Equitable Integration of Patient-Reported Outcomes Into Clinical Practice-Opportunities, Challenges, and a Roadmap for Implementation.
Lauren Michelle ShapiroPatricia KatzBrocha Z SternRobin N KamalPublished in: The Journal of the American Academy of Orthopaedic Surgeons (2024)
Patient-reported outcome measures (PROMs) provide a standardized assessment from the patient about their own health status. Although originally developed as research tools, PROMs can be used in clinical care to complement objective functional measures (eg, range of motion) and are increasingly integrated to guide treatment decisions and predict outcomes. In some situations, when PROMs are used during clinical care they can improve patient mortality, outcomes, engagement, well-being, and patient-physician communication. Guidance on how PROMs should be communicated with patients continued to be developed. However, PROM use may have unintended consequences, such as when used implemented without accounting for confounding factors (eg, psychological and social health) or in perpetuating healthcare disparities when used imprecisely (eg, lack of linguistic or cultural validation). In this review, we describe the current state of PROM use in orthopaedic surgery, highlight opportunities and challenges of PROM use in clinical care, and provide a roadmap to support orthopaedic surgery practices in incorporating PROMs into routine care to equitably improve patient health.
Keyphrases
- patient reported outcomes
- healthcare
- case report
- clinical practice
- palliative care
- quality improvement
- minimally invasive
- patient reported
- primary care
- health information
- affordable care act
- mental health
- emergency department
- public health
- pain management
- adipose tissue
- type diabetes
- newly diagnosed
- metabolic syndrome
- cardiovascular disease
- cardiovascular events
- risk factors
- chronic pain
- depressive symptoms
- coronary artery disease
- mass spectrometry
- percutaneous coronary intervention
- end stage renal disease
- high resolution
- replacement therapy