Abstract
Patient-rated outcomes (PROs) are particularly important in rheumatoid hand research given the impact of surgical intervention on quality of life and the discord between patient-rated and objective clinical measures. All clinicians should have an intimate understanding of the intricacies of outcomes measurement due to the eventual impact on future research, clinical decision-making, and health policy. PRO questionnaires are used to measure general health, specific symptoms, or domains of health status from the patient’s perspective.
Creation of patient-rated questionnaires for clinical and health services research requires a rigorous development process. At a minimum, scientifically sound questionnaires undergo a lengthy process of reliability, validity, and responsiveness testing for the desired target patient population. Several generic and extremity-specific questionnaires have undergone extensive testing and have been utilized to measure rheumatoid arthritis outcomes. Instrument selection should be based on careful consideration of domains of health required to evaluate a given study hypothesis.
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Sears, E.D. (2016). Application of Patient-Rated Questionnaires in Rheumatoid Hand Outcomes Research. In: Chung, K. (eds) Clinical Management of the Rheumatoid Hand, Wrist, and Elbow. Springer, Cham. https://doi.org/10.1007/978-3-319-26660-2_7
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