HSS journal : the musculoskeletal journal of Hospital for Special Surgery
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Patient-reported outcome measures (PROMs) are an important resource for clinicians wishing to provide high-quality, patient-centered care. Finding PROMs to use in a pediatric clinical practice that are reliable, age appropriate, succinct, and not redundant is challenging. ⋯ The study shows that although both PROM instruments provide valuable information about pediatric physical function, they are not redundant because they measure slightly different constructs. Future studies should further investigate the correlation between these questionnaires in specific subpopulations of pediatric patients with lower-extremity pathology.
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Development and validation of Veterans RAND 12-item (VR-12) physical component survey (PCS) has been established among civilian and veteran populations but it has not been examined among anterior cervical discectomy and fusion (ACDF) patients. ⋯ VR-12 PCS was strongly correlated with the well-validated SF-12 PCS and NDI metrics as well as with the more recent PROMIS-PF. All PROMs demonstrated statistically significant improvement in patients post-operatively. VR-12 PCS is a valid measure of physical function among patients undergoing ACDF.
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Unanticipated severe injury to part of the musculoskeletal system, referred to as orthopedic trauma, can be debilitating. It can also be accompanied by equally debilitating psychological distress, but little is known about the effective interventions for psychological sequelae of orthopedic trauma. ⋯ Interventional strategies, including group interventions, brief individual interventions, longitudinal counseling, and consideration of early amputation in selected populations have proved effective in reducing negative psychological sequelae of major orthopedic trauma. Further research that determines the effects of interventions in this population is needed.
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Systemic rheumatic diseases are characterized by diverse symptoms that are exacerbated by stressors. ⋯ Coping with the COVID-19 pandemic was associated with rheumatic disease-related physical and psychological effects, even among patients not infected with SARS-CoV-2. According to patients, these effects adversely impacted their rheumatic diseases. Clinicians will need to ascertain the long-term sequelae of these effects and determine what therapeutic and psychological interventions are indicated.