Evidence map›Paper›PMID 41179409›Full record

ArticleJSES reviews, reports, and techniques2025

Utilization of patient-reported outcome measures in shoulder and elbow surgery: a survey-based study.

Niclas Lutz, Nils Käßer, Rony-Orijit Dey Hazra, Doruk Akgün, Markus Scheibel, Benedikt Schliemann, David Alexander Back

Abstract read
In one paragraph

Article in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Niclas LutzCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Nils KäßerCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Rony-Orijit Dey HazraCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Doruk AkgünCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Markus ScheibelCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Benedikt SchliemannDepartment of Trauma and Orthopaedic Surgery, FRANZISKUS Center of Shoulder, Elbow and Hand Surgery, Münster, Germany.
David Alexander BackCenter for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

DigitalElbowEvaluationPhysicianPROMsShoulder

Identifiers

PMID41179409
PMCPMC12573596

What OpenQuestion holds

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LicenceCC BY
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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.