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Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Dec 18, 2025; 16(12): 111583
Published online Dec 18, 2025. doi: 10.5312/wjo.v16.i12.111583
Advancing global orthopedic research through culturally adapted outcome measures
Yao Peng, Qiang-Qiang You, Fa Shu, Jia-Qi Zhang
Yao Peng, Jia-Qi Zhang, Department of Ultrasound Imaging, Postgraduate Union Training Base of Xiangyang No. 1 People’s Hospital, Xiangyang 441000, Hubei Province, China
Qiang-Qiang You, Fa Shu, Department of Cardio-Thoracic Surgery, Xiangyang No. 1 People’s Hospital, Hubei University of Medicine, Xiangyang 441000, Hubei Province, China
Co-first authors: Yao Peng and Qiang-Qiang You.
Co-corresponding authors: Fa Shu and Jia-Qi Zhang.
Author contributions: Peng Y contributed to the discussion and design of the manuscript; You QQ contributed to the literature search; Peng Y and You QQ contributed equally to this article, they are the co-first authors of this manuscript; Shu F designed the overall concept and outline of the manuscript; Zhang JQ contributed to the writing, editing of the manuscript and table; Shu F and Zhang JQ contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors have read and approve the final manuscript.
Supported by the Hubei Provincial Natural Science Foundation, No. 2025AFB845; and Graduate Innovation and Entrepreneurship Fund of Wuhan University of Science and Technology, No. JCX2024044.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jia-Qi Zhang, Department of Ultrasound Imaging, Postgraduate Union Training Base of Xiangyang No. 1 People’s Hospital, No. 15 Jiefang Road, Fancheng District, Xiangyang 441000, Hubei Province, China. 347235272@qq.com
Received: July 4, 2025
Revised: August 5, 2025
Accepted: October 20, 2025
Published online: December 18, 2025
Processing time: 167 Days and 0.3 Hours
Abstract

Patient-reported outcome measures (PROMs) are essential in orthopedic research and clinical practice, promoting standardized assessments of treatment efficacy and patient well-being. However, their validity across diverse populations depends on rigorous processes of translation, cultural adaptation, and validation. AlMousa et al successfully validated the Arabic version of the American Academy of Orthopedic Surgeons Foot and Ankle Outcomes Questionnaire, demonstrating strong reliability and clinical applicability for Arabic-speaking patients with traumatic foot and ankle injuries. This article highlights the vital role of culturally adapted PROMs in expanding the global scope of orthopedic research, enhancing patient-centered care, and promoting international collaboration. By addressing linguistic and cultural barriers, such adaptations support a more comprehensive and inclusive approach to evidence-based medicine. Future research should aim to optimize the integration of adapted PROMs into clinical practice, evaluate their influences on treatment decision-making, and investigate their functions in large-scale multicenter studies to further globally advance orthopedic research.

Keywords: Patient-reported outcome measures; Cultural adaptation; Orthopedic research; Foot and ankle injuries; Evidence-based medicine

Core Tip: The validation of the Arabic version of the American Academy of Orthopedic Surgeons Foot and Ankle Outcomes Questionnaire addresses a critical gap in the orthopedic research, advancing inclusivity and enhancing the generalizability of patient-reported data. Integrating culturally adapted patient-reported outcome measures into clinical practice allows for more accurate assessment of outcomes, thereby supporting global progress in evidence-based orthopedic care.