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Review
. 2023 Sep 14;10(9):1552.
doi: 10.3390/children10091552.

Evaluating the Use of PROMs in Paediatric Orthopaedic Registries

Eleanor J Morris  1   2 , Kelly Gray  3 , Paul J Gibbons  2 , Jane Grayson  1 , Justin Sullivan  1 , Anita B Amorim  1 , Joshua Burns  1   4 , Marnee J McKay  1
Affiliations
Review

Evaluating the Use of PROMs in Paediatric Orthopaedic Registries

Eleanor J Morris et al. Children (Basel). .

Abstract

Patient-reported outcome measures (PROMs) provide structured information on the patient's health experience and facilitate shared clinical decision-making. Registries that collect PROMs generate essential information about the clinical course and efficacy of interventions. Whilst PROMs are increasingly being used in adult orthopaedic registries, their use in paediatric orthopaedic registries is not well known. The purpose of this systematic review was to identify the frequency and scope of registries that collect PROMs in paediatric orthopaedic patient groups. In July 2023, six databases were systematically searched to identify studies that collected PROMs using a registry amongst patients aged under 18 years with orthopaedic diagnoses. Of 3190 identified articles, 128 unique registries were identified. Three were exclusively paediatric, 27 were majority paediatric, and the remainder included a minority of paediatric patients. One hundred and twenty-eight registries collected 72 different PROMs, and 58% of these PROMs were not validated for a paediatric population. The largest group of orthopaedic registries collected PROMs on knee ligament injuries (21%). There are few reported dedicated orthopaedic registries collecting PROMs in paediatric populations. The majority of PROMs collected amongst paediatric populations by orthopaedic registries are not validated for patients under the age of 18 years. The use of non-validated PROMs by registries greatly impedes their utility and impact. Dedicated orthopaedic registries collecting paediatric-validated PROMs are needed to increase health knowledge, improve decision-making between patients and healthcare providers, and optimise orthopaedic management.

Keywords: PROMs; orthopaedic; paediatric; registry; systematic review.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA flow chart of study selection.
Figure 2
Figure 2
Scope of registries that include patients under the age of 18 years.
See this image and copyright information in PMC

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