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We sought to identify and describe validated PROMs which assess recovery among patients with OUD, focusing on PROM characteristics, recovery domains and pragmatism for implementation in outpatient settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A preregistered (PROSPERO: CRD42023394770) systematic review was conducted using the Consensus\u2010based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. Validated PROMs that assessed at least one of 17 recovery domains and contained fewer than 50 items were identified. The review described PROM characteristics, including the number of items, subscales, response options and time to complete. Content validity was assessed from the patient perspective. Recovery domains assessed were categorized into 17 domains, including substance\u2010related, psychological health and quality of life. The presence of clinically relevant score changes was assessed. Hierarchical clustering was performed to describe co\u2010occurrence patterns among recovery domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 122 studies were included, identifying 90 unique PROMs. Three PROMs (3%) received a \u2018moderate\u2019 grade on content validity. PROMs assessed a median of 4 recovery domains [inter\u2010quartile range (IQR) = 1\u20137], with substance\u2010related outcomes being most common (51%), followed by psychological health (49%), relationships (41%) and physical health (36%). Nineteen PROMs (21%) contained fewer than 10 items, making them highly pragmatic for clinical use. Fourteen PROMs (16%) assessed 8 or more recovery domains and were categorized as comprehensive. Two (2%) comprehensive PROMs were developed with input from individuals with lived experience of substance use, providing a patient\u2010centered perspective. Five PROMs (6%) defined clinically relevant score changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are many patient\u2010reported outcome measures (PROMs) which assess diverse and often broadly defined recovery domains that can be used in recovery\u2010focused measurement\u2010based care of opioid use disorder; however, few PROMs are brief enough to be pragmatic for clinical use, nearly all lack clinically relevant score changes that could help inform treatment decisions, and few were developed with input from people with lived experience.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70212","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T18:24:13Z","timestamp":1761071053000},"page":"488-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Systematic review of patient\u2010reported outcome measures for opioid use disorder recovery"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5394-609X","authenticated-orcid":false,"given":"Jarratt D.","family":"Pytell","sequence":"first","affiliation":[{"name":"Department of Medicine University of Colorado School of Medicine  Aurora CO USA"},{"name":"Department of General Internal Medicine Denver Health Medical Center  Denver CO USA"},{"name":"Institute for Health Research Kaiser Permanente Colorado  Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Pales","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Colorado School of Medicine  Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caty","family":"Simon","sequence":"additional","affiliation":[{"name":"NC Survivors Union  Greensboro NC USA"},{"name":"Whose Corner Is It Anyway  Holyoke MA USA"},{"name":"Department of Internal Medicine Yale School of Medicine  New Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarett","family":"Beaudoin","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of California Davis School of Medicine  Sacramento CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed M. 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