Abstract
Both clinician-reported outcome measures (CROMs) measures and patient-reported outcome measures (PROMs) are applied to evaluate outcomes in rehabilitation settings. The previous data show only a low to moderate correlation between these measures. Relationships between functional performance measures (Clinician-Reported Outcome Measures, CROMs) and Patient-Reported Outcome Measures (PROMs) were analysed in rehabilitation patients with traumatic injuries of the lower limb. A cohort of 315 patients with 3 subgroups (127 hip, 101 knee and 87 ankle region) was analysed before and after 3 weeks of inpatient rehabilitation. All three groups showed significant improvements in PROMs with low to moderate effect sizes. Moderate to high effect sizes were found for CROMs. Correlation coefficients between CROMs and PROMs were low to moderate. The performance consistency between PROMs and CROMs ranged from 56.7% to 64.1%. In this cohort of rehabilitation patients with traumatic injuries, CROMs showed higher effect sizes than PROMs. When used in combination, patient-reported outcome and performance measures contribute to collecting complementary information, enabling the practitioner to make a more accurate clinical evaluation of the patient’s condition.
Highlights
The aim of postoperative rehabilitation is to enable the patient to fully perform daily, leisure and sports activities and to maintain their ability to work
Various studies have been carried out to analyse postoperative recovery with either clinician-reported outcome measures (CROMs) or patient-reported outcome measures (PROMs), enabling clinicians to evaluate the effects of therapeutic interventions, identify factors that influence the outcome and improve their performance constantly [1,2]
Our results indicate that PROMs and CROMs are reliable assessment tools in shortterm rehabilitation programmes
Summary
The aim of postoperative rehabilitation is to enable the patient to fully perform daily, leisure and sports activities and to maintain their ability to work. In order to monitor therapy effects and the outcomes of postoperative rehabilitation, different clinician-reported outcome measures (CROMs) and patient-reported outcome measures (PROMs) are commonly used. Various studies have been carried out to analyse postoperative recovery with either CROMs or PROMs, enabling clinicians to evaluate the effects of therapeutic interventions, identify factors that influence the outcome and improve their performance constantly [1,2]. An analysis of previous studies comparing PROMs and CROMs indicates that a moderate correlation between the two exists, showing that selfreported and performance measures provide different kinds of clinical information about the functional state of the patient [3–5].
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