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. 2023 Apr;15(2):140-150.
doi: 10.1177/17585732211050224. Epub 2021 Oct 26.

Use of patient reported experience measure and patient reported outcome measures to evaluate differences in surgical or non-surgical management of humeral shaft fractures

Lambros Athanatos  1 , Darren P Sandean  1 , Maitravaarun Burgula  1 , Bethan Lee  1 , Radhakant Pandey  1 , Harvinder P Singh  1
Affiliations

Use of patient reported experience measure and patient reported outcome measures to evaluate differences in surgical or non-surgical management of humeral shaft fractures

Lambros Athanatos et al. Shoulder Elbow. 2023 Apr.

Abstract

Background: The aim of this study was to evaluate the use of patient reported experience measures (PREMs) in humeral shaft fractures managed with or without surgery against patient reported outcome measures (PROMs).

Methods: Adult patients treated for a humeral shaft fracture between June 2015 and August 2017 were included in non-surgery and surgery (early and late surgery) groups. The PREM questionnaire was based on patient and clinician feedback obtained during focus groups and was posted to patients. PROMs included the short form-12 (SF-12) and visual analogue scale (VAS) for pain, stiffness, function and satisfaction.

Results: Eighty-one patients responded, 54 patients were treated in a brace and 27 with surgery (13 early, 14 late). There was moderate positive correlation between PREM and VAS satisfaction and function and moderate negative correlation with VAS pain and stiffness. There was also moderate positive correlation between PREM and SF-12 mental and weak positive correlation with SF-12 physical. The late surgery group had poorer PREMs (expectations, p = 0.002 and friends & family test, p = 0.0001) and PROMs (VAS satisfaction, p = 0.005) compared to the early surgery group.

Conclusions: PREMs can be used in conjunction with PROMs to improve the patient's quality of care and as a means of identifying, at an early stage, those patients not doing well and to offer surgery.

Keywords: PREM; PROM; humeral shaft fractures; non-surgical; patient reported experience measure; surgical.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Patient reported experience measure (PREM) questionnaire posted to patients sustaining a humerus shaft fracture.
Figure 2.
Figure 2.
VAS score: patients asked to mark an X along each line of the corresponding VAS category (function, pain, stiffness, and satisfaction) VAS, visual analogue scale.
Figure 3.
Figure 3.
PREM (PESQ 1–12) scoreboard: scores from PEQ 1–4 and PSQ 1–4 are added to form the PREM (PESQ) score for each patient.
See this image and copyright information in PMC

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