Patient reported outcome measures in the foot and ankle literature: A systematic review

Q2 Health Professions

Foot Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI:10.1016/j.foot.2025.102209

Sofyan Al Shdefat , Zaki Arshad , Rahul Khan , Ibrahim Inzarul Haq , Maneesh Bhatia

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引用次数: 0

Abstract

Purpose

Patient reported outcome measures (PROMs) are crucial in allowing clinicians to effectively evaluate the outcome of interventions. This systematic review aims to provide a comprehensive, up-to-date analysis of the use of PROMs in the foot and ankle literature.

Materials and methods

A systematic review of all articles published between January 2012 and December 2022 in six major orthopaedic journals was performed. All original research articles reporting at least one PROM in any foot and ankle condition were included. An analysis of the most common PROMs overall and according to year of publication, journal of publication and pathology/procedure reported was performed.

Results

Of the 4402 total foot and ankle articles identified, 1553 articles reporting 125 different PROMs were included. The most common PROM overall was the American Orthopaedic foot and Ankle Society (AOFAS) score, reported in 51.5 % of articles, followed by visual analogue scale (VAS) pain score (43.2 %), 36-item short form survey (SF-36) (13.5 %), Foot and Ankle Outcome score (FAOS) (10.8 %) and Foot and Ankle Ability Measure (FAAM) (7.6 %). Only 23 (1.5 %) studies reported the number of patients achieving the minimally clinically important difference.

Conclusion

Although AOFAS score use has declined over time, it remains widely cited despite its limitations and calls for alternatives. Various validated foot and ankle PROMs exist but are used inconsistently. The continued use of suboptimal PROMs limits the quality of conclusions in foot and ankle research. Therefore, greater consistency in using validated PROMs is essential for improving reliability in the literature.

Level of evidence

Level IV, systematic review of level I-IV studies

查看原文本刊更多论文

足部和踝关节文献中患者报告的结果测量：系统回顾。

目的：患者报告的结果测量（PROMs）对于临床医生有效评估干预措施的结果至关重要。这篇系统综述的目的是提供一个全面的，最新的分析在足部和踝关节的文献中使用PROMs。材料和方法：系统回顾2012年1月至2022年12月在六大骨科期刊上发表的所有文章。所有报道至少一例足部和踝关节损伤的原创研究文章均被纳入。对最常见的prom进行总体分析，并根据发表年份、发表期刊和病理/手术报告进行分析。结果：在鉴定的4402篇足部和踝关节文章中，1553篇报道了125种不同的PROMs。最常见的PROM是美国骨科足踝学会（AOFAS）评分，有51.5 %的文章报道，其次是视觉模拟量表（VAS）疼痛评分（43.2 %），36项简短问卷调查（SF-36）（13.5 %），足踝结局评分（FAOS）（10.8 %）和足踝能力测量（FAAM）（7.6 %）。只有23项（1.5 %）研究报告了达到最低临床重要差异的患者数量。结论：尽管AOFAS评分的使用率随着时间的推移而下降，但尽管存在局限性，它仍然被广泛引用，并呼吁替代。存在各种经过验证的足部和踝关节prom，但使用不一致。持续使用次优PROMs限制了足部和踝关节研究结论的质量。因此，使用经过验证的prom的一致性对于提高文献中的可靠性至关重要。证据等级：IV级，对I-IV级研究的系统评价。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot Health Professions-Podiatry

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The Foot is an international peer-reviewed journal covering all aspects of scientific approaches and medical and surgical treatment of the foot. The Foot aims to provide a multidisciplinary platform for all specialties involved in treating disorders of the foot. At present it is the only journal which provides this inter-disciplinary opportunity. Primary research papers cover a wide range of disorders of the foot and their treatment, including diabetes, vascular disease, neurological, dermatological and infectious conditions, sports injuries, biomechanics, bioengineering, orthoses and prostheses.