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

Abstract

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.

Spatiotemporal parameters from remote smartphone-based gait analysis are associated with lower extremity functional scale categories

“…Understanding the basis of individual perceptions can be particularly valuable when change is tracked over time. It is unclear whether the LEFS and walking measurements would continue to relate longitudinally since responsiveness may differ between outcomes ( 30 , 57 , 58 ). Therefore, collecting data to address multiple domains of physical performance remains appropriate for a comprehensive impression about recovery, which aligns with current research and clinical practice recommendations ( 26 , 27 ).…”

“…During rehabilitation (eg. after joint replacement surgery), reliable indicators of progress are particularly important such that the relationship between standard questionnaires and physical ability outcomes in detecting change over time is increasingly studied to inform care practices ( 30 – 33 ). The Lower Extremity Functional Scale (LEFS) is one well-validated measure of impairment affecting physical activities, applicable to a wide spectrum of pathology, that demonstrates excellent reliability and high concordance with related constructs ( 34 , 35 ).…”

Performance Score (T2D)—A New Perspective in the Assessment of Six-Minute Walking Tests in Pulmonary Rehabilitation

“…As patients with poor baseline scores (t1) often appear to respond better to interventions, it is necessary to pool the data correctly and to correct for the tendency for different baseline values to occur. The simple formula T2D = t2 + (t2 − t1) reflects the individual performance and considers the functional status and the change relative to baseline [ 15 , 16 , 17 ]. This approach has the advantage that groups (between-subject factors) with different baseline distributions can be compared in a pre–post (within-subject) design without fear of mathematical coupling or regression effects, as can be the case with ANCOVAs [ 27 ].…”

“…[ 15 , 16 ]. In previous studies T2D was applied to inpatient rehabilitation in patients with low back pain and following traumatic injuries of the lower limbs [ 16 , 17 ]. In this study, our aim was to apply the T2D in the context of pulmonary rehabilitation, where much work on the MCID has been done.…”

Evaluating the Usability and Equivalence of Electronic Patient-Reported Outcome Measures for Individuals with a Lower-Limb Amputation

“…Patient-reported outcome measures (PROMs) are widely recommended for use alongside physical assessments to incorporate patient perception into clinical decisions and research data. [1][2][3][4][5] In prosthetics, PROMs have been used to assess the patient's comfort in their socket, satisfaction with their appearance, level of residual limb pain, agreement with rehabilitation services, and feeling of reintegration in the community. [5][6][7] Understanding these factors can enhance prescription of prosthetic devices and services, which can improve the overall quality of life for people with lower-limb amputations.…”