The Impact of a Gap Balancing or Measured Resection Surgical Technique on Posterior Condylar Offset and Patient Reported Outcome Measures

AbstractBackground:Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed.Methods:A comprehensive literature search was conducted using the databases Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycInfo, using the terms: ‘health assessment questionnaire’, ‘structured questionnaire’, ‘questionnaire’, ‘patient reported outcome measures’, ‘PROM’, ‘quality of life’ or ‘survey’, and ‘children’ or ‘otolaryngology’. The search was limited to English-language articles published between 1996 and 2016.Results:The search yielded 656 articles, of which 63 were considered relevant. This included general paediatric patient-reported outcome measures applied to otolaryngology, and paediatric otolaryngology disease-specific patient-reported outcome measures.Conclusion:A large collection of patient-reported outcome measures are described in the paediatric otolaryngology literature. Greater standardisation of the patient-reported outcome measures used in paediatric otolaryngology would assist in pooling of data and increase the validation of tools used.

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Does Posterior Condylar Offset Affect Clinical Results following Total Knee Arthroplasty?

The Journal of Knee Surgery ◽

10.1055/s-0037-1608819 ◽

2017 ◽

Vol 31 (08) ◽

pp. 754-760 ◽

Cited By ~ 1

Author(s):

Ryan Degen ◽

Jacob Matz ◽

Matthew Teeter ◽

Brent Lanting ◽

James Howard ◽

...

Keyword(s):

Total Knee Arthroplasty ◽

Outcome Measures ◽

Knee Arthroplasty ◽

Short Form ◽

Clinical Results ◽

Patient Reported Outcome Measures ◽

Posterior Condylar Offset ◽

Patient Reported ◽

Posterior Condylar ◽

Total Knee

AbstractTotal knee arthroplasty (TKA) is an effective, durable treatment for knee osteoarthritis. However, a subset of patients experiences incomplete pain relief and ongoing dysfunction. Posterior condylar offset (PCO) has previously been shown to be associated with postoperative range of motion (ROM) following TKA; however, an association with patient-reported outcome measures (PROMs) has not been established. The purpose of this study was to evaluate the association between PCO and postoperative ROM and PROMs. A retrospective review of 970 posterior-stabilized single design TKAs was performed. Preoperative and postoperative radiographs were analyzed to measure the change in PCO and anteroposterior (AP) femoral dimension. Clinical outcome measures, including Short Form-12 physical and mental component summaries, Western Ontario and McMaster Universities Arthritis Index, and Knee Society Score were reviewed to determine if these were influenced by changes in PCO and AP dimension. PCO was increased by more than 3 mm in 15.1%, maintained (within 3 mm) in 59.6%, and decreased by more than 3 mm in 25.3% of patients. Comparing between these groups, there were no significant differences in postoperative ROM or PROM. AP dimension increased in 24.4%, maintained in 47.8%, and decreased in 27.8%. Similarly, there were no significant differences in ROM or PROM between these groups. Spearman's correlation analyses failed to identify an association between PCO and ROM or PROMs. In conclusion, increasing or decreasing PCO or AP femoral dimension with this PS TKA design did not significantly affect postoperative ROM or PROM. Similarly, maintenance of PCO within one implant size with this system compared with optimal sizing had no deleterious effect on TKA outcomes.

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The impact of patient-reported outcome measures in clinical practice for pain: a systematic review

Quality of Life Research ◽

10.1007/s11136-016-1449-5 ◽

2016 ◽

Vol 26 (2) ◽

pp. 245-257 ◽

Cited By ~ 31

Author(s):

Michelle M. Holmes ◽

George Lewith ◽

David Newell ◽

Jonathan Field ◽

Felicity L. Bishop

Keyword(s):

Systematic Review ◽

Clinical Practice ◽

Outcome Measures ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Patient Reported ◽

The Impact

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Capturing the experiences of patients with inherited optic neuropathies: a systematic review of patient-reported outcome measures (PROMs) and qualitative studies

Graefe s Archive for Clinical and Experimental Ophthalmology ◽

10.1007/s00417-021-05534-0 ◽

2022 ◽

Author(s):

Benson S. Chen ◽

Tomasz Galus ◽

Stephanie Archer ◽

Valerija Tadić ◽

Mike Horton ◽

...

Keyword(s):

Systematic Review ◽

Health Status ◽

Outcome Measures ◽

Vision Loss ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Qualitative Studies ◽

Psychometric Performance ◽

Patient Reported ◽

The Impact

Abstract Purpose To identify and comprehensively evaluate studies capturing the experience of individuals affected by an inherited optic neuropathy (ION), focusing on patient-reported outcome measures (PROMs) and qualitative studies where the health status and quality of life (QoL) of these individuals have been explored. Methods Systematic review of five databases using a search strategy combining four concepts: (1) ION; (2) QoL and health status; (3) PROMs; and (4) qualitative research. Studies assessing the impact of ION on any QoL domain using a PROM or qualitative methodology were included and appraised, using criteria based on the COSMIN checklist (for PROM studies) and the CASP checklist (for qualitative studies). Results Of 1326 unique articles identified, six studies were included. Five PROMs were identified: Visual Function Index (VF-14); Hospital Anxiety and Depression Scale (HADS); a novel graphical online assessment tool (NGOAT) for reporting emotional response to vision loss; a new PROM informed by the DSM-V Criteria for Major Depressive Disorder; and an interpersonal and career ‘impact rating’ PROM. The psychometric performance of included PROMs were poorly described. Qualitative studies found that vision loss resulted in psychosocial losses including loss of social and communication skills and loss of independence and freedom. Factors that modified the response to vision loss were also identified. Conclusion The current PROMs used by individuals with ION have poor content coverage, primarily measuring activity limitation and emotional well-being, and insufficient reporting of psychometric performance. There is a need to develop a PROM for individuals ION to report their experiences of living with their condition.

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