Patient-Reported Outcome Measurement Information System (PROMIS) in Orthopaedic Trauma Research

Abstract

This review describes the development, advantages and disadvantages, and applications of the Patient-Reported Outcome Measurement Information System (PROMIS) in orthopaedic trauma. PROMIS is a useful tool for quantifying outcomes in orthopedic trauma. It allows measurement of outcomes across multiple domains while minimizing administration time. PROMIS also reliably identifies clinical, social, and psychological risk factors for poor outcomes across a variety of orthopaedic injuries and disease states. However, PROMIS lacks specificity for certain anatomic regions and validation for mental health outcomes. It also is limited by ceiling effects in certain active patient populations. Orthopaedic traumatologists should be familiar with PROMIS, as its use is increasing and it is a valuable tool that can aid in clinical decision making.

Contemporary Review: An Overview of the Utility of Patient-Reported Outcome Measurement Information System (PROMIS) in Foot and Ankle Surgery

“…40 Patients can answer these short form questions electronically or on paper. 54 An advantage to the short form is its reproducibility: clinicians can ask the same set of questions at different time points in a patient's care. 54 The CAT form is based on item response theory (IRT); it is a series of consecutive questions customized for delivery based on real-time patient responses.…”

“…54 An advantage to the short form is its reproducibility: clinicians can ask the same set of questions at different time points in a patient's care. 54 The CAT form is based on item response theory (IRT); it is a series of consecutive questions customized for delivery based on real-time patient responses. 19,47 The CAT's ability to adapt further questioning based on the subject's previous responses allows for better precision with fewer items administered, while reaching the same level of responsiveness as the short-form questionnaire.…”

Determining functional outcomes after resection and reconstruction of primary soft tissue sarcoma in the lower extremity: A review of current subjective and objective measurement systems

“…It has had significant use in the orthopedic trauma literature as a QoL measure, although it's been noted to have ceiling effects when dealing with pre-morbidly active patient populations. 68,69 3.9 | Short musculoskeletal functional assessment (SMFA)…”

“…Moon et al 68 reference its support by the National Cancer Institute and its use in oncological studies as favorable characteristics over other PROMs. It has had significant use in the orthopedic trauma literature as a QoL measure, although it's been noted to have ceiling effects when dealing with pre‐morbidly active patient populations 68,69 …”

Wrist arthroscopy for diagnosis and treatment of acute and chronic conditions

“…Instruments are used to debride the damaged edges back to the stable rim, remove injured tissue, and assess associated mirror chondral damage on the lunate or lunotriquetral ligament tear. Clinically significant improvements were reported in pain, function, and grip strength [ 35 , 36 ].…”