Associations between Patient-Reported and Clinician-Reported Outcome Measures in Patients after Traumatic Injuries of the Lower Limb

被引:12
作者
Bily, Walter [1 ]
Jauker, Jakob [1 ]
Nics, Helena [2 ]
Grote, Vincent [3 ,4 ]
Pirchl, Michael [3 ]
Fischer, Michael J. [3 ,5 ]
机构
[1] Vienna Hlth Assoc, Dept Phys Med & Rehabil, Ottakring Clin, A-1160 Vienna, Austria
[2] Vienna Hlth Assoc, Dept Phys Med & Rehabil, Floridsdorf Clin, A-1210 Vienna, Austria
[3] Ludwig Boltzmann Inst Rehabil Res, A-1140 Vienna, Austria
[4] Med Univ Vienna, Dept Phys Med Rehabil & Occupat Med, A-1090 Vienna, Austria
[5] Vamed Rehabil Ctr Kitzbuhel, A-6370 Kitzbuhel, Austria
关键词
traumatic lower limb injury; rehabilitation; patient-reported outcome measures; clinical outcome assessments; HEALTH-ASSESSMENT QUESTIONNAIRE; QUALITY-OF-LIFE; KNEE ARTHROPLASTY; SELF-REPORT; PERFORMANCE-MEASURES; PAIN; HIP; RELIABILITY; RECOVERY; MOBILITY;
D O I
10.3390/ijerph19053140
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Both clinician-reported outcome measures (CROMs) measures and patient-reported outcome measures (PROMs) are applied to evaluate outcomes in rehabilitation settings. The previous data show only a low to moderate correlation between these measures. Relationships between functional performance measures (Clinician-Reported Outcome Measures, CROMs) and Patient-Reported Outcome Measures (PROMs) were analysed in rehabilitation patients with traumatic injuries of the lower limb. A cohort of 315 patients with 3 subgroups (127 hip, 101 knee and 87 ankle region) was analysed before and after 3 weeks of inpatient rehabilitation. All three groups showed significant improvements in PROMs with low to moderate effect sizes. Moderate to high effect sizes were found for CROMs. Correlation coefficients between CROMs and PROMs were low to moderate. The performance consistency between PROMs and CROMs ranged from 56.7% to 64.1%. In this cohort of rehabilitation patients with traumatic injuries, CROMs showed higher effect sizes than PROMs. When used in combination, patient-reported outcome and performance measures contribute to collecting complementary information, enabling the practitioner to make a more accurate clinical evaluation of the patient's condition.
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页数:11
相关论文
共 32 条
[1]   The reliability and minimal detectable change of Timed Up and Go test in individuals with grade 1-3 knee osteoarthritis [J].
Alghadir, Ahmad ;
Anwer, Shahnawaz ;
Brismee, Jean-Michel .
BMC MUSCULOSKELETAL DISORDERS, 2015, 16
[2]   SYSTEMATIC REVIEW OF PATIENT-REPORTED OUTCOME MEASURES FOR FUNCTIONAL PERFORMANCE IN THE LOWER LIMB [J].
Ashford, Stephen ;
Brown, Susan ;
Turner-Stokes, Lynne .
JOURNAL OF REHABILITATION MEDICINE, 2015, 47 (01) :9-17
[3]  
Bolton JE, 1998, J MANIP PHYSIOL THER, V21, P1
[4]  
Bruce B, 2003, J RHEUMATOL, V30, P167
[5]   Quality of life after total knee arthroplasty [J].
Canovas, F. ;
Dagneaux, L. .
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2018, 104 (01) :S41-S46
[6]   CLINICAL MEASUREMENT OF RANGE OF MOTION - REVIEW OF GONIOMETRY EMPHASIZING RELIABILITY AND VALIDITY [J].
GAJDOSIK, RL ;
BOHANNON, RW .
PHYSICAL THERAPY, 1987, 67 (12) :1867-1872
[7]   Patient-reported outcome metrics following total knee arthroplasty are influenced differently by patients' body mass index [J].
Giesinger, J. M. ;
Loth, F. L. ;
MacDonald, D. J. ;
Giesinger, K. ;
Patton, J. T. ;
Simpson, A. H. R. W. ;
Howie, C. R. ;
Hamilton, David F. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2018, 26 (11) :3257-3264
[8]   General and Disease-Specific Health Indicator Changes Associated with Inpatient Rehabilitation [J].
Grote, Vincent ;
Unger, Alexandra ;
Boettcher, Elke ;
Muntean, Michael ;
Puff, Henry ;
Marktl, Wolfgang ;
Mur, Erich ;
Kullich, Werner ;
Holasek, Sandra ;
Hofmann, Peter ;
Lackner, Helmut K. ;
Goswami, Nandu ;
Moser, Maximilian .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2020, 21 (12) :2017.e10-2017.e27
[9]   It is merely subjective opinion that patient-reported outcome measures are not objective tools [J].
Hamilton, D. F. ;
Giesinger, J. M. ;
Giesinger, K. .
BONE & JOINT RESEARCH, 2017, 6 (12) :665-666
[10]   Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L) [J].
Herdman, M. ;
Gudex, C. ;
Lloyd, A. ;
Janssen, M. F. ;
Kind, P. ;
Parkin, D. ;
Bonsel, G. ;
Badia, X. .
QUALITY OF LIFE RESEARCH, 2011, 20 (10) :1727-1736