Patient-reported outcome measures for patients with meniscal tears: a systematic review of measurement properties and evaluation with the COSMIN checklist
Authors:
Abram, S.G.F., Middleton, R., Beard, D.J., Price, A.J., and Hopewell, S.
Abstract:
Objective Meniscal tears occur frequently in the
population and the most common surgical treatment,
arthroscopic partial meniscectomy, is performed in
approximately two million cases worldwide each year.
The purpose of this systematic review is to summarise
and critically appraise the evidence for the use of patientreported
outcome measures (PROMs) in patients with
meniscal tears.
Design A systematic review was undertaken. Data on
reported measurement properties were extracted and the
quality of the studies appraised according to Consensusbased
Standards for the Selection of Health Measurement
Instruments.
Data sources A search of MEDLINE, Embase, AMED and
PsycINFO, unlimited by language or publication date (last
search 20 February 2017).
Eligibility criteria for selecting studies Development
and validation studies reporting the measurement
properties of PROMs in patients with meniscal tears were
included.
Results 11 studies and 10 PROMs were included. The
overall quality of studies was poor. For measurement of
symptoms and functional status, there is only very limited
evidence supporting the selection of either the Lysholm
Knee Scale, International Knee Documentation Committee
Subjective Knee Form or the Dutch version of the Knee
injury and Osteoarthritis Outcome Score. For measuring
health-related quality of life, only limited evidence supports
the selection of the Western Ontario Meniscal Evaluation
Tool (WOMET). Of all the PROMs evaluated, WOMET has
the strongest evidence for content validity.
Conclusion For patients with meniscal tears, there is poor
quality and incomplete evidence regarding the validity of
the currently available PROMs. Further research is required
to ensure these PROMs truly reflect the symptoms,
function and quality of life of patients with meniscal tears.
