Patient-Reported Outcomes Measurement Information System Physical Function Has a Lower Effect Size and is Less Responsive Than Legacy Hip Specific Patient Reported Outcome Measures Following Arthroscopic Hip Surgery

Nwachukwu, Benedict U.; Rasio, Jonathan; Beck, Edward C.; Okoroha, Kelechi R.; Sullivan, Spencer W.; Makhni, Eric C.; Nho, Shane J.

doi:10.1016/j.arthro.2020.07.008

Cited by 18 publications

(28 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As new information is uncovered, controversy is created, and this study stirs the pot. The moderately strong correlation at 6 months after surgery reported by Nwachukwu et al 10 is slightly different, given that prior studies have shown a strong correlation of PROMIS PF to the iHOT-12, including the current authors' prior research. [7][8][9] In my opinion, all these studies confirm what multiple authors have concluded: PROMIS PF, which is a general measure of physical function, correlates to legacy hip measures.…”

Section: See Related Article On Page 2992contrasting

confidence: 76%

“…11 In the current study, the iHOT-12 was the most responsive measure versus all studied measures. 10 The HOS-SS and PROMIS PF faired the same versus the iHOT-12, both with an RE lower than 1. This finding does not mean the PROMIS PF or HOS-SS measure is not useful but leads to more questions.…”

Section: See Related Article On Page 2992mentioning

confidence: 85%

“…Nwachukwu, Rasio, Beck, Okoroha, Sullivan, Makhni, and Nho 10 The study by Nwachukwu et al 10 was well performed and thoughtful, and it leads me to a further question: Does decreased responsiveness with correlation make PROMIS an inferior collection measure for hip preservation? As the authors concludeddand in my opiniondthe answer is no.…”

Section: See Related Article On Page 2992mentioning

confidence: 99%

See 2 more Smart Citations

Editorial Commentary: Patient-Reported Outcomes Measurement Information System (PROMIS) Has Decreased Disease-Specific Responsiveness More Than Legacy Outcome Measures, But PROMIS and Legacy Measures Do Correlate: You Can’t Have Your Cake and Eat It Too

Kollmorgen¹

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

A better understanding of hip-preservation patients lies in our ability to analyze and collect data. Collecting the appropriate outcome measures is required to improve treatments, personalize health care, and drive policy. Current research suggests legacy measures and Patient-Reported Outcomes Measurement Information System (PROMIS) measures can be used in data collection, but which measures are best? PROMIS computer-adaptive tests are an attractive outcome measure source because they allow for low-burden data capture with reduced completion times and limited floor and ceiling effects. PROMIS provides numerous reliable, sensitive, and domain-specific measurements capturing a patient's health outcomes. PROMIS has been shown to correlate with hip and other legacy outcome measures, but because PROMIS is more general than some legacy measures, it may be less responsive. PROMIS measures are applicable across a wide spectrum of health measures for our patients, including hip femoroacetabular impingement, but should not replace the legacy measure of the International Hip Outcome Tool 12. However, PROMIS should still be measured because it may allow greater comparison to studies of other conditions resulting in diminished reporting bias.

show abstract

Section: See Related Article On Page 2992contrasting

confidence: 76%

Section: See Related Article On Page 2992mentioning

confidence: 85%

Section: See Related Article On Page 2992mentioning

confidence: 99%

See 1 more Smart Citation

Editorial Commentary: Patient-Reported Outcomes Measurement Information System (PROMIS) Has Decreased Disease-Specific Responsiveness More Than Legacy Outcome Measures, But PROMIS and Legacy Measures Do Correlate: You Can’t Have Your Cake and Eat It Too

Kollmorgen¹

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

show abstract

“…Another study comparing PROMIS metrics with legacy PROMs found that although PROMIS scores did correlate, PROMIS had a lower effect size and was less responsive. Nwachukwu et al 35 retrospectively assessed 96 patients with 6-month follow-up after arthroscopic FAIS treatment who were evaluated via both PROMIS and legacy PROMs. The investigators found that the PROMIS-PF had excellent correlation with HOS-SS, very good correlation with HOS-ADL, and good correlation with iHOT-12.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,14,19,20 However, there is a relative paucity of literature applying PROMIS to patients who have undergone hip arthroscopy for femoroacetabular impingement syndrome (FAIS). 28,30,32,34,35 Minimal clinically important difference (MCID), Patient Acceptable Symptom State (PASS), and substantial clinical benefit (SCB) are relatively new metrics of determining whether patients achieve clinically significant outcomes (CSOs) after interventions. 7 MCID serves as an important measure that goes beyond statistically significant differences between groups and establishes the smallest difference that a patient would describe as beneficial, whereas SCB can be considered the upper bound and ideal target for CSO.…”

mentioning

confidence: 99%

Defining Clinically Significant Improvement on the Patient-Reported Outcomes Measurement Information System Test at 1-Year Follow-up for Patients Undergoing Hip Arthroscopy for the Treatment of Femoroacetabular Impingement Syndrome

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background: Although minimal clinically important difference (MCID), Patient Acceptable Symptom State (PASS), and substantial clinical benefit (SCB) have been defined for hip-specific legacy patient-reported outcome measures, these metrics have not been defined for the Patient-Reported Outcomes Measurement Information System (PROMIS) instruments for patients undergoing hip arthroscopy. Purpose: To define the MCID, PASS, and SCB thresholds for the PROMIS Physical Function (PF) computerized adaptive test (CAT) and PROMIS Pain Interference (PI) instruments in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Study Design: Cohort study (Diagnosis); Level of evidence, 2. Methods: Patients undergoing primary hip arthroscopy between August 2018 and January 2019 for the treatment of FAIS were retrospectively analyzed. Patients were administered the PROMIS-PF, PROMIS-PI, Hip Outcome Score (HOS)–Activities of Daily Living, HOS–Sports Subscale, modified Harris Hip Score, and International Hip Outcome Tool–12 preoperatively and at 1 year postoperatively. MCID was calculated using the distribution method, whereas PASS and SCB were calculated using an anchor-based method. Patients achieving clinically significant outcomes (CSOs) were compared with those who did not achieve CSOs via chi-square and independent-samples t tests, and a multivariate logistic regression was conducted to determine predictors of CSO achievement. Results: 124 patients with a mean age of 32.7 ± 12.3 years were included in the analysis. The threshold scores required to achieve MCID, PASS, and SCB, respectively, were as follows: PROMIS-PI (–3.1, 53.7, 51.9) and PROMIS-PF (3.3, 47.0, 49.9). Patients achieved any MCID, PASS, and SCB for PROMIS scores at a rate of 89.0%, 71.8%, and 62.1%, respectively, compared with 87.1%, 76.6%, and 71.8% for legacy patient-reported outcome measurements. For PROMIS-PF, higher preoperative PROMIS-PF score was a positive predictor of CSO achievement, and patients achieving SCB were significantly younger (30.3 ± 12 vs 35.6 ± 12 years; P = .017) with significantly lower body mass index (BMI) (24.7 ± 6.4 vs 27.9 ± 7; P = .009). Preoperative chronic pain and history of orthopaedic surgery were negative predictors of PROMIS-PI CSO achievement, whereas higher (worse) preoperative PROMIS-PI scores were a positive predictor. Conclusion: Our study defined the MCID, PASS, and SCB for the PROMIS-PF CAT and PROMIS-PI CAT at 1 year postoperatively. Patients with higher preoperative PROMIS scores, younger age, and lower BMI were more likely to achieve CSO, whereas preoperative chronic pain and history of orthopaedic surgery were negative predictors of CSO achievement.

show abstract

Depression and anxiety are associated with worse baseline function in hip arthroscopy patients

Kaveeshwar

Rocca

Oster

et al. 2022

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The purpose of this study was to analyze the correlation between baseline depression and anxiety and preoperative functional status in hip arthroscopy patients. Methods A prospective, institutional review board-approved orthopaedic registry was used to retrospectively study 104 patients undergoing hip arthroscopy. Enrolled patients were administered baseline questionnaires for Patient-Reported Outcomes Measurement Information System (PROMIS) domains, Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) preoperative expectations, and Numeric Pain Scale (NPS). ResultsThe average baseline PROMIS Depression and Anxiety scores were 49.9 ± 9.8 and 55.5 ± 9.3, respectively. Bivariate analysis demonstrated that greater baseline PROMIS Anxiety correlated with worse preoperative PROMIS PI (p < 0.001), Fatigue (p < 0.001), Social Satisfaction (p < 0.001), and NPS score (p = 0.013). Bivariate analysis showed that greater PROMIS Depression correlated with worse preoperative PROMIS PF (p = 0.001), PI (p < 0.001), Fatigue (p < 0.001), SS (p < 0.001), and NPS score (p = 0.004). After controlling for confounders, multivariable analysis conirmed increased PROMIS Depression as an independent predictor of worse preoperative PROMIS PF (p = 0.009), MODEMS Expectations (p = 0.025), and NPS score (p = 0.002). Increased PROMIS Anxiety was predictive of worse baseline PROMIS PI (p < 0.001), Fatigue (p < 0.001), and Social Satisfaction (p < 0.001). A previous clinical diagnosis of depression or anxiety was only an independent predictor of worse baseline PROMIS Fatigue (p = 0.002) and was insigniicant in all other models. Conclusion Increasing severity of depression and anxiety correlated with and predicted worse functional status at baseline in hip arthroscopy patients. As compared to clinical diagnosis of anxiety and depression, PROMIS metrics have superior utility in recognizing potentially modiiable mental health concerns that predict worse preoperative status. Ultimately, the study identiies an at-risk population undergoing hip arthroscopy that requires particular attention and potential mental health intervention in the preoperative setting. Level of evidence III.

show abstract

Patient-Reported Outcomes Measurement Information System Physical Function Has a Lower Effect Size and is Less Responsive Than Legacy Hip Specific Patient Reported Outcome Measures Following Arthroscopic Hip Surgery

Cited by 18 publications

References 27 publications

Editorial Commentary: Patient-Reported Outcomes Measurement Information System (PROMIS) Has Decreased Disease-Specific Responsiveness More Than Legacy Outcome Measures, But PROMIS and Legacy Measures Do Correlate: You Can’t Have Your Cake and Eat It Too

Editorial Commentary: Patient-Reported Outcomes Measurement Information System (PROMIS) Has Decreased Disease-Specific Responsiveness More Than Legacy Outcome Measures, But PROMIS and Legacy Measures Do Correlate: You Can’t Have Your Cake and Eat It Too

Defining Clinically Significant Improvement on the Patient-Reported Outcomes Measurement Information System Test at 1-Year Follow-up for Patients Undergoing Hip Arthroscopy for the Treatment of Femoroacetabular Impingement Syndrome

Depression and anxiety are associated with worse baseline function in hip arthroscopy patients

Contact Info

Product

Resources

About