JSES Rev Rep Tech. 2025 Aug 11;5(4):705-712. doi: 10.1016/j.xrrt.2025.07.015. eCollection 2025 Nov.
ABSTRACT
BACKGROUND: Patient-reported outcome measures (PROMs) are widely established in shoulder and elbow surgery, as they are able to reflect the functional outcome after a respective treatment. However, various challenges exist to add PROMs into in the daily clinical practice. The aim of the presented study was to analyze the utilization of PROMs among shoulder and elbow physicians in Germany, Austria, and Switzerland.
METHODS: An online questionnaire (SurveyMonkey) assessed the use of shoulder- and elbow-specific PROMs in orthopedic and trauma surgery clinics across the D-A-CH region. Distributed via the D-A-CH Society for Shoulder and Elbow Surgery email list, surveys were enlisted from April to December 2024. Participation was voluntary, anonymous, and implied consent. Due to anonymity, European data protection regulations were not applicable. Ethical approval was obtained.
RESULTS: Among 124 participants, 82% were male and 17% female. While 54% did not use PROMs, 46% incorporated them into daily practice. For shoulders, Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH)/quick Disabilities of the Arm, Shoulder and Hand Questionnaire (73%), Simple Shoulder Test (29%), and ROWE Score (21%) were most frequently used. Regarding elbows, 54% did not use PROMs, DASH (29%) and Mayo Elbow Performance Score (25%) were most common among users. PROMs were primarily collected via paper questionnaires (58%) or not with digital tools (23%). PROMs were valued for scientific research (73%), therapy monitoring (71%), and treatment quality improvement (56%). Key disadvantages included subjective patient perception (71%), needed patient collaboration (67%), and additional workload (63%).
CONCLUSION: PROMs are still rarely used in daily clinical practice but are valued for enhancing research and treatment quality by integrating patients' subjective experiences. Key barriers include the lack of affordable, user-friendly digital solutions. Future efforts may focus on professional society recommendations for suitable PROMs and the establishment of their digital measuring.
PMID:41179409 | PMC:PMC12573596 | DOI:10.1016/j.xrrt.2025.07.015