Patient-reported outcome measures in lumbar disc herniation: a scoping review
摘要
Lumbar disc herniation (LDH) substantially compromises quality of life across physical, emotional, and social domains. Therefore, appropriate Patient-Reported Outcome Measures (PROMs) are essential to capture the challenges these patients face.
ObjectiveThis scoping review aimed to identify and map the currently available PROMs used in adults with LDH, along with their characteristics and application in clinical research.
MethodsWe followed the Joanna Briggs Institute (JBI) checklist for scoping reviews to guide our review process. We searched the following databases from inception to 12/26/2025: PubMed, EMBASE, CINAHL, and the Cochrane Library. Included studies addressed a PRO or PROM in LDH.
ResultsThe 131 included studies primarily employed 23 distinct measurement tools, with physical function, pain, and health-related quality of life (HRQoL) being the most frequently assessed core domains. The most commonly used tools were the ODI, VAS, and EQ-5D.
ConclusionsUsing PROMs in patients with LDH remains a complex topic. Currently, a range of measurement tools are available, but consensus on their selection has not been reached. Future research should focus on standardizing tool selection criteria, conducting high-quality validation on the measurement properties of existing instruments, and developing an AI-powered electronic PROM toolkit to promote patient-centered care.