Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review

Background:. The goal of managing patients with peripheral nerve injuries is to improve how a patient feels and functions. This goal is best assessed with patient-reported outcome measures (PROMs), which elicit patient concerns, treatment goals, and clinical progression. This study reviews existing...

Full description

Saved in:
Bibliographic Details
Main Authors: Chloe R. Wong, MD, Marta Karpinski, MSc, Kristen M. Davidge, MD, MSc, FRCS(C), Anne Klassen, PhD, Jana Dengler, MD, MASc, MHSc, FRCS(C)
Format: Article
Language:English
Published: Wolters Kluwer 2024-12-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006408
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846110318892154880
author Chloe R. Wong, MD
Marta Karpinski, MSc
Kristen M. Davidge, MD, MSc, FRCS(C)
Anne Klassen, PhD
Jana Dengler, MD, MASc, MHSc, FRCS(C)
author_facet Chloe R. Wong, MD
Marta Karpinski, MSc
Kristen M. Davidge, MD, MSc, FRCS(C)
Anne Klassen, PhD
Jana Dengler, MD, MASc, MHSc, FRCS(C)
author_sort Chloe R. Wong, MD
collection DOAJ
description Background:. The goal of managing patients with peripheral nerve injuries is to improve how a patient feels and functions. This goal is best assessed with patient-reported outcome measures (PROMs), which elicit patient concerns, treatment goals, and clinical progression. This study reviews existing PROMs for adult patients with peripheral nerve injuries to assess how comprehensively they measure outcomes important to patients. Methods:. A systematic review of Ovid MEDLINE, Scopus, Web of Science, and Embase (from inception to August 13, 2022) was conducted to identify PROMs developed for adult patients with peripheral nerve injuries. Studies were included if (1) the study population involved traumatic or acquired peripheral nerve injuries; (2) they were randomized controlled trials, cohort studies, or single-arm observational studies; (3) participants were 18 years or older; and (4) PROMs were used to assess quality of life or patient satisfaction. Results:. A total of 378 studies were included in this systematic review. We identified 141 unique PROMs used in the adult peripheral nerve injury literature: 20 are disease-specific (14%), 10 are function-specific (7%), 19 are mental health and well-being–specific (13%), 11 are quality of life–specific (8%), 32 are body region–specific (23%), 29 are symptom-specific (21%), 3 are satisfaction-specific (2%), 15 are generic (11%), and 2 are other (1%). Conclusions:. There exists considerable heterogeneity of PROMs used in research on patients with peripheral nerve injuries. None of the PROMs comprehensively assess this patient population. The need for the development of a comprehensive PROM for this patient population is highlighted.
format Article
id doaj-art-576710c7bbee496085f707f129aed2b5
institution Kabale University
issn 2169-7574
language English
publishDate 2024-12-01
publisher Wolters Kluwer
record_format Article
series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-576710c7bbee496085f707f129aed2b52024-12-24T09:46:25ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-12-011212e640810.1097/GOX.0000000000006408202412000-00038Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic ReviewChloe R. Wong, MD0Marta Karpinski, MSc1Kristen M. Davidge, MD, MSc, FRCS(C)2Anne Klassen, PhD3Jana Dengler, MD, MASc, MHSc, FRCS(C)4From the * Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada† Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaFrom the * Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada§ Department of Pediatrics, Faculty of Health Sciences, McMaster University, Hamilton, ON, CanadaFrom the * Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, University of Toronto, Toronto, ON, CanadaBackground:. The goal of managing patients with peripheral nerve injuries is to improve how a patient feels and functions. This goal is best assessed with patient-reported outcome measures (PROMs), which elicit patient concerns, treatment goals, and clinical progression. This study reviews existing PROMs for adult patients with peripheral nerve injuries to assess how comprehensively they measure outcomes important to patients. Methods:. A systematic review of Ovid MEDLINE, Scopus, Web of Science, and Embase (from inception to August 13, 2022) was conducted to identify PROMs developed for adult patients with peripheral nerve injuries. Studies were included if (1) the study population involved traumatic or acquired peripheral nerve injuries; (2) they were randomized controlled trials, cohort studies, or single-arm observational studies; (3) participants were 18 years or older; and (4) PROMs were used to assess quality of life or patient satisfaction. Results:. A total of 378 studies were included in this systematic review. We identified 141 unique PROMs used in the adult peripheral nerve injury literature: 20 are disease-specific (14%), 10 are function-specific (7%), 19 are mental health and well-being–specific (13%), 11 are quality of life–specific (8%), 32 are body region–specific (23%), 29 are symptom-specific (21%), 3 are satisfaction-specific (2%), 15 are generic (11%), and 2 are other (1%). Conclusions:. There exists considerable heterogeneity of PROMs used in research on patients with peripheral nerve injuries. None of the PROMs comprehensively assess this patient population. The need for the development of a comprehensive PROM for this patient population is highlighted.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006408
spellingShingle Chloe R. Wong, MD
Marta Karpinski, MSc
Kristen M. Davidge, MD, MSc, FRCS(C)
Anne Klassen, PhD
Jana Dengler, MD, MASc, MHSc, FRCS(C)
Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review
Plastic and Reconstructive Surgery, Global Open
title Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review
title_full Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review
title_fullStr Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review
title_full_unstemmed Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review
title_short Patient-reported Outcome Measures for Peripheral Nerve Injuries: A Systematic Review
title_sort patient reported outcome measures for peripheral nerve injuries a systematic review
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006408
work_keys_str_mv AT chloerwongmd patientreportedoutcomemeasuresforperipheralnerveinjuriesasystematicreview
AT martakarpinskimsc patientreportedoutcomemeasuresforperipheralnerveinjuriesasystematicreview
AT kristenmdavidgemdmscfrcsc patientreportedoutcomemeasuresforperipheralnerveinjuriesasystematicreview
AT anneklassenphd patientreportedoutcomemeasuresforperipheralnerveinjuriesasystematicreview
AT janadenglermdmascmhscfrcsc patientreportedoutcomemeasuresforperipheralnerveinjuriesasystematicreview