Using item response theory improved responsiveness of patient-reported outcomes measures in carpal tunnel syndrome

2012 ◽  
Vol 65 (3) ◽  
pp. 325-334 ◽  
Author(s):  
Per-Erik Lyrén ◽  
Isam Atroshi
Keyword(s):  
Item Response Theory ◽  
Carpal Tunnel Syndrome ◽  
Item Response ◽  
Carpal Tunnel ◽  
Patient Reported Outcomes ◽  
Response Theory ◽  
Outcomes Measures ◽  
Patient Reported ◽  
Tunnel Syndrome

Patient-reported outcomes of carpal tunnel release surgery in patients with bilateral severe carpal tunnel syndrome

2017 ◽  
Vol 42 (9) ◽  
pp. 932-936 ◽  
Author(s):  
C. Q. Y. Tang ◽  
S. W. H. Lai ◽  
S. C. Tay
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Complete Resolution ◽  
Patient Reported Outcomes ◽  
Operative Time ◽  
Carpal Tunnel Release ◽  
Level Of Evidence ◽  
Patient Reported ◽  
Tunnel Syndrome ◽  
Carpal Tunnel Release Surgery

This retrospective study examined whether the presenting complaint of numbness is relieved post-operatively in severe carpal tunnel syndrome and also assessed any correlation between outcomes of the first and second procedures in staged bilateral carpal tunnel releases. Carpal tunnel release (60 open and 38 endoscopic) was done in 49 patients with bilateral severe carpal tunnel syndrome. There was complete resolution of numbness post-operatively in 77% ( n = 75) of hands. The median post-operative time before complete resolution of numbness was 21 days (IQR 8 to 21; range 3 to 482). The likelihood of complete resolution of symptoms after the second carpal tunnel release in patients with complete resolution of symptoms after the first carpal tunnel release was 22 (95% CI: 4 to 131) times that of the likelihood of improvement in patients with incomplete resolution of symptoms after the first carpal tunnel release. Level of evidence: IV

Item Response Theory and its Applications to Patient-Reported Outcomes Measurement

2005 ◽  
Vol 28 (3) ◽  
pp. 264-282 ◽  
Author(s):  
Chih-Hung Chang ◽  
Bryce B. Reeve
Keyword(s):  
Item Response Theory ◽  
Item Response ◽  
Patient Reported Outcomes ◽  
Response Theory ◽  
Outcomes Measurement ◽  
Irt Models ◽  
Patient Reported ◽  
New Directions

This article provides an overview of item response theory (IRT) models and how they can be appropriately applied to patient-reported outcomes (PROs) measurement. Specifically, the following topics are discussed: (a) basics of IRT, (b) types of IRT models, (c) how IRT models have been applied to date, and (d) new directions in applying IRT to PRO measurements.

scholarly journals The Emergence of Item Response Theory Models and the Patient Reported Outcomes Measurement Information Systems

2016 ◽  
Vol 38 (4) ◽  
Author(s):  
Steven P. Reise
Keyword(s):  
Information Systems ◽  
Item Response Theory ◽  
Item Response ◽  
Patient Reported Outcomes ◽  
Cognitive Domain ◽  
Future Research ◽  
Measurement Information ◽  
Response Theory ◽  
Outcomes Measurement ◽  
Patient Reported

Item response theory (IRT) models emerged to solve practical testing problems in large-scale cognitive achievement and aptitude assessment. Within the last decade, an explosion of IRT applications have occurred in the non-cognitive domain. In this report, I highlight the development, implementation, and results of a single project: Patient Reported Outcomes Measurement Information Systems (PROMIS). The PROMIS projectreflects the state-of-the-art application of IRT in the non-cognitive domain, and has produced important advancements in patient reported outcomes measurement.However, the project also illustrates challenges that confront researchers wishing to apply IRT to non-cognitive constructs. These challenges are: a) selecting a population to set the metric for interpretation of item parameters, b) working with non-normal quasi-continuous latent traits, and c) working with narrow-bandwidth constructs that potentially have a limitedpool of potential indicators. Differences between cognitive and non-cognitive measurement contexts are discussed and directions for future research suggested.

Quantification of Experienced Hearing Problems With Item Response Theory

2013 ◽  
Vol 22 (2) ◽  
pp. 252-262 ◽  
Author(s):  
Michelene Chenault ◽  
Martijn Berger ◽  
Bernd Kremer ◽  
Lucien Anteunis
Keyword(s):  
Item Response Theory ◽  
Item Response ◽  
Patient Reported Outcomes ◽  
Graded Response Model ◽  
Response Theory ◽  
Discriminative Ability ◽  
Graded Response ◽  
Patient Reported ◽  
Best Fit ◽  
Selection Of

Purpose The purpose of this study was to improve the effectiveness of adult hearing screens and demonstrate that interventions assessment methods are needed that address the individual's experienced hearing. Item response theory, which provides a methodology for assessing patient-reported outcomes, is examined here to demonstrate its usefulness in hearing screens and interventions. Method The graded response model is applied to a scale of 11 items assessing perceived hearing functioning and 10 items assessing experienced social limitations completed by a sample of 212 persons age 55+ years. Fixed and variable slope models are compared. Discrimination and threshold parameters are estimated and information functions evaluated. Results Variable slope models for both scales provided the best fit. The estimated discrimination parameters for all items except for one in each scale were good if not excellent (1.5–3.4). Threshold values varied, demonstrating the complementary and supplementary value of items within a scale. The information provided by each item varies relative to trait values so that each scale of items provides information over a wider range of trait values. Conclusion Item response theory methodology facilitates the comparison of items relative to their discriminative ability and information provided and thus provides a basis for the selection of items for application in a screening setting.

scholarly journals Quality of care and patient-reported outcomes in carpal tunnel syndrome: A prospective observational study

2018 ◽  
Vol 57 (6) ◽  
pp. 896-904 ◽  
Author(s):  
Teryl K. Nuckols ◽  
Craig Conlon ◽  
Michael Robbins ◽  
Michael Dworsky ◽  
Julie Lai ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Carpal Tunnel Syndrome ◽  
Observational Study ◽  
Carpal Tunnel ◽  
Patient Reported Outcomes ◽  
Prospective Observational Study ◽  
Patient Reported ◽  
Tunnel Syndrome
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