The rheumatoid foot: a systematic literature review of patient reported outcome measures

Walmsley, S; Williams, AE; Ravey, M; Graham, A

Abstract

Background
The foot is often the first area of the body to be systematically affected by rheumatoid
arthritis. The multidimensional consequences of foot problems for patients can be
subjectively evaluated using patient-reported outcome measures (PROMs). However,
there is currently no systematic review which has focused specifically upon the PROMs
available for the foot with rheumatoid arthritis. The aim of this systematic review was to
appraise the foot-specific PROMs available for the assessment and/or evaluation of the
foot affected with rheumatoid arthritis.
Methods
A systematic search of databases was conducted according to pre-defined
inclusion/exclusion criteria. PROMs identified were reviewed in terms of: conceptual
bases, quality of construction, measurement aims and evidence to support their
measurement properties.
Results
A total of 11 PROMs were identified and 5 papers that provided evidence for the
measurement properties of some of the PROMs. Only one of the PROMs was found to be
RA disease-specific. The quality of construction, pretesting and presence of evidence for
their measurement properties was found to be highly variable. Conceptual bases of many
of the PROMs was either restricted or based on reductionist biomedical models. All of the
PROMs were found to consist of fixed scales
Conclusions
There is a need to develop an RA-disease and foot-specific PROM with a greater emphasis
on a biopsychosocial conceptual basis, cognitive pre-testing methods, patient preferencebased
qualities and evidence to support the full complement of measurement properties

Citation

Walmsley, S., Williams, A., Ravey, M., & Graham, A. The rheumatoid foot: a systematic literature review of patient reported outcome measures. Journal of Foot and Ankle Research, 3(12), https://doi.org/10.1186/1757-1146-3-12

• Journal Article Type: Article
• Deposit Date: Sep 30, 2010
• Publicly Available Date: Apr 5, 2016
• Journal: Journal of Foot and Ankle Research
• Publisher: Springer Verlag
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 12
• DOI: https://doi.org/10.1186/1757-1146-3-12
• Publisher URL: http://dx.doi.org/10.1186/1757-1146-3-12