Optimal Utilization of Patient-Reported Outcome Measures (PROMs) in Total Joint Arthroplasty

>> As healthcare systems shift to value-based models, patient-reported outcome measures (PROMs) are increasingly used to measure effectiveness, efficiency, and patient satisfaction.>> PROMs provide valuable insights into treatment efficacy from the patient's perspective and are increasingly essential in value-based healthcare models.>> A variety of both joint-specific PROMs (i.e., Hip dysfunction and Osteoarthritis Outcome Score for Joint Replacement [HOOS-JR]/Knee Injury and Osteoarthritis Outcome Score for Joint Replacement [KOOS-JR]) and general PROMs (i.e., Patient-Reported Outcomes Measurement Information System [PROMIS]) currently exist for utilization in TJA practices.>> We recommend collection of the PROMIS score, the HOOS-JR/KOOS-JR, and either the University of California Los Angeles activity score or Forgotten Joint Score within 3 months preoperatively and at 1, 3, 6, and 12 months postoperatively, with final collection between 10 and 14 months.>> Continued integration of PROM research and practice will enable orthopaedic surgeons to further improve patient outcomes and overall care in TJA.