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Patient reported outcome measures in children with knee ligament injuries. A systematic review.
Author(s):
Dietvorst M. (Netherlands)
Dietvorst M. (Netherlands)
Affiliations:
ESSKA Academy. Dietvorst M. May 9, 2018; 209789; P17-70 Topic: Sports Related Injuries
Mr. Martijn Dietvorst
Mr. Martijn Dietvorst
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Abstract
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Objectives: The aim of this systematic review is to create an evidence based overview of psychometric properties of patient reported outcome measures (PROMs) used in children with ligament injury of the knee. Based on the results of this systematic review, an evidence based selection of PROMs can be made to apply in the clinical setting.

Methods: A systematic search of literature was performed at 9-9-2016 on PubMed, EMBASE and the Cochrane controlled trial register databases. All published articles until that date were considered. The inclusion criteria were diagnostic studies evaluating psychometric properties (validity, reliability, responsiveness) and comprehensibility of PROMs and studies including children (age < 18 years) with ligament injury of the knee. The systematic review was performed following the PRISMA statement.

Results: Ten studies were included in this systematic review, of which eight studies evaluated psychometric properties of PROMs and two studies comprehensibility of PROMs. The Pedi-IKDC has been evaluated in four studies and has acceptable psychometric properties. The KOOS-Child is evaluated in one study and has acceptable psychometric properties. Adult PROMs are less evaluated in children and by using these PROMs problems might arise concerning comprehensibility.

Conclusions: The Pedi-IKDC is an adequate PROM for children suffering from ligament injuries of the knee. It has shown to be valid, reliable and responsive even if validated in a different language. There is a concern of a significant ceiling effect however. The KOOS-Child might be an alternative PROM for the Pedi-IKDC, although it has only been evaluated in one study. Adult versions of PROMs are not recommended in children.

Keywords:
"Patient reported outcome measures", "PROMs", "knee ligament injury", "paediatric"
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