Use of Patient-Reported Outcomes Measurement Information System Measures in Orthopaedic Specialties: Results of a Scoping Review for 2018 to 2022.

Abstract

The Patient-Reported Outcomes Measurement Information System (PROMIS) is a collection of patient-reported outcome measures assessing physical, mental, and social health that are relevant across a variety of conditions. The use of PROMIS measures in capturing important symptoms and functions has increased over time, yet detail on more recent use of PROMIS measures in orthopaedics and its specialties has been lacking. The goal of this scoping review is to characterize and quantify the use of PROMIS measures in orthopaedic populations across published studies from 2018 through 2022 to inform opportunities for expansion of PROMIS across orthopaedics in research and clinical practice. We identified 699 published studies with 1,835 PROMIS measures. Publications were distributed across orthopaedic subspecialties, including 27% (185 studies) in spine patient populations, 21% (143 studies) in hand/shoulder/elbow, 11% (80 studies) in arthroplasty, 9% (65 studies) in foot/ankle, and 9% (65 studies) in sports medicine. The most commonly used PROMIS measures across all orthopaedic publications assessed physical function (63%), pain interference (55%), and depression (30%). We observed an overall increase in orthopaedic publications using and reporting on PROMIS measures. PROMIS measures are efficient, and precise tools and their use is expected to continue to increase across medical and surgical specialties.