Minimal Clinically Important Differences of Patient-Reported Outcomes Measurement Information System Physical Function in Patients With Tibial Shaft Fracture

Thorne, Tyler; Kellam, Patrick; Nelson, Chase W.; Li, Haojia; Zhang, Yue; Cizik, Amy M.; Marchand, Lucas S.; Haller, Justin M.

doi:10.1097/bot.0000000000002600

Cited by 4 publications

(1 citation statement)

References 39 publications

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“…Additionally, the minimally clinically important difference was recorded for all scales that had clear evidence: 12 points for LEFS, 7.84 for PROMIS-PF, 4.1 for SF-36, 7.5 to 11.4 OMAS, 7 for SMFA, and 3.4 for TUG [ 10 , 11 , 12 , 13 , 14 , 15 ].…”

Section: Methodsmentioning

confidence: 99%

Predictive Factors of Functional Outcomes and Quality of Life in Patients with Ankle Fractures: A Systematic Review

Lorente,

Pelaz,

Palacios

et al. 2024

JCM

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Background: Evaluating the predictors of unfavorable outcomes in patients with ankle fractures is crucial for identifying high-risk patients and implementing personalized treatment strategies. This study aimed to analyze factors that influence quality of life in patients with ankle fractures. Methods: Four databases were consulted. The main outcomes were functionality and quality of life scales combined using the standard mean difference (SMD) (Review Manager 5.4). Results: Eight studies with 2486 patients were included. A significant correlation was found between female sex and worse functionality scores (beta 4.15, 95% CI 1.84–6.46). Additionally, older age was correlated with worse functionality scores (beta −0.24, 95% CI −0.29 to −0.19). Patients with diabetes or metabolic syndrome also had worse outcomes (SMD 0.27, 95% CI 0.18–0.36). High BMI and obesity were also associated with worse quality of life scores (beta 2.62, 95% CI 0.77–4.48). Smokers had greater disability in the analyzed scales (SMD 0.22, 95% CI 0.05–0.39). No significant differences were observed with respect to syndesmotic involvement. Conclusions: Age, sex, diabetes, high BMI, and smoking negatively impact functional outcomes and quality of life in patients with ankle fractures.

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Section: Methodsmentioning

confidence: 99%

Predictive Factors of Functional Outcomes and Quality of Life in Patients with Ankle Fractures: A Systematic Review

Lorente,

Pelaz,

Palacios

et al. 2024

JCM

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The trajectory of patient-reported outcomes and minimal clinically important differences in isolated and polytraumatic pelvis and acetabular fractures

Thorne

Cizik

Dong

et al. 2023

Eur J Orthop Surg Traumatol

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Recovery Curves for Lisfranc ORIF Using PROMIS Physical Function and Pain Interference

Dong,

Sroka,

Campbell

et al. 2024

Journal of Orthopaedic Trauma

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Objective: To determine the postoperative trajectory and recovery of patients who undergo Lisfranc ORIF using PROMIS physical function (PF) and pain interference (PI). Methods: Design: Retrospective cohort study Setting: Level 1 trauma center Patient Selection Criteria: Patients who underwent Lisfranc ORIF between January 2002 and December 2022 with documented PROMIS PF and/or PI scores after surgery. Outcome Measures and Comparisons: PROMIS PF and PI were mapped over time up to 1 year after surgery. A sub-analysis was performed to compare recovery trajectories between high and low energy injuries. Results: A total of 182 patients were included with average age of 38.7 (SD 15.9) years (59 high energy and 122 low energy injuries). PROMIS PF scores at 0-weeks, 6-weeks, 12-weeks, 24-weeks, and 48-weeks were 30.2, 31.4, 39.2, 43.9, and 46.7, respectively. There was significant improvement in PROMIS PF between 6-12 weeks (p<0.001), 12-24 weeks (p<0.001), and 24-48 weeks (p=0.022). A significant difference in PROMIS PF between high and low energy injuries was seen at 0-weeks (28.4 vs.31.4, p=0.010). PROMIS PI scores, at 0-weeks, 6-weeks, 12-weeks, 24-weeks, and 48-weeks were 62.2, 58.5, 56.6, 55.7, and 55.6, respectively. There was significant improvement in PROMIS PI 0-6 weeks (p=0.016). A significant difference in PROMIS PI between high and low energy injuries was seen at 48-weeks with scores of (58.6 vs. 54.2, p=0.044). Conclusions: After Lisfranc ORIF, patients can expect improvement in physical function up to one year after surgery, with the biggest improvement in PROMIS physical function scores between 6-12 weeks and PROMIS pain interference scores between 0-6 weeks after surgery. Regardless energy type, Lisfranc injuries seem to regain comparable physical function by 6-12 months after surgery. However, patients with higher energy Lisfranc injuries should be counseled that these injuries may lead to worse pain interference at one year after surgery as compared to lower energy injuries. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

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Minimal Clinically Important Differences of Patient-Reported Outcomes Measurement Information System Physical Function in Patients With Tibial Shaft Fracture

Cited by 4 publications

References 39 publications

Predictive Factors of Functional Outcomes and Quality of Life in Patients with Ankle Fractures: A Systematic Review

Predictive Factors of Functional Outcomes and Quality of Life in Patients with Ankle Fractures: A Systematic Review

The trajectory of patient-reported outcomes and minimal clinically important differences in isolated and polytraumatic pelvis and acetabular fractures

Recovery Curves for Lisfranc ORIF Using PROMIS Physical Function and Pain Interference

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