PROMs

Patient-Rated Tennis Elbow Evaluation (PRTEE) Clinical Workflow

Patient-Rated Tennis Elbow Evaluation flow

Introduction

The Patient-Rated Tennis Elbow Evaluation (PRTEE), formerly known as the Patient-Rated Forearm Evaluation Questionnaire (PRFEQ) [1], is a 15-item questionnaire designed to measure forearm pain and disability in patients with lateral epicondylitis (also known as “tennis elbow”)[2].

The PRTEE allows patients to rate their levels of tennis elbow pain and disability from 0 to 10, and consists of 2 subscales:

  1. Pain subscale - 5 items (0 = no pain, 10 = worst imaginable)
  2. Function subscale (0 = no difficulty, 10 = unable to do)
  3. Specific activities - 6 items
  4. Usual activities - 4 items

The Patient-Rated Tennis Elbow Evaluation flow contains the Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire and associated calculation. After form submission, the Patient-Rated Tennis Elbow Evaluation calculation is executed automatically. It's easy to extend this flow with conditional logic based on the interpretation of the Patient-Rated Tennis Elbow Evaluation calculation.

Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire

Questions and Scoring

The extensive user guide on how to score the PRTEE can be found here.

The PRTEE consists of 15 questions:

SubscaleQuestionsFormulaPain5 itemsSum of the 5 pain items (/50)Function6 items (specific activities) + 4 items (usual activities)Sum of the 10 function items, divided by 2 (/50)

In addition to the individual subscale scores, a total score can be computed on a scale of 100 (0 = no disability).

Click here for English version of the PRTEE.

Interpretation

A higher score indicates more pain and functional disability (e.g., 0 = no disability).

References

[1] Overend TJ, Wuori-Fearn JL, Kramer JF, MacDermid JC. Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J Hand Ther. 1999 Jan-Mar;12(1):31-7. doi: 10.1016/s0894-1130(99)80031-3. PMID: 10192633.\
[2] Newcomer KL, Martinez-Silvestrini JA, Schaefer MP, Gay RE, Arendt KW. Sensitivity of the Patient-rated Forearm Evaluation Questionnaire in lateral epicondylitis. J Hand Ther. 2005 Oct-Dec;18(4):400-6. doi: 10.1197/j.jht.2005.07.001. PMID: 16271686.

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