scholarly journals The Minimal Clinically Important Difference of the PROMIS Physical Function and Upper Extremity Computer Adaptive Tests and QuickDASH in the Setting of Elbow Trauma

2021 ◽  
Author(s):  
Dustin J. Randall ◽  
Yue Zhang ◽  
Andrew P. Harris ◽  
Yuqing Qiu ◽  
Haojia Li ◽  
...  
Keyword(s):  
Physical Function ◽  
Upper Extremity ◽  
Minimal Clinically Important Difference ◽  
Adaptive Tests ◽  
Elbow Trauma ◽  
Clinically Important Difference ◽  
Computer Adaptive Tests

Pediatric PROMIS Computer Adaptive Tests Are Highly Correlated With Adult PROMIS Computer Adaptive Tests in Pediatric Sports Medicine Patients

2020 ◽  
Vol 48 (14) ◽  
pp. 3620-3625
Author(s):  
David N. Bernstein ◽  
Sreten Franovic ◽  
D. Grace Smith ◽  
Luke Hessburg ◽  
Nikhil Yedulla ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Depressive Symptoms ◽  
Physical Function ◽  
Upper Extremity ◽  
Sports Medicine ◽  
Pain Interference ◽  
Adaptive Tests ◽  
Care Research ◽  
Patient Reported ◽  
Computer Adaptive Tests

Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) is a powerful set of patient-reported outcome measures (PROMs) that are gaining popularity throughout orthopaedic surgery. The use of both adult and pediatric PROMIS questionnaires in orthopaedic sports medicine limits the value of the PROMIS in routine sports medicine clinical care, research, and quality improvement. Because orthopaedic sports medicine surgeons see patients across a wide age range, simplifying the collection of PROMIS computer adaptive tests (CATs) to a single set of questionnaires, regardless of age, is of notable value. Purpose/Hypothesis: The purpose was to determine the strength of the correlation between the pediatric and adult PROMIS questionnaires. We hypothesized that there would be a high correlation between the adult and pediatric versions for each PROMIS domain, thereby justifying the use of only the adult version for most sports medicine providers, regardless of patient age. Study Design: Cohort study (Diagnosis); Level of evidence, 2. Methods: Between December 2018 and December 2019, all pediatric sports medicine patients presenting to a single, academic, orthopaedic sports medicine clinic were asked to participate in the present study with their parents’ consent. Patients were asked to complete a set of adult PROMIS domains (Physical Function and/or Upper Extremity, Pain Interference, and Depression) as well as a set of pediatric PROMIS domains (Mobility and/or Upper Extremity, Pain Interference, and Depressive Symptoms). Concurrent validity was assessed using Pearson correlation coefficients ( r). Ceiling and floor effects were determined. Results: A total of 188 patients met our inclusion criteria. The correlation between the adult and pediatric PROMIS Upper Extremity, Physical Function and Mobility, Pain Interference, and Depression and Depressive Symptoms forms were high-moderate ( r = 0.68; P < .01), high-moderate ( r = 0.69; P < .01), high ( r = 0.78; P < .01), and high ( r = 0.85; P < .01), respectively. Both adult and pediatric depression-related PROMIS domains demonstrated notable floor effects (adult: 38%; pediatric: 24%). The pediatric PROMIS Upper Extremity domain demonstrated a ceiling effect (20%). Conclusion: Adult PROMIS CATs may be used in an orthopaedic sports medicine clinic for both adult and pediatric patients. Our findings will help decrease the amount of resources needed for the implementation and use of PROMs for patient care, research, and quality improvement in orthopaedic sports medicine clinics.

A High-Sensitivity International Knee Documentation Committee Survey Index From the PROMIS System: The Next-Generation Patient-Reported Outcome for a Knee Injury Population

2021 ◽  
pp. 036354652110415
Author(s):  
Matthew S. Tenan ◽  
Richard J. Robins ◽  
Andrew J. Sheean ◽  
Travis J. Dekker ◽  
James R. Bailey ◽  
...  
Keyword(s):  
Physical Function ◽  
Predictive Models ◽  
Patient Reported Outcomes ◽  
Minimal Clinically Important Difference ◽  
Prediction Models ◽  
International Knee Documentation Committee ◽  
Index Score ◽  
Pain Interference ◽  
Clinically Important Difference ◽  
Patient Reported

Background: Patient-reported outcomes (PROs) measure progression and quality of care. While legacy PROs such as the International Knee Documentation Committee (IKDC) survey are well-validated, a lengthy PRO creates a time burden on patients, decreasing adherence. In recent years, PROs such as the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function and Pain Interference surveys were developed as computer adaptive tests, reducing time to completion. Previous studies have examined correlation between legacy PROs and PROMIS; however, no studies have developed effective prediction models utilizing PROMIS to create an IKDC index. While the IKDC is the standard knee PRO, computer adaptive PROs offer numerous practical advantages. Purpose: To develop a nonlinear predictive model utilizing PROMIS Physical Function and Pain Interference to estimate IKDC survey scores and examine algorithm sensitivity and validity. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: The MOTION (Military Orthopaedics Tracking Injuries and Outcomes Network) database is a prospectively collected repository of PROs and intraoperative variables. Patients undergoing knee surgery completed the IKDC and PROMIS surveys at varying time points. Nonlinear multivariable predictive models using Gaussian and beta distributions were created to establish an IKDC index score, which was then validated using leave-one-out techniques and minimal clinically important difference analysis. Results: A total of 1011 patients completed the IKDC and PROMIS Physical Function and Pain Interference, providing 1618 complete observations. The algorithms for the Gaussian and beta distribution were validated to predict the IKDC (Pearson = 0.84-0.86; R2 = 0.71-0.74; root mean square error = 9.3-10.0). Conclusion: The publicly available predictive models can approximate the IKDC score. The results can be used to compare PROMIS Physical Function and Pain Interference against historical IKDC scores by creating an IKDC index score. Serial use of the IKDC index allows for a lower minimal clinically important difference than the conventional IKDC. PROMIS can be substituted to reduce patient burden, increase completion rates, and produce orthopaedic-specific survey analogs.

scholarly journals Specificity of the minimal clinically important difference of the quick Disabilities of the Arm Shoulder and Hand (QDASH) for distal upper extremity conditions

2016 ◽  
Vol 29 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Enrique V. Smith-Forbes ◽  
Dana M. Howell ◽  
Jason Willoughby ◽  
Donald G. Pitts ◽  
Tim L. Uhl
Keyword(s):  
Upper Extremity ◽  
Minimal Clinically Important Difference ◽  
Clinically Important Difference

scholarly journals Performance of PROMIS Physical Function, Pain Interference, and Depression Computer Adaptive Tests Instruments in Patients Undergoing Meniscal Surgery

2020 ◽  
Vol 2 (5) ◽  
pp. e451-e459
Author(s):  
Yining Lu ◽  
Alexander Beletsky ◽  
Benedict U. Nwachukwu ◽  
Bhavik H. Patel ◽  
Kelechi R. Okoroha ◽  
...  
Keyword(s):  
Physical Function ◽  
Pain Interference ◽  
Adaptive Tests ◽  
Meniscal Surgery ◽  
Computer Adaptive Tests
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