Quality of patient-reported and proxy-reported outcomes for children with impairment of the lower extremity: systematic review protocol

Saris, Tim Frans Frederik; Kalle, J. P. Ruben; Sierevelt, Inger N.; Eygendaal, Denise; Bergen, Christiaan J. A. van

doi:10.1136/bmjpo-2022-001486

Cited by 3 publications

(6 citation statements)

References 21 publications

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“…This systematic review is a continuation of the joined effort to provide a comprehensive overview of the evidence on the psychometric properties of PROMs used for both upper and lower extremities. 9 , 10 With the use of the updated COSMIN methodology, to ensure a high-quality assessment, a total of 6919 publications were screened, resulting in 13 PROMs reporting a total of 112 psychometric properties. The results of this study increase the knowledge on proper use of PROMs through an evidence-based review and extensive recommendations.…”

Section: Discussionmentioning

confidence: 99%

“…A detailed study protocol has been previously published. 10 Design: This systematic review was performed in accordance with the 10-step procedure within the updated COnsensus-based Standards for selection of health Measurements INstruments (COSMIN) risk of bias guidelines. [11][12][13] This systematic review adhered to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) statement when reporting the synthesized evidence and data.…”

Section: Methodsmentioning

confidence: 99%

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Quality of patient- and proxy-reported outcomes for children with impairment of the lower extremity: A systematic review using the COnsensus-based Standards for selection of health Measurement INstruments methodology

Saris,

Kalle,

Sierevelt

et al. 2023

Journal of Children's Orthopaedics

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Background: Patient-reported outcome measures have become crucial in the clinical evaluation of patients. Appropriate selection, in a young population, of the instrument is vital to providing evidence-based patient-centered healthcare. This systematic review applies the COnsensus-based Standards for selection of health Measurement INstruments methodology to provide a critically appraised overview of patient-reported outcome measures targeted at pediatric orthopedic patients with lower limb impairment. Method: A systematic search of electronic databases was performed to identify original studies reporting the development and/or validation of patient-reported outcome measures evaluating children with impairment of the lower extremity. Data extraction, quality assessment, and risk of bias evaluation were performed following the COnsensus-based Standards for selection of health Measurement INstruments guidelines and Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. Results: A total of 6919 articles were screened. Thirty-three studies were included, reporting evidence on the measurement properties of 13 different patient-reported outcome measures and 20 translations. Four studies reported on content validity and patient-reported outcome measure development. The methodological quality of studies on structural validity, content validity, or patient-reported outcome measure development was mostly rated as “doubtful” or “very good.” The quality of evidence on measurement properties varied noticeably, with most studies needing to perform improve their methodological quality to justify their results. Conclusion: This review provides an extensive overview of all available patient-reported outcome measures for patients with lower extremity impairment within pediatric orthopedics. We cautiously advise the use of four patient-reported outcome measures. However, the scarce availability of research on content validity and patient-reported outcome measure development highlights an area for future research endeavors to improve our knowledge on the currently available patient-reported outcome measures. Level of evidence: Diagnostic level 1

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Quality of patient- and proxy-reported outcomes for children with impairment of the lower extremity: A systematic review using the COnsensus-based Standards for selection of health Measurement INstruments methodology

Saris,

Kalle,

Sierevelt

et al. 2023

Journal of Children's Orthopaedics

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“…These instruments come in a variety of types for various populations and aims [3]. In orthopaedics, PROMs are most frequently used to assess a patient's physical and mental condition prior to or after an intervention [1,4]. As with massive consumption, the PROMs subject has raised several issues [2].…”

Section: Introductionmentioning

confidence: 99%

“…Primarily, the PROM chosen should be appropriate for the population and the state of the research in order for the clinician or researcher interpreting clinical findings to avoid the risk of making an incorrect suggestion or carrying out an unneeded intervention [2]. Second, PROMs must have trustworthy measuring properties [1,2,4]. The most widely used criteria for testing the measurement properties of PROMs are established by experts in the Consensus-Based Standards for the Selection of Health Status Measurement Instruments (COSMIN) publication [1,5,6].…”

Section: Introductionmentioning

confidence: 99%

“…In our country, there is no applicable questionnaire for children with knee-specific conditions following knee injury. According to current concerns about PROMs, using a questionnaire requires translation, cultural adaptation following international criteria, and testing the psychometric properties of the translated questionnaire [4]. Therefore, this study aims to translate, culturally adapt, and assess the psychometric properties of the Pedi-IKDC questionnaire within the Lithuanian paediatric population.…”

Section: Introductionmentioning

confidence: 99%

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The Significance of Selecting an Appropriate Patient-Reported Outcome Measure (PROM): A Cross-Cultural Adaptation of the Specific Paediatric International Documentation Committee Subjective (Pedi-IKDC) Knee Form

Martinkėnienė,

Austys,

Šaikus

et al. 2023

Children

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Introduction: The selection of an appropriate PROM is a crucial aspect in assessing outcomes. Questionnaires that have not been designed or validated for a paediatric population are routinely used. Using a questionnaire requires translation, cultural adaptation, and testing the psychometric properties of the translated questionnaire. There is no applicable questionnaire in our country for children with knee-specific conditions in sports orthopaedics. Therefore, this study aims to translate, culturally adapt, and assess the psychometric properties of the Paediatric IKDC (Pedi-IKDC) questionnaire within the Lithuanian paediatric population. Methods: The translation was conducted in accordance with international standards. Patients aged 11–17 years with various knee disorders participated in three surveys and completed the Pedi-IKDC, Lysholm, and PedsQL questionnaires. Interviews with patients following the translation process, in addition to floor and ceiling effects, were used to assess content validity. Cronbach alpha (α) statistics and the intraclass correlation coefficient (ICC) were applied to measure internal consistency and reproducibility, respectively. The standard error of measurement (SEM) and smallest detectable change (SDC) were calculated to assess reliability. Pearson correlations were calculated between Pedi-IKDC and Lysholm PedsQL scores to determine criteria validity. The effect size (ES) and standardised response mean (SRM) were calculated to assess the responsiveness to change. Results: Cronbach’s alpha (α) was 0.91 for the total score, 0.75 for symptoms, and 0.92 for the sport/function component. The ICC for overall scores was 0.98, with each question ranging from 0.87 to 0.98. The SEM was 2.97, and the SDC was 8.23. Lysholm and PedsQL physical functioning domain scores had moderate correlations (0.8 > r > 0.5), and the overall PedsQL score had a weak correlation (0.5 > r > 0.2) to the Pedi-IKDC score. The floor and ceiling effects were 3.3% and 1.6%, respectively. The SRM was 1.72 and the ES was 1.98. Conclusions: The Lithuanian Pedi-IKDC version is an appropriate evaluation instrument for assessing outcomes in children with knee disorders. All of the psychometric features produced acceptable results.

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Health Numeracy Is Associated With a Patient's Ability to Interpret Patient-Reported Outcome Measures Data

Schultz,

Eppler,

Gardner

et al. 2024

Orthopedics

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Background: Patient-reported outcome measures (PROMs) were originally developed as research tools; however, there is increasing interest in using PROMs to inform clinical care. Prior work has shown the benefits of implementing PROMs at the point of care, but a patient's health numeracy (their ability to understand and work with numbers) may affect their ability to interpret PROM results. Materials and Methods: We recruited patients presenting to an outpatient orthopedic clinic. Forty-nine patients completed a survey that included demographic information, the short-form General Health Numeracy Test, and accuracy questions about four PROM displays (bar graph, table, line graph, pictograph) that indicated the same PROM results. Results: Patients with higher health numeracy answered all display accuracy questions correctly ( P =.016). Patients who preferred using the table were more likely to answer display accuracy questions incorrectly (odds ratio, 0.013, P =.024). The two most frequently preferred PROM formats were bar graphs and tables, and most patients preferred to learn about their PROM function scores via a combination of displays and verbal discussions. Conclusion: Patient health numeracy is associated with the ability to correctly interpret visual displays of PROMs. Implementation of PROMs at point of care currently does not account for health numeracy. Efforts to account for health numeracy when using PROMs at point of care may improve the efficacy of using PROMs to improve outcomes in orthopedic surgery. [ Orthopedics . 202x;4x(x):xx–xx.]

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Quality of patient-reported and proxy-reported outcomes for children with impairment of the lower extremity: systematic review protocol

Cited by 3 publications

References 21 publications

Quality of patient- and proxy-reported outcomes for children with impairment of the lower extremity: A systematic review using the COnsensus-based Standards for selection of health Measurement INstruments methodology

Quality of patient- and proxy-reported outcomes for children with impairment of the lower extremity: A systematic review using the COnsensus-based Standards for selection of health Measurement INstruments methodology

The Significance of Selecting an Appropriate Patient-Reported Outcome Measure (PROM): A Cross-Cultural Adaptation of the Specific Paediatric International Documentation Committee Subjective (Pedi-IKDC) Knee Form

Health Numeracy Is Associated With a Patient's Ability to Interpret Patient-Reported Outcome Measures Data

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