Patient-reported outcome measures (PROMs) are being used increasingly in total knee arthroplasty (TKA). We conducted a systematic review aimed at identifying psychometrically sound PROMs by appraising their measurement properties. Studies concerning the development and/or evaluation of the measurement properties of PROMs used in a TKA population were systematically retrieved via PubMed, Web of Science, Embase, and Scopus. Ratings for methodological quality and measurement properties were conducted according to updated COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. Of the 155 articles on 34 instruments included, nine PROMs met the minimum requirements for psychometric validation and can be recommended to use as measures of TKA outcome: Oxford Knee Score (OKS); OKS-Activity and Participation Questionnaire (OKS-APQ); 12-item short form Knee Injury and Osteoarthritis Outcome (KOOS-12); KOOS Physical function Short form (KOOS-PS); Western Ontario and McMaster Universities Arthritis Index-Total Knee Replacement function short form (WOMAC-TKR); Lower Extremity Functional Scale (LEFS); Forgotten Joint Score (FJS); Patient's Knee Implant Performance (PKIP); and University of California Los Angeles (UCLA) activity score. The pain and function subscales in WOMAC, as well as the pain, function, and quality of life subscales in KOOS, were validated psychometrically as standalone subscales instead of as whole instruments. However, none of the included PROMs have been validated for all measurement properties. Thus, further studies are still warranted to evaluate those PROMs. Use of the other 25 scales and subscales should be tempered until further studies validate their measurement properties. Cite this article: Bone Joint Res 2021;10(3):203-217.

中文翻译：

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在全膝关节置换术患者中使用的患者报告的结局指标。

在全膝关节置换术（TKA）中越来越多地使用患者报告的结果测量（PROM）。我们进行了系统的评估，旨在通过评估心理测量的PROM的测量属性来确定它们。通过PubMed，Web of Science，Embase和Scopus系统检索了有关在TKA人群中使用的PROM的测量特性的开发和/或评估的研究。方法学质量和测量属性的评级是根据最新的基于COnsensus的健康测量仪器（COSMIN）方法选择标准进行的。在包含的关于34种仪器的155条文章中，有9个PROM符合心理计量学验证的最低要求，可以建议将其用作TKA结果的度量：牛津膝关节评分（OKS）；OKS活动和参与调查表（OKS-APQ）；12项短型膝关节损伤和骨关节炎结果（KOOS-12）；KOOS物理功能简写形式（KOOS-PS）；安大略省西部和麦克马斯特大学的关节炎指数-膝关节置换功能简写（WOMAC-TKR）；下肢功能量表（LEFS）；被遗忘的联合成绩（FJS）；患者的膝关节植入物性能（PKIP）；和加州大学洛杉矶分校（UCLA）的活动得分。心理上，WOMAC中的疼痛和功能量表以及KOOS中的疼痛，功能和生活质量量表已作为独立的子量表而不是整体上的量表在心理上得到了验证。但是，所包含的PROM均未针对所有测量属性进行验证。因此，仍然有必要进行进一步的研究来评估那些PROM。应当对其他25个量表和子量表的使用进行调节，直到进一步的研究证实它们的测量特性为止。引用本文：Bone Joint Res  2021; 10（3）：203-217。