Is patient-reported outcome after treatment of pelvic ring injuries related to pelvic symmetry? A prospective study

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This prospective cohort study evaluated whether pelvic symmetry, quantified from AP radiographs using a cross-measurement technique, is associated with patient-reported outcomes one year after pelvic ring injury treatment in a level 1 trauma center. The 113 included patients completed SMFA-NL subscales (lower extremity dysfunction, problems with daily activities, and mental and emotional problems) and EuroQol-5D to measure functional status and health-related quality of life, and associations were assessed using Spearman’s rank correlations, including subgroup analyses. The study found weak or no correlations between pelvic symmetry ratio and any outcome measure (e.g., LED r=0.06, EQ-5D r=-0.09), with no correlations in subgroup analyses, indicating asymmetry was not clearly linked to PROMs at follow-up. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract Purpose. To analyze the relation between pelvic symmetry, as measured by the cross-measurement technique, and patient-reported outcome measures (PROMs) in terms of functional status and health-related quality of life. Methods. In this prospective cohort study, X and Y measurements were taken according to the cross- measurement technique on AP radiographs of patients who were treated for a pelvic ring injury in a level 1 trauma center. Patients completed PROMs one year following their injury, reporting their functional status with the Short Musculoskeletal Function Assessment (SMFA-NL), specifically lower extremity dysfunction (LED), problems with daily activities (PDA) and mental and emotional problems (MEP) subscales, and quality of life with EuroQol-5D (EQ-5D). Subgroup analyses were also performed. PROMs were used to analyze the relation between pelvic symmetry and patient-reported outcome, using Spearman’s Rank correlation coefficients. Results. A total of 113 patients (mean age 57 (SD 17.7) years) with pelvic ring injury were included, of which 27 (24%) sustained type A injuries, 64 (57%) type B and 22 (20%) type C injuries. Forty-four (39%) patients were treated operatively. The median pelvic symmetry ratio was 1.01 (IQR 0.07). Weak or no correlations were found between the pelvic symmetry scores and the outcome measurements (Spearman’s correlation coefficients: LED r=0.06; PDA r=0.11; MEP r=-0.02; and EQ-5D r=-0.09). Subgroup analyses revealed no correlations. Conclusions. Pelvic symmetry is not related to functional status and health-related quality of life, one year after pelvic ring injury. This indicates that some degree of pelvic asymmetry may be well tolerated by patients.
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Is patient-reported outcome after treatment of pelvic ring injuries related to pelvic symmetry? A prospective study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Is patient-reported outcome after treatment of pelvic ring injuries related to pelvic symmetry? A prospective study Camryn C. Therrien, Kaj ten Duis, Hester Banierink, Jean-Paul P.M. de Vries, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4336739/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 27 Aug, 2024 Read the published version in European Journal of Trauma and Emergency Surgery → Version 1 posted 9 You are reading this latest preprint version Abstract Purpose. To analyze the relation between pelvic symmetry, as measured by the cross-measurement technique, and patient-reported outcome measures (PROMs) in terms of functional status and health-related quality of life. Methods. In this prospective cohort study, X and Y measurements were taken according to the cross- measurement technique on AP radiographs of patients who were treated for a pelvic ring injury in a level 1 trauma center. Patients completed PROMs one year following their injury, reporting their functional status with the Short Musculoskeletal Function Assessment (SMFA-NL), specifically lower extremity dysfunction (LED), problems with daily activities (PDA) and mental and emotional problems (MEP) subscales, and quality of life with EuroQol-5D (EQ-5D). Subgroup analyses were also performed. PROMs were used to analyze the relation between pelvic symmetry and patient-reported outcome, using Spearman’s Rank correlation coefficients. Results. A total of 113 patients (mean age 57 (SD 17.7) years) with pelvic ring injury were included, of which 27 (24%) sustained type A injuries, 64 (57%) type B and 22 (20%) type C injuries. Forty-four (39%) patients were treated operatively. The median pelvic symmetry ratio was 1.01 (IQR 0.07). Weak or no correlations were found between the pelvic symmetry scores and the outcome measurements (Spearman’s correlation coefficients: LED r=0.06; PDA r=0.11; MEP r=-0.02; and EQ-5D r=-0.09). Subgroup analyses revealed no correlations. Conclusions. Pelvic symmetry is not related to functional status and health-related quality of life, one year after pelvic ring injury. This indicates that some degree of pelvic asymmetry may be well tolerated by patients. pelvic ring injury pelvic symmetry patient-reported outcome functional status physical functioning quality of life Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 27 Aug, 2024 Read the published version in European Journal of Trauma and Emergency Surgery → Version 1 posted Editorial decision: Revision requested 27 May, 2024 Reviews received at journal 27 May, 2024 Reviewers agreed at journal 15 May, 2024 Reviews received at journal 11 May, 2024 Reviewers agreed at journal 03 May, 2024 Reviewers invited by journal 03 May, 2024 Editor assigned by journal 03 May, 2024 Submission checks completed at journal 28 Apr, 2024 First submitted to journal 28 Apr, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4336739","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":296484270,"identity":"74d4402f-41e6-4645-a659-4aeeaa782aa4","order_by":0,"name":"Camryn C. 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