European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
Patient-reported outcome measures in lumbar disc herniation: a scoping review.
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Hu Jiating, Li Keqing, Zhang Yuanhui, Li Yangyang, Wang Xinyi, Zhang Xinyin, Zhang Yue, Peng Fei
Аннотация
BACKGROUND: 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.
OBJECTIVE: This 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.
METHODS: We 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.
RESULTS: The 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.
CONCLUSIONS: Using 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.
OBJECTIVE: This 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.
METHODS: We 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.
RESULTS: The 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.
CONCLUSIONS: Using 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.