The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand Surgeons
Purpose: Patient-reported outcome measures (PROMs) use in practice could be limited secondary to logistical constraints and lack of consensus regarding PROMs’ clinical value. Therefore, the goals of this study are to determine (1) the use of PROMs by practicing hand surgeons, (2) which questionnaire...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514124001968 |
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| author | Stephanie Choo, MD Rown Parola, MD Benjamin Kirby, MD Daniel A. London, MD |
| author_facet | Stephanie Choo, MD Rown Parola, MD Benjamin Kirby, MD Daniel A. London, MD |
| author_sort | Stephanie Choo, MD |
| collection | DOAJ |
| description | Purpose: Patient-reported outcome measures (PROMs) use in practice could be limited secondary to logistical constraints and lack of consensus regarding PROMs’ clinical value. Therefore, the goals of this study are to determine (1) the use of PROMs by practicing hand surgeons, (2) which questionnaires are most used and the purpose for collection, and (3) the barriers to use. Methods: A survey of American Society for Surgeons of the Hand members was conducted in May 2023. Demographic data of respondents, PROMs collected, and implementation and barriers to use were assessed. Associations between variables were determined by Fischer exact tests and logistic regression. Results: A total of 419 surveys were completed from the 4,523 individuals contacted, representing a 9.3% response rate. Eighty-one percent (81%) were US/Canadian respondents, and 19% reported as other nationalities, with other nationalities reporting use of PROMs at a higher rate than US/Canadian respondents. Odds of PROM use were higher for academic, hybrid, and hospital employed respondents relative to those in private practice settings. The 247 (58%) respondents who did not use PROMs cited barriers including logistic or administrative concerns, uncertainty on application in practice, having no interest, and cost concerns. The most frequently used upper-extremity questionnaire among the 172 (42%) respondents using PROMs was the QuickDASH (Disabilities of the Arm, Shoulder, and Hand), which was used by 112 respondents (65.1%). Patient-reported outcome measures were collected for research/database purposes by 130 (76%) and monitoring routine clinical care by 103 (60%). Among those using PROMs for clinical care, 79 (77%) of respondents use PROMs for postoperative recovery monitoring and 52 (55%) for counseling regarding surgical expectations. Conclusions: Patient-reported outcome measure use varies by practice setting, with most respondents not collecting PROMs. There remains large variability in the application of PROMs, and further research is needed to determine and demonstrate the value of PROMs in hand surgery for routine clinical care. Type of study/level of evidence: Prognostic IIc. |
| format | Article |
| id | doaj-art-d60c5b93bc874bfba389a27d3c04acb4 |
| institution | Kabale University |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-d60c5b93bc874bfba389a27d3c04acb42025-01-26T05:04:39ZengElsevierJournal of Hand Surgery Global Online2589-51412025-01-01714147The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand SurgeonsStephanie Choo, MD0Rown Parola, MD1Benjamin Kirby, MD2Daniel A. London, MD3Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, MO; Corresponding author: Stephanie Choo, MD, Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, 1100 Virginia Ave., Columbia, MO 65212.Department of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, MODepartment of Plastic Surgery, University of Missouri, Columbia, MODepartment of Orthopaedic Surgery, Missouri Orthopaedic Institute, University of Missouri, Columbia, MOPurpose: Patient-reported outcome measures (PROMs) use in practice could be limited secondary to logistical constraints and lack of consensus regarding PROMs’ clinical value. Therefore, the goals of this study are to determine (1) the use of PROMs by practicing hand surgeons, (2) which questionnaires are most used and the purpose for collection, and (3) the barriers to use. Methods: A survey of American Society for Surgeons of the Hand members was conducted in May 2023. Demographic data of respondents, PROMs collected, and implementation and barriers to use were assessed. Associations between variables were determined by Fischer exact tests and logistic regression. Results: A total of 419 surveys were completed from the 4,523 individuals contacted, representing a 9.3% response rate. Eighty-one percent (81%) were US/Canadian respondents, and 19% reported as other nationalities, with other nationalities reporting use of PROMs at a higher rate than US/Canadian respondents. Odds of PROM use were higher for academic, hybrid, and hospital employed respondents relative to those in private practice settings. The 247 (58%) respondents who did not use PROMs cited barriers including logistic or administrative concerns, uncertainty on application in practice, having no interest, and cost concerns. The most frequently used upper-extremity questionnaire among the 172 (42%) respondents using PROMs was the QuickDASH (Disabilities of the Arm, Shoulder, and Hand), which was used by 112 respondents (65.1%). Patient-reported outcome measures were collected for research/database purposes by 130 (76%) and monitoring routine clinical care by 103 (60%). Among those using PROMs for clinical care, 79 (77%) of respondents use PROMs for postoperative recovery monitoring and 52 (55%) for counseling regarding surgical expectations. Conclusions: Patient-reported outcome measure use varies by practice setting, with most respondents not collecting PROMs. There remains large variability in the application of PROMs, and further research is needed to determine and demonstrate the value of PROMs in hand surgery for routine clinical care. Type of study/level of evidence: Prognostic IIc.http://www.sciencedirect.com/science/article/pii/S2589514124001968Clinical careHand surgeryPatient-reported outcomes measuresResearch |
| spellingShingle | Stephanie Choo, MD Rown Parola, MD Benjamin Kirby, MD Daniel A. London, MD The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand Surgeons Journal of Hand Surgery Global Online Clinical care Hand surgery Patient-reported outcomes measures Research |
| title | The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand Surgeons |
| title_full | The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand Surgeons |
| title_fullStr | The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand Surgeons |
| title_full_unstemmed | The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand Surgeons |
| title_short | The Use of Patient-Reported Outcomes in Clinical Practice: A National Survey of Hand Surgeons |
| title_sort | use of patient reported outcomes in clinical practice a national survey of hand surgeons |
| topic | Clinical care Hand surgery Patient-reported outcomes measures Research |
| url | http://www.sciencedirect.com/science/article/pii/S2589514124001968 |
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