P117. The use of patient-reported outcomes measurement information system (PROMIS) in spine surgery: a systematic review

OBJECTIVEThe Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to provide a standardized measure of clinical outcomes that is valid and reliable across a variety of patient populations. PROMIS has exhibited strong correlations with many legacy patient-reported outcome (PRO) measures. However, it is unclear to what extent PROMIS has been used within the spine literature. In this context, the purpose of this systematic review was to provide a comprehensive overview of the PROMIS literature for spine-specific populations that can be used to inform clinicians and guide future work. Specifically, the authors aimed to 1) evaluate publication trends of PROMIS in the spine literature, 2) assess how studies have used PROMIS, and 3) determine the correlations of PROMIS domains with legacy PROs as reported for spine populations.METHODSStudies reporting PROMIS scores among spine populations were identified from PubMed/MEDLINE and a review of reference lists from obtained studies. Articles were excluded if they did not report original results, or if the study population was not evaluated or treated for spine-related complaints. Characteristics of each study and journal in which it was published were recorded. Correlation of PROMIS to legacy PROs was reported with 0.1 ≤ |r| < 0.3, 0.3 ≤ |r| < 0.5, and |r| ≥ 0.5 indicating weak, moderate, and strong correlations, respectively.RESULTSTwenty-one articles were included in this analysis. Twelve studies assessed the validity of PROMIS whereas 9 used PROMIS as an outcome measure. The first study discussing PROMIS in patients with spine disorders was published in 2012, whereas the majority were published in 2017. The most common PROMIS domain used was Pain Interference. Assessments of PROMIS validity were most frequently performed with the Neck Disability Index. PROMIS domains demonstrated moderate to strong correlations with the legacy PROs that were evaluated. Studies assessing the validity of PROMIS exhibited substantial variability in PROMIS domains and legacy PROs used for comparisons.CONCLUSIONSThere has been a recent increase in the use of PROMIS within the spine literature. However, only a minority of studies have incorporated PROMIS for its intended use as an outcomes measure. Overall, PROMIS has exhibited moderate to strong correlations with a majority of legacy PROs used in the spine literature. These results suggest that PROMIS can be effective in the assessment and tracking of PROs among spine populations.

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Estimating Health Utility in Patients Presenting for Spine Surgery Using Patient-reported Outcomes Measurement Information System (PROMIS) Health Domains

Spine ◽

10.1097/brs.0000000000002977 ◽

2019 ◽

Vol 44 (13) ◽

pp. 908-914

Author(s):

Micheal Raad ◽

Brian J. Neuman ◽

Khaled M. Kebaish ◽

Lee H. Riley ◽

Richard L. Skolasky

Keyword(s):

Information System ◽

Spine Surgery ◽

Patient Reported Outcomes ◽

Health Utility ◽

Measurement Information ◽

Outcomes Measurement ◽

Patient Reported ◽

Health Domains ◽

Measurement Information System

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What Are the Floor and Ceiling Effects of Patient-Reported Outcomes Measurement Information System Computer Adaptive Test Domains in Orthopaedic Patients? A Systematic Review

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2019.09.022 ◽

2020 ◽

Vol 36 (3) ◽

pp. 901-912.e7 ◽

Cited By ~ 5

Author(s):

Caleb M. Gulledge ◽

Vincent A. Lizzio ◽

D. Grace Smith ◽

Eric Guo ◽

Eric C. Makhni

Keyword(s):

Systematic Review ◽

Information System ◽

Patient Reported Outcomes ◽

Measurement Information ◽

Computer Adaptive Test ◽

Outcomes Measurement ◽

Adaptive Test ◽

Orthopaedic Patients ◽

Patient Reported ◽

Measurement Information System

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Utility of the Patient-Reported Outcomes Measurement Information System (PROMIS) to measure primary health outcomes in cancer patients: a systematic review

Supportive Care in Cancer ◽

10.1007/s00520-020-05801-6 ◽

2020 ◽

Author(s):

Thi Xuan Mai Tran ◽

Jungeun Park ◽

Joonki Lee ◽

Yuh-Seog Jung ◽

Yoonjung Chang ◽

...

Keyword(s):

Systematic Review ◽

Information System ◽

Health Outcomes ◽

Cancer Patients ◽

Patient Reported Outcomes ◽

Measurement Information ◽

Outcomes Measurement ◽

Primary Health ◽

Patient Reported ◽

Measurement Information System

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Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-020-02068-9 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Maggie E. Horn ◽

Emily K. Reinke ◽

Logan J. Couce ◽

Bryce B. Reeve ◽

Leila Ledbetter ◽

...

Keyword(s):

Systematic Review ◽

Information System ◽

Patient Reported Outcomes ◽

Case Reports ◽

Body Region ◽

Measurement Information ◽

Outcomes Measurement ◽

Research And Practice ◽

Patient Reported ◽

Measurement Information System

Abstract Background The Patient-Reported Outcomes Measurement Information SystemⓇ (PROMISⓇ) is a dynamic system of psychometrically sound patient-reported outcome (PRO) measures. There has been a recent increase in the use of PROMIS measures, yet little has been written about the reporting of these measures in the field of orthopedics. The purpose of this study was to conduct a systematic review to determine the uptake of PROMIS measures across orthopedics and to identify the type of PROMIS measures and domains that are most commonly used in orthopedic research and practice. Methods We searched PubMed, Embase, and Scopus using keywords and database-specific subject headings to capture orthopedic studies reporting PROMIS measures through November 2018. Our inclusion criteria were use of PROMIS measures as an outcome or used to describe a population of patients in an orthopedic setting in patients ≥ 18 years of age. We excluded non-quantitative studies, reviews, and case reports. Results Our final search yielded 88 studies published from 2013 through 2018, with 57% (50 studies) published in 2018 alone. By body region, 28% (25 studies) reported PROMIS measures in the upper extremity (shoulder, elbow, hand), 36% (32 studies) reported PROMIS measures in the lower extremity (hip, knee, ankle, foot), 19% (17 studies) reported PROMIS measures in the spine, 10% (9 studies) reported PROMIS measures in trauma patients, and 6% (5 studies) reported PROMIS measures in general orthopedic patients. The majority of studies reported between one and three PROMIS domains (82%, 73 studies). The PROMIS Computerized Adaptive Test (CAT) approach was most commonly used (81%, 72 studies). The most frequently reported PROMIS domains were physical function (81%, 71 studies) and pain interference (61%, 54 studies). Conclusion Our review found an increase in the reporting of PROMIS measures over the recent years. Utilization of PROMIS measures in orthopedic populations is clinically appropriate and can facilitate communication of outcomes across different provider types and with reduced respondent burden. Registration The protocol for this systematic review was designed in accordance with the PRISMA guidelines and is registered with the PROSPERO database (CRD42018088260).

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Caregiver Patient Reported Outcomes Measurement Information System (PROMIS) profiles in patients undergoing total joint arthroplasty and spine surgery: a prospective observational cohort study

Regional Anesthesia and Pain Medicine ◽

10.1136/rapm-2019-100380 ◽

2019 ◽

pp. rapm-2019-100380

Author(s):

Michael L Kent ◽

Kalyn Jannace ◽

Krista B Highland ◽

Maria Dimarzio ◽

Julie Tran ◽

...

Keyword(s):

Information System ◽

Spine Surgery ◽

Total Joint Arthroplasty ◽

Patient Reported Outcomes ◽

Joint Arthroplasty ◽

Measurement Information ◽

Outcomes Measurement ◽

Time Points ◽

Patient Reported ◽

Measurement Information System

Background/ObjectiveThe role of caregiver psychosocial characteristics and their relation to postsurgical caregiving capability remains unclear. The objective of this study was to explore caregiver psychosocial variables following surgery of patients undergoing total joint arthroplasty and spine surgery.MethodsA prospective observational study was conducted where questionnaires were administered to caregivers preoperatively and 1 week/2 weeks/1 month postoperatively. Measures included demographics, caregiver activities and National Institutes of Health Patient Reported Outcomes Measurement Information System (NIH PROMIS) item banks. Bivariate analysis assessed differences between participants reporting baseline pain and those reporting no baseline pain. Generalized estimating equation models examined PROMIS T-scores across time.Results190 caregivers were enrolled and completed surveys. 18% of caregivers reported experiencing a painful condition where they experienced pain during most days of the week. Across all time points, the majority of caregivers reported no worse than mild impairment across PROMIS scores. Compared with baseline, caregivers reported lower PROMIS satisfaction with social roles across all postoperative time points (p<0.001) and higher depression and fatigue at postoperative day 7 (p=0.002) and 14 (p=0.006). PROMIS sleep disturbance was only higher at day 7 (p=0.01). Caregivers reporting a baseline pain condition reported PROMIS scores indicative of higher anxiety (p=0.02), depression (p=0.003), sleep disturbances (p<0.001) and fatigue (p<0.001) and lower levels of satisfaction with social roles (p=0.002) compared with those caregivers without baseline pain.ConclusionWhile there were transient worsening in PROMIS scores, it is unclear whether these were clinically meaningful. Postsurgical caregivers reporting baseline pain were characterized by worse functioning across all PROMIS scales.

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