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Patient\u2010reported outcome measures capture physical, emotional, and social aspects of health and wellbeing from the patient's perspective. Powerful computer systems capable of performing highly sophisticated analysis using different types of data, including patient\u2010derived data, such as patient\u2010reported outcomes, may eliminate guess work, generating impactful metrics to better inform the decision\u2010making process. We have created a shared decision\u2010making tool which generates personalized predictions of risks and benefits from TJR based on patient\u2010reported outcomes as well as clinical and demographic data. We present the protocol for a randomized controlled trial designed to assess the impact of this tool on decision quality, level of shared decision\u2010making, and patient and process outcomes. We also discuss current concepts in this field and highlight opportunities leveraging patient\u2010reported data and artificial intelligence for decision support across the care continuum.<\/jats:p>","DOI":"10.1002\/jor.24614","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T11:14:32Z","timestamp":1580296472000},"page":"1414-1422","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Advanced decision\u2010making using patient\u2010reported outcome measures in total joint replacement"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2598-2509","authenticated-orcid":false,"given":"Prakash","family":"Jayakumar","sequence":"first","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School University of Texas at Austin  Austin Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9398-1239","authenticated-orcid":false,"given":"Kevin J.","family":"Bozic","sequence":"additional","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School University of Texas at Austin  Austin Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-012-9139-6"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2019.07.002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2016.11.005"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6609e1"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.39692"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-004-0965-9"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2014.44"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-016-0424-x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.38685"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.00405"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2017.08.018"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.180911"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00473"},{"key":"e_1_2_7_15_1","unstructured":"AUC.http:\/\/www.orthoguidelines.org\/go\/auc\/auc.cfm?auc_id=224986. 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