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Foot Ankle Int. 2018 Dec;39(12):1389-1393. doi: 10.1177/1071100718809066. Epub 2018 Oct 31.

AOFAS Position Statement Regarding Patient-Reported Outcome Measures.

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1 Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
2 Department of Orthopaedics and Rehabilitation, Oregon Health & Sciences University, Portland, OR, USA.
3 Tri-State Specialists, Sioux City, IA, USA.
4 Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA.
5 Orthopaedic Specialty Institute / Hoag Orthopedic Institute, Orange, CA, USA.
6 Clinica Alemana, Universidad del Desarrollo, Las Condes, Santiago, Chile.


Outcome measures evaluate various aspects of patient health, and when appropriately utilized can provide valuable information in both clinical practice and research settings. The orthopedic community has placed increasing emphasis on patient-reported outcome measures, recognizing their value for understanding patients' perspectives of treatment outcomes. Patient-reported outcomes are information directly reported by patients regarding their perceptions of health, quality of life, or functional status without interpretation by healthcare providers. The American Orthopaedic Foot & Ankle Society (AOFAS) supports the use of validated patient-reported outcome (PRO) instruments to assess patient general health, functional status, and outcomes of treatment. It is not possible to recommend a single instrument to collect quality orthopedic data as the selection is dependent on the population being examined and the question being asked. We support the use of the PROMIS Physical Function Computerized Adaptive Test (PF CAT) or Lower Extremity Computerized Adaptive Test (LE CAT), which can be assessed with other domains such as Pain Interference. In addition, a disease-specific measure can be used when available.


PRO; PROMIS; ankle; computer adaptive testing; patient-reported outcomes


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