4.5 Article

Patient-Reported Outcome Measurement and Minimal Clinically Important Difference for Hand Surgeons

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.5435/JAAOS-D-23-00318

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Patient-reported outcome measurement (PROM) tools are essential in evaluating health status and treatment response. Their use has increased in clinical practice and research, particularly in the field of upper extremity care. Parameters such as minimal clinically important difference, substantial clinical benefit, and patient acceptable symptom state contribute to a comprehensive understanding of the clinical significance of patient-reported outcomes.
Patient-reported outcome measurement (PROM) tools are used to evaluate health status and response to treatment and have been integral in the effort to improve the quality of care provided. Patient reported outcomes (PROs) have garnered additional attention since becoming a priority of the National Institutes of Health in the early part of this century, and their use in both clinical practice and research has subsequently increased. In the upper extremity, a variety of PRO instruments exist that can assist physicians in their ability to track and/or prognosticate outcomes, make comparisons between treatments as well as strengthen research methodologies, and help determine the value of care. A more complete interpretation of the clinical significance of patient-reported outcome measurements is informed by parameters such as minimal clinically important difference, substantial clinical benefit and patient acceptable symptom state

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