Establishing Age-calibrated Normative PROMIS Scores for Hand and Upper Extremity Clinic

Yedulla, Nikhil R; Wilmouth, Carson T; Franovic, Sreten; Hazime, Alaa A; Hudson, Jared T; Day, Charles S

doi:10.1097/gox.0000000000003768

Cited by 5 publications

(2 citation statements)

References 27 publications

(45 reference statements)

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“…Sex was binary and age was categorized into 3 groups—<40 years old, 40-64.9 years old, and >65 years old—per prior literature and to facilitate point of care interpretations. 19,26,41 To assess for differences in PROM scores by sex and age, respectively, within diagnoses, t tests and ANOVA were utilized. Pearson correlation coefficients ( r ’s) were calculated to assess the relationship between PF10a and PGM by diagnosis and interpreted as follows: 0.00-0.29, no correlation; 0.30-0.49, weak correlation; 0.50-0.69, moderate correlation; 0.70-0.89, strong correlation; and 0.90-1.00, very strong correlation.…”

Section: Methodsmentioning

confidence: 99%

Differences in Baseline Physical Function and Mental Health PROM Scores in Patients With Foot and Ankle Conditions

Smith,

Parker,

Bluman

et al. 2024

Foot Ankle Int.

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Background: This study sought to establish normative values for baseline physical and mental health by foot and ankle diagnosis using validated PROMIS scores and to compare the correlation between these 2 outcomes across common diagnoses. Additionally, it investigated the effects associated with chronic vs acute conditions and specific diagnoses on mental health. Methods: We reviewed baseline PROMIS Physical Function 10a (PF10a) and PROMIS Global-Mental (PGM) scores of 14,245 patients with one of the 10 most common foot and ankle diagnoses seen at our institution between 2016 and 2021. Pearson correlation coefficients were calculated to assess the relationship between PF10a and PGM by diagnosis. A multivariable regression model including age, sex, language, race, ethnicity, education level, income, and Charlson Comorbidity Index was used to determine the associated effect of diagnosis on PGM score. Results: On unadjusted analysis, patients diagnosed with an ankle fracture had the lowest mean physical function, whereas patients with hallux valgus had the highest (PF10a = 33.9 vs 46.7, P < .001). Patients with foot/ankle osteoarthritis had the lowest mean self-reported mental health, whereas patients with hallux rigidus had the highest (PGM = 49.9 vs 53.4, P < .001). PF10a and PGM scores were significantly positively correlated for all diagnoses; the correlation was strongest in patients diagnosed with foot/ankle osteoarthritis or hammertoes ( r = 0.511) and weakest in patients with ankle fractures ( r = 0.232) or sprains ( r = 0.280). Chronic conditions, including hammertoes (β = −5.1, 95% CI [−5.8, −4.3], P < .001), foot/ankle osteoarthritis (β = −5.0, 95% CI [−5.7, −4.3], P < .001), and hallux valgus (β = −4.8, 95% CI [−5.5, −4.1], P < .001) were associated with the largest negative effects on patients’ mental health. Conclusion: Self-reported physical function and mental health varied across common foot and ankle diagnoses and were more tightly correlated in chronic conditions. The associations between diagnosis and mental health scores appear larger for more chronic diagnoses, including those that are generally associated with relatively unimpaired physical function. Level of Evidence: Level IV, retrospective, cross-sectional study.

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Section: Methodsmentioning

confidence: 99%

Differences in Baseline Physical Function and Mental Health PROM Scores in Patients With Foot and Ankle Conditions

Smith,

Parker,

Bluman

et al. 2024

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…In doing so, the PROMIS questionnaire comprises a single, standardized metric with favorable psychometric performance relative to legacy PROMs. 42 Specifically, the PROMIS-Upper Extremity (PROMIS-UE) questionnaire has shown unique advantages as compared with both legacy and other PROMIS instruments, including early responsiveness, faster time to completion, fewer floor and ceiling effects, decrease in test burden, and increase in compliance rates leading to a higher power in the measure, 3,27,43 particularly in the context of rotator cuff pathologies. 1,34,42 Of late, research has transitioned from reporting statistically significant improvements after surgery to determining the changes in PROM scores that correspond to clinically significant outcomes (CSOs).…”

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confidence: 99%

Determining the Time Required to Achieve Clinically Significant Outcomes on the PROMIS Upper Extremity Questionnaire After Arthroscopic Rotator Cuff Repair

Polce

Vadhera

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: Clinically significant outcome (CSO) thresholds for the Patient-Reported Outcome Measurement Information System–Upper Extremity (PROMIS–UE) score have been previously defined after arthroscopic rotator cuff repair (RCR). However, the time required to achieve CSOs for the PROMIS–UE score is unknown. Purpose: To (1) determine the time required to achieve the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and Patient Acceptable Symptom State (PASS) score thresholds after RCR for the PROMIS–UE questionnaire and (2) identify patient factors associated with earlier or delayed achievement of these clinical benchmarks. Study Design: Case-control study; Level of evidence, 3. Methods: A prospectively maintained institutional database was retrospectively reviewed for consecutive patients who underwent RCR between January 2018 and January 2019. Patients were included if they completed the PROMIS–UE questionnaire both preoperatively and at standardized postoperative time intervals: 5 to 7 months (6-month time point), 11 to 13 months (1-year time point), and ≥23 months (2-year time point). Kaplan-Meier survival curves with interval censoring were used to define the cumulative percentage of patients who achieved the MCID, SCB, and PASS. Patient variables associated with earlier or delayed achievement of the MCID, SCB, and PASS were determined using Weibull parametric survival regression analysis. Results: Included were 105 patients undergoing RCR (age, 57.3 ± 10.3 years; body mass index, 31.5 ± 6.1 kg/m2). By 2-year follow-up, the cumulative percentage of patients achieving the MCID, SCB, and PASS was 86.7%, 76.2%, and 74.3%, respectively. The mean time required to reach the MCID, SCB, and PASS score thresholds was 9.5 ± 3.8, 10.3 ± 4.4, and 9.8 ± 4.6 months, respectively. Factors associated with delayed achievement of CSOs included greater baseline PROMIS–UE score (MCID and SCB) and workers’ compensation insurance (PASS). Greater baseline PROMIS–UE scores were associated with earlier achievement of the PASS. Conclusion: Most patients achieved CSOs for the PROMIS–UE within 12 months of RCR. Patient-specific factors found to be associated with earlier or delayed achievement of CSOs can be used to inform patient discussions on the expected timeline for recovery after RCR.

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Effect of Race and Geography on Patient- and Parent-Reported Quality of Life for Children With Congenital Upper Limb Differences

Daley

Peek

Carlin

et al. 2023

The Journal of Hand Surgery

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Establishing Age-calibrated Normative PROMIS Scores for Hand and Upper Extremity Clinic

Cited by 5 publications

References 27 publications

Differences in Baseline Physical Function and Mental Health PROM Scores in Patients With Foot and Ankle Conditions

Differences in Baseline Physical Function and Mental Health PROM Scores in Patients With Foot and Ankle Conditions

Determining the Time Required to Achieve Clinically Significant Outcomes on the PROMIS Upper Extremity Questionnaire After Arthroscopic Rotator Cuff Repair

Effect of Race and Geography on Patient- and Parent-Reported Quality of Life for Children With Congenital Upper Limb Differences

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