Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jul 17;15(7):e0233226.
doi: 10.1371/journal.pone.0233226. eCollection 2020.

Patient-reported physical functioning and quality of life after pelvic ring injury: A systematic review of the literature

Hester Banierink  1 , Kaj Ten Duis  1 , Klaus Wendt  1   2 , Erik Heineman  3 , Frank IJpma  1 , Inge Reininga  1   2
Affiliations

Patient-reported physical functioning and quality of life after pelvic ring injury: A systematic review of the literature

Hester Banierink et al. PLoS One. .

Abstract

Background: Pelvic ring injuries are one of the most serious traumatic injuries with large consequences for the patients' daily life. During recent years, the importance of the patients' perception of their functioning and quality of life following injury has increasingly received attention. This systematic review reports on self-reported physical functioning and quality of life after all types of pelvic ring injuries.

Methods: The online databases MEDLINE-PubMed and Ovid-EMBASE were searched for studies published between 2008 and 2019 to identify published evidence of patient-reported physical functioning and quality of life after which they were assessed for their methodological quality.

Results: Of the 2577 articles, 46 were reviewed in full-text, including 3049 patients. Most studies were heterogeneous, with small cohorts of patients, a variety of injury types, treatment methods and use of different, often non-validated, outcome measures. The overall methodological quality was moderate to poor. Nine different PROMs were used, of which the Majeed Pelvic Score (MPS), SF-36 and EQ-5D were the most widely used. Mean scores respectively ranged from 75-95 (MPS), 53-69 (SF-36, physical functioning) and 0.63-0.80 (EQ-5D).

Conclusions: Physical functioning and quality of life following pelvic ring injuries seem fair and tend to improve during follow-up. However, differences in patient numbers, injury definition, treatment strategy, follow-up duration and type of PROMs used between studies hampers to elucidate the actual effects of pelvic ring injuries on a patient's life.

Implications of key findings: Physicians and researchers should use valid and reliable patient-reported outcome instruments on large cohorts of patients with properly defined injuries to truly evaluate physical functioning and quality of life after pelvic ring injuries.

Systematic review registration number: PROSPERO International prospective register of systematic reviews; registration number CRD42019129176.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Flow diagram according to the PRISMA method.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Ojodu I, Pohlemann T, Hopp S, Rollmann MFR, Holstein JH, Herath SC. Predictors of mortality for complex fractures of the pelvic ring in the elderly: A twelve-year review from a German level i trauma center. Injury. 2015;46(10):1996–8. 10.1016/j.injury.2015.07.034 - DOI - PubMed
    1. Tosounidis TI, Giannoudis P V. Pelvic fractures presenting with haemodynamic instability: Treatment options and outcomes. Surgeon. 2013;11(6):344–51. 10.1016/j.surge.2013.07.004 - DOI - PubMed
    1. Davis JC, Bryan S. Patient Reported Outcome Measures (PROMs) have arrived in sports and exercise medicine: Why do they matter? British Journal of Sports Medicine. 2015. December 1;49(24):1545–6. 10.1136/bjsports-2014-093707 - DOI - PubMed
    1. Ahmed S, Berzon RA, Revicki DA, Lenderking WR, Moinpour CM, Basch E, et al. The Use of Patient-reported Outcomes (PRO) Within Comparative Effectiveness Research Implications for Clinical Practice and Health Care Policy. 2012;50(12):1060–70. - PubMed
    1. Lefaivre KA, Slobogean GP, Valeriote J, O’Brien PJ, Macadam SA. Reporting and interpretation of the functional outcomes after the surgical treatment of disruptions of the pelvic ring: A systematic review. Bone Joint J. 2012;94-B(4):549–55. - PubMed

Publication types