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Choosing your partner for the PROM: a review of evidence on patient-reported outcome measures for use in primary and community care.

Patient-reported outcome measures (PROMs) are assessments of health status from the patient's perspective. The systematic and routine collection and use of PROMs in healthcare settings adds value in several ways, including quality improvement and service evaluation. We address the issue of instrument selection for use in primary and/or community settings. Specifically, from the large number of available PROMs, which instrument delivers the highest level of performance and validity? For selected generic PROMs, we reviewed literature on psychometric properties and other instrument features (e.g., health domains captured). Briefly we summarize key strengths of the three PROMs that received the most favourable psycho-metric and overall evaluation. The Short-Form 36 has a number of strengths, chiefly, its strong psychometric properties such as responsiveness. The PROMIS/Global Health Scale scored highly on most criteria and warrants serious consideration, especially as it is free to use. The EQ-5D scored satisfactorily on many criteria and, beneficially, it has a low response burden.