Patient-Reported Allergies Do Not Predict Poorer PROMIS Function, Pain, and Depression Scores Following Foot and Ankle Surgery

Nixon, Devon; Cusworth, Brian; McCormick, Jeremy J.; Johnson, Jeffrey E.; Klein, Sandra E.

doi:10.1177/1071100718769667

Cited by 13 publications

(14 citation statements)

References 16 publications

(42 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, Nixon et al . 14 found no differences in PROMIS (Patient Reported Outcome Measurement Information System) preoperative or postoperative physical function, pain, or depression based on self-reported allergies in patients undergoing foot and ankle surgery. A lack of association between patient-reported drug allergies and satisfaction was demonstrated following shoulder arthroplasty as well.…”

Section: Discussionmentioning

confidence: 81%

Do Self-Reported Drug Allergies Influence Clinically Significant Outcome Improvement Following Osteochondral Allograft Transplantation? A Nested Cohort Study

et al. 2020

View full text Add to dashboard Cite

Objective To compare clinical outcomes for patients who underwent osteochondral allograft transplantation (OCA) based on the presence or absence of one or more self-reported drug allergies. Design Prospective data were collected from 245 consecutive patients after OCA of the knee from one large academic institution. Patient-reported allergies were obtained via chart review. Patient-reported outcome measures, including activities of daily living of the Knee Outcome Survey (KOS-ADL), Marx Activity Scale, International Knee Documentation Committee (IKDC), and visual analogue scale (VAS) pain were all collected. The minimal clinically important difference (MCID) for each outcome was quantified using a distribution-based method. Independent t tests were used to compare patient-reported outcome measures between those with and without self-reported allergies, while chi-square analysis of association was used to compare rates of MCID achievement. Results Of 245 patients included, 83 (33.9%) reported having at least one drug allergy at the time of OCA. There were no statistically significant differences with regard to patient demographics, including age, body mass index, gender, or sports participation between those with and without a reported allergy. Similarly, there were no significant differences found between baseline preoperative patient-reported outcomes. Overall, both cohorts demonstrated a significant improvement from baseline scores at 2 years postoperatively. There were no differences found between any patient-reported outcome at 2 years postoperatively. The presence of at least one self-reported drug allergy was not a significant risk factor for failing to achieve the MCID in any specific outcome measure. Conclusions The presence of one or more drug allergy was not associated with worse patient-reported outcomes or lower rates of clinically significant outcome improvement after OCA.

show abstract

Section: Discussionmentioning

confidence: 81%

Do Self-Reported Drug Allergies Influence Clinically Significant Outcome Improvement Following Osteochondral Allograft Transplantation? A Nested Cohort Study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Recent reports on depression in people 6 months following TAA suggest depression is slightly improved from preoperative scores, and within normal limits following TAA. 24,30 Similarly, pain and pain interference scores are improved and approach normal levels 6-24 months following TAA. 23,24,30 The present study results suggest normative levels of depression and pain interference can be expected longer-term.…”

Section: Discussionmentioning

confidence: 92%

“…24,30 Similarly, pain and pain interference scores are improved and approach normal levels 6-24 months following TAA. 23,24,30 The present study results suggest normative levels of depression and pain interference can be expected longer-term. Overall, patient scores that were close to the population mean on the majority of examined health domains adds to the already positive literature regarding TAA outcomes.…”

Section: Discussionmentioning

confidence: 92%

“…11,18,28 Relatively few studies have considered overall health or multiple domains of health. 23,24,30,34,35 One option to efficiently characterize patient health status is the Patient-Reported Measurement Information System (PROMIS). In reflection of the biopsychosocial model of care, PROMIS outcome measures include multiple domains of health to provide person-centered assessments of function (physical), symptoms (psychological), and social impact, which can be compared to population mean values.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Overall Health and the Influence of Physical Therapy on Physical Function Following Total Ankle Arthroplasty

et al. 2020

View full text Add to dashboard Cite

Background: The overall health and the importance of physical therapy for people following total ankle arthroplasty (TAA) have been understudied. Our purpose was to characterize the overall health of patients following TAA, and explore the frequency, influence, and patient-perceived value of physical therapy. Methods: People who received a TAA participated in this retrospective cohort online survey study. The survey included medical history questions and items from the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Forms. Seven PROMIS domains, reflecting the biopsychosocial model of care (physical, mental, social), were included to examine participant overall health status in comparison to the general population. Items regarding physical therapy participation (yes/no), number of visits, and perceived value (scale 0-10; 10 = extremely helpful) were also included. Descriptive statistics were generated for participant characteristics, PROMIS domain T scores, and physical therapy questions. The influence of participant characteristics or physical therapy visits on PROMIS domain T scores that scored below the population mean were examined with multiple linear regression or ordinal regression. Results: The response rate was 61% (n=95). Average postoperative time was approximately 3 years (mean [SD]: 40.0 [35.3] months). Physical function and ability to participate in social roles and activities domain T scores were at least 1 SD below the population mean. Most patients received physical therapy (86%; 17.1 [11.0] visits) and found it helpful (7.2 [3.0]). Participant characteristics were minimally predictive of physical function and social participation T scores. Number of physical therapy visits predicted physical function T scores ( P = .03). Conclusions: Most health domain scores approached the population mean. Physical therapy was perceived to have a high value, and greater visits were related to greater physical function. However, lower physical function and social participation scores suggest that postoperative care directed toward these domains could improve the value of TAA and promote overall health. Level of Evidence: Level III, retrospective comparative study.

show abstract

“…The authors should be applauded for performing a well-designed study in an important topic (eg, pain) in patients undergoing foot and ankle surgery. 3,4 The need to tailor specific preventive analgesic strategies to patients who will benefit the most is a very relevant topic in perioperative medicine. 1,2…”

Section: Dear Editormentioning

confidence: 99%

Letter Regarding: Prevalence of Neuropathic Pain Symptoms in Foot and Ankle Patients

Cohen¹

2019

Foot Ankle Int.

View full text Add to dashboard Cite

I read with great interest the article "Prevalence of Neuropathic Pain Symptoms in Foot and Ankle Patients" by Sidon and colleagues in a recent issue of the journal. 6 The authors performed a cross-sectional study on 533 patients who had foot and ankle surgery and concluded that a considerable number (12.4%) of patients with foot and ankle problems requiring surgery had a neuropathic component of pain. The authors should be applauded for performing a well-designed study in an important topic (eg, pain) in patients undergoing foot and ankle surgery. 3,4 The need to tailor specific preventive analgesic strategies to patients who will benefit the most is a very relevant topic in perioperative medicine. 1,2 Nonetheless, there are some critical points that need to be clarified by the authors to support the validity of their results. First, it is important for the readers to know if all patients received the same postoperative analgesic regimen as this can alter the study results. Certain analgesics (eg, gabapentoids) and nerve blocks have been shown to reduce the development of persistent pain after surgery. 5 Similarly, it is important to know if surgical duration was similar in both groups. Last, given the relatively small sample size, it would be beneficial for the authors to provide the 95% confidence intervals for their estimation. I would welcome comments to address the aforementioned concerns as they were not discussed by the authors. This information would help to further substantiate the findings of this important clinical study.

show abstract

Patient-Reported Allergies Do Not Predict Poorer PROMIS Function, Pain, and Depression Scores Following Foot and Ankle Surgery

Abstract: Level III, comparative series.

Cited by 13 publications

References 16 publications

Do Self-Reported Drug Allergies Influence Clinically Significant Outcome Improvement Following Osteochondral Allograft Transplantation? A Nested Cohort Study

Do Self-Reported Drug Allergies Influence Clinically Significant Outcome Improvement Following Osteochondral Allograft Transplantation? A Nested Cohort Study

Overall Health and the Influence of Physical Therapy on Physical Function Following Total Ankle Arthroplasty

Letter Regarding: Prevalence of Neuropathic Pain Symptoms in Foot and Ankle Patients

Contact Info

Product

Resources

About