Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?

Patient-reported outcome measures (PROMs) enable healthcare professionals to monitor their patient’s physical, mental, and social health status. In this commentary, we provide an overview and a table summarizing the PROMs currently being implemented in foot and ankle surgery, along with their indivi...

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Main Authors: Hadley A Leatherman, Vasundhara Mathur, Siddhartha Sharma, Soheil Ashkani-Esfahani
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2023-10-01
Series:Journal of Foot and Ankle Surgery (Asia Pacific)
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Online Access:https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1284
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author Hadley A Leatherman
Vasundhara Mathur
Siddhartha Sharma
Soheil Ashkani-Esfahani
author_facet Hadley A Leatherman
Vasundhara Mathur
Siddhartha Sharma
Soheil Ashkani-Esfahani
author_sort Hadley A Leatherman
collection DOAJ
description Patient-reported outcome measures (PROMs) enable healthcare professionals to monitor their patient’s physical, mental, and social health status. In this commentary, we provide an overview and a table summarizing the PROMs currently being implemented in foot and ankle surgery, along with their individual advantages and disadvantages. We also discuss barriers to meaningful implementation and the proven strategies to overcome those barriers. Even though research has demonstrated the positive role that PROMs can play in patient care, currently, only one-third of orthopedic clinics use PROMs at all. Further, <10% of orthopedic surgeons themselves utilize them in their everyday practice. We believe that for many providers, the reason behind their lack of acceptance of PROMs is because of a gap in knowledge about the many benefits of doing so. For some, PROMs may also be perceived as an additional requirement to insurance and hospital protocols, thus creating another barrier to implementation. In order to overcome these impediments, we suggest that the role of PROMs be thoroughly researched and the merits of incorporating its use into everyday clinical practice be communicated to researchers, physicians, and policymakers across the discipline. In addition, it is essential that the opinions of surgeons and patients be taken into consideration and healthy dialogue is undertaken before PROMs are introduced on a large scale. In summary, we hope our manuscript gives orthopedic surgeons, researchers, and administrators interested in PROMs a comprehensive look at where we currently are with PROMs and the directions that future research can take.
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spelling doaj-art-68bf1a849c174fbdac0381a36581f0fe2025-08-20T03:18:20ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052023-10-01100419319510.5005/jp-journals-10040-12847Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?Hadley A Leatherman0Vasundhara Mathur1Siddhartha Sharma2Soheil Ashkani-Esfahani3Hadley Leatherman, Department of Orthopaedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Boston, Massachusetts, United States of America, Phone: 5037589375Department of Orthopaedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Boston, Massachusetts, United States of AmericaDepartment of Orthopaedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Massachusetts, United States of America; Department of Orthopaedics, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, IndiaDepartment of Orthopaedic Surgery, Foot & Ankle Research and Innovation Lab (FARIL), Massachusetts General Hospital, Boston, Massachusetts, United States of America; Department of Orthopaedic Surgery, FARIL-SORG Collaborative, Massachusetts General Hospital, Boston, Massachusetts, United StatesPatient-reported outcome measures (PROMs) enable healthcare professionals to monitor their patient’s physical, mental, and social health status. In this commentary, we provide an overview and a table summarizing the PROMs currently being implemented in foot and ankle surgery, along with their individual advantages and disadvantages. We also discuss barriers to meaningful implementation and the proven strategies to overcome those barriers. Even though research has demonstrated the positive role that PROMs can play in patient care, currently, only one-third of orthopedic clinics use PROMs at all. Further, <10% of orthopedic surgeons themselves utilize them in their everyday practice. We believe that for many providers, the reason behind their lack of acceptance of PROMs is because of a gap in knowledge about the many benefits of doing so. For some, PROMs may also be perceived as an additional requirement to insurance and hospital protocols, thus creating another barrier to implementation. In order to overcome these impediments, we suggest that the role of PROMs be thoroughly researched and the merits of incorporating its use into everyday clinical practice be communicated to researchers, physicians, and policymakers across the discipline. In addition, it is essential that the opinions of surgeons and patients be taken into consideration and healthy dialogue is undertaken before PROMs are introduced on a large scale. In summary, we hope our manuscript gives orthopedic surgeons, researchers, and administrators interested in PROMs a comprehensive look at where we currently are with PROMs and the directions that future research can take.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1284activities of daily livingamerican orthopaedic foot and ankle society ankle-hindfoot scalefoot ankle ability measure scoreorthopedicspatient-reported outcomeshared decision-makingsociety scalesurgerysurveyparameters of american orthopaedic foot and ankle society
spellingShingle Hadley A Leatherman
Vasundhara Mathur
Siddhartha Sharma
Soheil Ashkani-Esfahani
Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?
Journal of Foot and Ankle Surgery (Asia Pacific)
activities of daily living
american orthopaedic foot and ankle society ankle-hindfoot scale
foot ankle ability measure score
orthopedics
patient-reported outcome
shared decision-making
society scale
surgery
survey
parameters of american orthopaedic foot and ankle society
title Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?
title_full Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?
title_fullStr Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?
title_full_unstemmed Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?
title_short Patient-reported Outcomes in Foot and Ankle Practice: Where do We Stand in 2022?
title_sort patient reported outcomes in foot and ankle practice where do we stand in 2022
topic activities of daily living
american orthopaedic foot and ankle society ankle-hindfoot scale
foot ankle ability measure score
orthopedics
patient-reported outcome
shared decision-making
society scale
surgery
survey
parameters of american orthopaedic foot and ankle society
url https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1284
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AT siddharthasharma patientreportedoutcomesinfootandanklepracticewheredowestandin2022
AT soheilashkaniesfahani patientreportedoutcomesinfootandanklepracticewheredowestandin2022