的大小。上肢 PROMs 在一般健康 PROMs 出现后不久就被开发出来。PROMs 仍然主要是研究工具，它们在个体患者中的使用仍在不断发展。当 PROMs 被开发出来时，最初和直观的期望是舒适度和能力与病理生理学严重程度有很强的相关性。换句话说，患有更严重的放射学关节炎或更大的退行性肌腱缺损的人预计会感觉更差，活动能力更低。经过 20 多年使用 PROMs 的研究，很明显，思维模式和环境对 PROMs 的变化的影响比病理生理学严重程度的影响更大。越来越多的研究确立了上肢 PROMs 和一般 PROMs 作为有用的工具，可以为综合的、生物心理社会的护理方法提供基础和发展。
