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World J Orthop. Dec 18, 2020; 11(12): 584-594
Published online Dec 18, 2020. doi: 10.5312/wjo.v11.i12.584
Technological developments enable measuring and using patient-reported outcomes data in orthopaedic clinical practice
David F Hamilton, Johannes M Giesinger, Karlmeinrad Giesinger
David F Hamilton, School of Health and Social Care, Edinburgh Napier University, Edinburgh EH114BN, United Kingdom
Johannes M Giesinger, University Hospital of Psychiatry II, Medical University of Innsbruck, Innsbruck 6020, Austria
Karlmeinrad Giesinger, Department of Orthopaedics and Traumatology, Kantonsspital St Gallen, St Gallen 9000, Switzerland
Author contributions: All authors contributed to determining the scope and purpose of this review. Hamilton DF drafted the initial manuscript which was then developed by all authors. All authors critically revised the text, and all approved the final submission.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: David F Hamilton, PhD, Lecturer, School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Edinburgh EH114BN, United Kingdom. d.hamilton@napier.ac.uk
Received: April 28, 2020
Peer-review started: April 28, 2020
First decision: September 11, 2020
Revised: October 30, 2020
Accepted: November 11, 2020
Article in press: November 11, 2020
Published online: December 18, 2020
Abstract

Patient-reported outcomes measures form the backbone of outcomes evaluation in orthopaedics, with most of the literature now relying on these scoring tools to measure change in patient health status. This patient-reported information is increasingly collected routinely by orthopaedic providers but use of the data is typically restricted to academic research. Developments in electronic data capture and the outcome tools themselves now allow use of this data as part of the clinical consultation. This review evaluates the role of patient reported outcomes data as a tool to enhance daily orthopaedic clinical practice, and documents how develop-ments in electronic outcome measures, computer-adaptive questionnaire design and instant graphical display of questionnaire can facilitate enhanced patient-clinician shared decision making.

Keywords: Patient reported outcome measures, Electronic patient-reported outcome, Computer adaptive design, Outcomes evaluation

Core Tip: Utilising modern information technology, data collection, processing and intuitive graphical data display in real-time, electronic patient-reported outcome assessment can be implemented in daily clinical practice.