Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions
Background: Elbow-related issues are common among adults and can significantly impact their daily activities and quality of life. Patient-reported outcome measures (PROMs) are increasingly being used nowadays to assess the subjective experience of patients with elbow problems. Identifying reliable,...
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Elsevier
2025-08-01
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| Series: | JSES Reviews, Reports, and Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666639125000719 |
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| author | Waleed Albishi, MBBS, MSc, FRCSC Hisham Alsanawi, MBBS, SSC, MASc Muhannad Alsharidah, MBBS Mohammed Alhuqbani, MBBS Zyad Aldosari, MBBS Omar Aldosari, MBBS Amr Elmaraghy, MD, FRCSC |
| author_facet | Waleed Albishi, MBBS, MSc, FRCSC Hisham Alsanawi, MBBS, SSC, MASc Muhannad Alsharidah, MBBS Mohammed Alhuqbani, MBBS Zyad Aldosari, MBBS Omar Aldosari, MBBS Amr Elmaraghy, MD, FRCSC |
| author_sort | Waleed Albishi, MBBS, MSc, FRCSC |
| collection | DOAJ |
| description | Background: Elbow-related issues are common among adults and can significantly impact their daily activities and quality of life. Patient-reported outcome measures (PROMs) are increasingly being used nowadays to assess the subjective experience of patients with elbow problems. Identifying reliable, valid, and responsive tools is deemed necessary to be embedded in the assessment and treatment planning. This study aimed to identify currently available PROMs designed for people with elbow pathology and appraise, compare, and synthesize psychometric data supporting these PROMs. Methods: This review adhered to the methodology outlined by Cochrane and followed the principles set forth by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Systematic searches were conducted in databases such as MEDLINE and Embase to identify studies related to PROMs for elbow diseases. The search was limited to papers published until July 2023. The inclusion criteria were specifically targeted toward adult populations, English-language publications, and research that provided information on the psychometric features of PROMs. The COSMIN Risk of Bias checklist was used to do data extraction and quality assessment. Results: Of the 6741 articles, 58 full-text articles were evaluated to determine their eligibility. Nineteen studies fulfilled the requirements for inclusion, providing information on 10 PROMs for elbow problems. PROMs such as the Disabilities of the Arm, Shoulder, and Hand, Quick Disabilities of Arm, Shoulder, and Hand, and Oxford Elbow Score have shown strong reliability and construct validity. Most PROMs did not have thorough qualitative evaluations and concept elicitation. The Patient-Rated Ulnar Nerve Evaluation and Patient-Rated Elbow Evaluation showed strong reliability and responsiveness, but the Elbow Self-Assessment Score and Kerlan-Jobe Orthopaedic Clinic score exhibited satisfactory reliability but lacked comprehensive qualitative assessment. Conclusions: Ten elbow PROMs were reviewed, showing psychometric diversity. Some PROMs are reliable and valid; others require further development and validation. Future studies could enhance qualitative assessments and standardization of PROM evaluation guidelines. A core outcome set for elbow-related PROMs could improve consistency and comparability in clinical research. |
| format | Article |
| id | doaj-art-1bbe8a62d83c48b9b05954a226fcd4ba |
| institution | Kabale University |
| issn | 2666-6391 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES Reviews, Reports, and Techniques |
| spelling | doaj-art-1bbe8a62d83c48b9b05954a226fcd4ba2025-08-20T03:29:10ZengElsevierJSES Reviews, Reports, and Techniques2666-63912025-08-015352353210.1016/j.xrrt.2025.04.005Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditionsWaleed Albishi, MBBS, MSc, FRCSC0Hisham Alsanawi, MBBS, SSC, MASc1Muhannad Alsharidah, MBBS2Mohammed Alhuqbani, MBBS3Zyad Aldosari, MBBS4Omar Aldosari, MBBS5Amr Elmaraghy, MD, FRCSC6Department of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia; Corresponding author: Muhannad Alsharidah, MBBS, Department of Orthopedic Surgery, College of Medicine, King Saud University, P.O Box 2925, Riyadh 11461, Saudi Arabia.Department of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Orthopedic Surgery, College of Medicine, King Saud University, Riyadh, Saudi ArabiaDepartment of Orthopedic Surgery, St Joseph's Health Centre, University of Toronto, Toronto, ON, CanadaBackground: Elbow-related issues are common among adults and can significantly impact their daily activities and quality of life. Patient-reported outcome measures (PROMs) are increasingly being used nowadays to assess the subjective experience of patients with elbow problems. Identifying reliable, valid, and responsive tools is deemed necessary to be embedded in the assessment and treatment planning. This study aimed to identify currently available PROMs designed for people with elbow pathology and appraise, compare, and synthesize psychometric data supporting these PROMs. Methods: This review adhered to the methodology outlined by Cochrane and followed the principles set forth by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Systematic searches were conducted in databases such as MEDLINE and Embase to identify studies related to PROMs for elbow diseases. The search was limited to papers published until July 2023. The inclusion criteria were specifically targeted toward adult populations, English-language publications, and research that provided information on the psychometric features of PROMs. The COSMIN Risk of Bias checklist was used to do data extraction and quality assessment. Results: Of the 6741 articles, 58 full-text articles were evaluated to determine their eligibility. Nineteen studies fulfilled the requirements for inclusion, providing information on 10 PROMs for elbow problems. PROMs such as the Disabilities of the Arm, Shoulder, and Hand, Quick Disabilities of Arm, Shoulder, and Hand, and Oxford Elbow Score have shown strong reliability and construct validity. Most PROMs did not have thorough qualitative evaluations and concept elicitation. The Patient-Rated Ulnar Nerve Evaluation and Patient-Rated Elbow Evaluation showed strong reliability and responsiveness, but the Elbow Self-Assessment Score and Kerlan-Jobe Orthopaedic Clinic score exhibited satisfactory reliability but lacked comprehensive qualitative assessment. Conclusions: Ten elbow PROMs were reviewed, showing psychometric diversity. Some PROMs are reliable and valid; others require further development and validation. Future studies could enhance qualitative assessments and standardization of PROM evaluation guidelines. A core outcome set for elbow-related PROMs could improve consistency and comparability in clinical research.http://www.sciencedirect.com/science/article/pii/S2666639125000719ElbowOrthopedic surgeryPatient-reported outcome measurePROMsCOSMINValidity |
| spellingShingle | Waleed Albishi, MBBS, MSc, FRCSC Hisham Alsanawi, MBBS, SSC, MASc Muhannad Alsharidah, MBBS Mohammed Alhuqbani, MBBS Zyad Aldosari, MBBS Omar Aldosari, MBBS Amr Elmaraghy, MD, FRCSC Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions JSES Reviews, Reports, and Techniques Elbow Orthopedic surgery Patient-reported outcome measure PROMs COSMIN Validity |
| title | Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions |
| title_full | Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions |
| title_fullStr | Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions |
| title_full_unstemmed | Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions |
| title_short | Systematic review of measurement properties of patient-reported outcome measures in patients with elbow-related orthopedic conditions |
| title_sort | systematic review of measurement properties of patient reported outcome measures in patients with elbow related orthopedic conditions |
| topic | Elbow Orthopedic surgery Patient-reported outcome measure PROMs COSMIN Validity |
| url | http://www.sciencedirect.com/science/article/pii/S2666639125000719 |
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