Evidence map›Paper›PMID 27324718›Full record

ArticleBMJ open2016

Electronic capture of patient-reported and clinician-reported outcome measures in an elective orthopaedic setting: a retrospective cohort analysis.

Karan Malhotra, Olatunbosun Buraimoh, James Thornton, Nicholas Cullen, Dishan Singh, Andrew J Goldberg

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Review
  2. Article
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  5. Article
  6. Patient adherence to patient-reported outcome measure (PROM) completion in clinical care: current understanding and future recommendations.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
  7. Article
  8. Article
  9. Differential item functioning to validate setting of delivery compatibility in PROMIS-global health.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  10. Article
  11. Barriers and Facilitators to the International Implementation of Standardized Outcome Measures in Clinical Cleft Practice.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. "Patient reported outcomes" following experimental surgery-using telemetry to assess movement in experimental ovine models.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018
    Article
  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Karan MalhotraFoot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK.
Olatunbosun BuraimohFoot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK.
James ThorntonFoot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK.
Nicholas CullenFoot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK.
Dishan SinghFoot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK.
Andrew J GoldbergFoot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether an entirely electronic system can be used to capture both patient-reported outcomes (electronic Patient-Reported Outcome Measures, ePROMs) as well as clinician-validated diagnostic and complexity data in an elective surgical orthopaedic outpatient setting. To examine patients' experience of this system and factors impacting their experience.

designRetrospective analysis of prospectively collected data.

settingSingle centre series. Outpatient clinics at an elective foot and ankle unit in the UK.

participantsAll new adult patients attending elective orthopaedic outpatient clinics over a 32-month period.

interventionsAll patients were invited to complete ePROMs prior to attending their outpatient appointment. At their appointment, those patients who had not completed ePROMs were offered the opportunity to complete it on a tablet device with technical support. Matched diagnostic and complexity data were captured by the treating consultant during the appointment. OUTCOME MEASURES: Capture rates of patient-reported and clinician-reported data. All information and technology (IT) failures, language and disability barriers were captured. Patients were asked to rate their experience of using ePROMs. The scoring systems used included EQ-5D-5L, the Manchester-Oxford Foot Questionnaire (MOxFQ) and the Visual Analogue Scale (VAS) pain score.

resultsOut of 2534 new patients, 2176 (85.9%) completed ePROMs, of whom 1090 (50.09%) completed ePROMs at home/work prior to their appointment. 31.5% used a mobile (smartphone/tablet) device. Clinician-reported data were captured on 2491 patients (98.3%). The mean patient experience score of using Patient-Reported Outcome Measures (PROMs) was 8.55±1.85 out of 10 and 666 patients (30.61%) left comments. Of patients leaving comments, 214 (32.13%) felt ePROMs did not adequately capture their symptoms and these patients had significantly lower patient experience scores (p<0.001).

conclusionsThis study demonstrates the successful implementation of technology into a service improvement programme. Excellent capture rates of ePROMs and clinician-validated diagnostic data can be achieved within a National Health Service setting.

Indexed as

Patient Reported Outcome MeasuresAdolescentAdultAgedAged, 80 and overComputer Communication NetworksElective Surgical ProceduresFemaleHumansMaleMiddle AgedOrthopedicsPatient SatisfactionQuality of LifeRetrospective StudiesUnited KingdomAUDITElectronic Patient RecordsPatient reported outcome measuresPROMS

Identifiers

PMID27324718
PMCPMC4916591

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.