A systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures data
Abstract Background Orthopaedic surgeon engagement with patient-reported outcome measures (PROMs) data has not been comprehensively evaluated, despite increasing uptake of orthopaedic PROMs programmes globally. The aim of this review was to systematically identify, appraise and synthesise qualitativ...
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| Format: | Article |
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SpringerOpen
2024-12-01
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| Series: | Journal of Patient-Reported Outcomes |
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| Online Access: | https://doi.org/10.1186/s41687-024-00820-x |
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| author | Emma L. Heath Ian A. Harris Lorena Romero Ilana N. Ackerman |
| author_facet | Emma L. Heath Ian A. Harris Lorena Romero Ilana N. Ackerman |
| author_sort | Emma L. Heath |
| collection | DOAJ |
| description | Abstract Background Orthopaedic surgeon engagement with patient-reported outcome measures (PROMs) data has not been comprehensively evaluated, despite increasing uptake of orthopaedic PROMs programmes globally. The aim of this review was to systematically identify, appraise and synthesise qualitative evidence on barriers and facilitators to orthopaedic surgeons’ engagement with PROMs data and their use of these data to support clinical practice. Methods Six databases (MEDLINE, EMBASE, COCHRANE CENTRAL, PSYCINFO, CINAHL and EMCARE) were searched from January 2000—March 2024 to identify potentially eligible qualitative studies. Established systematic review methods were used for screening and data extraction, applying PRISMA guidelines. Quality assessment was undertaken using the Joanna Briggs Institute tool for qualitative research. Results Eight studies were eligible for inclusion; of these, five studies were qualitative and three studies were mixed-method designs incorporating a qualitative component. Three studies were specific to orthopaedic surgeons and the remaining five studies comprised of mixed samples of health professionals including orthopaedic surgeons. Only one study was classified as being of high methodological quality. Key barrier themes for orthopaedic surgeons were logistical issues, difficulty interpreting and understanding PROMs, and scepticism of the value of PROMs in clinical care. Key enabler themes included improvements to PROMs infrastructure, surgeon education around the potential value, uses and interpretation of PROMs data, aggregate reporting of PROMs data and early involvement of surgeons in the planning and development of PROM systems. Conclusion While these studies highlight some practical considerations and opportunities that can be addressed through clinician education, there is little high-quality evidence on factors that influence orthopaedic surgeon engagement with PROMs data. Robust qualitative research is needed to better inform tailored support and assist surgeons in integrating PROMs data within orthopaedic care. |
| format | Article |
| id | doaj-art-db911148d3ca421ba3c448f5ffae5414 |
| institution | Kabale University |
| issn | 2509-8020 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Patient-Reported Outcomes |
| spelling | doaj-art-db911148d3ca421ba3c448f5ffae54142024-12-22T12:28:59ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202024-12-018111210.1186/s41687-024-00820-xA systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures dataEmma L. Heath0Ian A. Harris1Lorena Romero2Ilana N. Ackerman3School of Public Health and Preventive Medicine, Monash UniversitySchool of Clinical Medicine, UNSW Medicine and Health, UNSW SydneyThe Alfred HospitalSchool of Public Health and Preventive Medicine, Monash UniversityAbstract Background Orthopaedic surgeon engagement with patient-reported outcome measures (PROMs) data has not been comprehensively evaluated, despite increasing uptake of orthopaedic PROMs programmes globally. The aim of this review was to systematically identify, appraise and synthesise qualitative evidence on barriers and facilitators to orthopaedic surgeons’ engagement with PROMs data and their use of these data to support clinical practice. Methods Six databases (MEDLINE, EMBASE, COCHRANE CENTRAL, PSYCINFO, CINAHL and EMCARE) were searched from January 2000—March 2024 to identify potentially eligible qualitative studies. Established systematic review methods were used for screening and data extraction, applying PRISMA guidelines. Quality assessment was undertaken using the Joanna Briggs Institute tool for qualitative research. Results Eight studies were eligible for inclusion; of these, five studies were qualitative and three studies were mixed-method designs incorporating a qualitative component. Three studies were specific to orthopaedic surgeons and the remaining five studies comprised of mixed samples of health professionals including orthopaedic surgeons. Only one study was classified as being of high methodological quality. Key barrier themes for orthopaedic surgeons were logistical issues, difficulty interpreting and understanding PROMs, and scepticism of the value of PROMs in clinical care. Key enabler themes included improvements to PROMs infrastructure, surgeon education around the potential value, uses and interpretation of PROMs data, aggregate reporting of PROMs data and early involvement of surgeons in the planning and development of PROM systems. Conclusion While these studies highlight some practical considerations and opportunities that can be addressed through clinician education, there is little high-quality evidence on factors that influence orthopaedic surgeon engagement with PROMs data. Robust qualitative research is needed to better inform tailored support and assist surgeons in integrating PROMs data within orthopaedic care.https://doi.org/10.1186/s41687-024-00820-xPatient-reported outcomesOrthopaedic surgeon engagementSystematic review |
| spellingShingle | Emma L. Heath Ian A. Harris Lorena Romero Ilana N. Ackerman A systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures data Journal of Patient-Reported Outcomes Patient-reported outcomes Orthopaedic surgeon engagement Systematic review |
| title | A systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures data |
| title_full | A systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures data |
| title_fullStr | A systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures data |
| title_full_unstemmed | A systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures data |
| title_short | A systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient-reported outcome measures data |
| title_sort | systematic review of qualitative studies examining barriers and facilitators to orthopaedic surgeon engagement with patient reported outcome measures data |
| topic | Patient-reported outcomes Orthopaedic surgeon engagement Systematic review |
| url | https://doi.org/10.1186/s41687-024-00820-x |
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