Use of patient-reported outcome measures (PROMs) by orthopedic surgeons in Saudi Arabia
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(2020) 15:598
RESEARCH ARTICLE
Open Access
Use of patient-reported outcome measures (PROMs) by orthopedic surgeons in Saudi Arabia Fayez Alshehri1* , Abdulaziz Alarabi1, Mohammed Alharthi1, Thamer Alanazi1, Ahmed Alohali1 and Mohammad Alsaleem2
Abstract Background: There is increasing literature on the usefulness of patient-reported outcome measures (PROMs), but far fewer studies to determine their use by orthopedic surgeons and the barriers they face in applying PROMs in their daily clinical activity. Methods: Cross-sectional study using a questionnaire that was distributed in both soft and hard copy formats to a sample of 262 orthopedic surgeons. Participants included orthopedic surgeons who are employed by the Ministry of Health (MOH) in Riyadh and the Eastern Province, Saudi Arabia. The questionnaire was distributed through onsite visitations to orthopedic departments in MOH hospitals as well as through online correspondence by email, WhatsApp, and social media. Results: The study sample included 262 orthopedic surgeons (13.7% females and 86.3% males). Surgeons aged < 34, 35–44, and 45–54 years old represented 28.66%, 38.9%, and 20.2% of the study sample, respectively. The majority of the included surgeons did not use PROMs (69.1%), and some (17.2%) used it for research purposes. Only 5% used it regularly in daily clinical work. Conclusion: The clinical use of PROMs among orthopedic surgeons was negligible, even though an overwhelming majority were interested in using PROMs. The reasons provided included a lack of knowledge on how to use PROMs and the perception that it is too time-consuming to add to regular clinical routine. There should be more efforts towards training surgeons on how to use PROMs, whereas increasing compatibility with existing software tools used by MOH hospitals may help offset time-related reservations. Keywords: PROM, Total joint arthroplasty, TJA, Patient-reported outcome measures, Use of PROMs, Use by orthopedic surgeons, Saudi Arabia
Background As the volume of total joint arthroplasty (TJA) procedures performed in countries across the world continues to increase [1], so has the demand for further evidence of when they are necessary [2]. Patient-reported outcome measures * Correspondence: [email protected] 1 College of Medicine, Imam Muhammad ibn Saud Islamic University, Riyadh, Kingdom of Saudi Arabia Full list of author information is available at the end of the article
(PROMs) are tools that enable patients to self-report their functional status, pain, and other valuable domains related to their quality of life [3]. With the possibility to be used in both pre- and postoperative settings, PROMs can assist in determining patient satisfaction after TJA by documenting the changes in score and serve as an indicator of the surgical intervention’s efficacy [4]. While PROMs are not without their challenges, they remain the best objective tool available for measuring
© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 Internatio
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