Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery

Abstract

The PROMIS PF CAT correlates strongly with currently used patient-reported outcome measures of physical function and demonstrates no ceiling effects for patients with meniscal injury requiring surgery. It may be a reasonable alternative to more burdensome patient-reported outcome measures.

How Should We Define Clinically Significant Improvement on Patient-Reported Outcomes Measurement Information System Test for Patients Undergoing Knee Meniscal Surgery?

“…[5][6][7][8] PROMIS relies on computerized adaptive testing (CAT) to select specific questions that best discriminate outcome scores and decrease question burden. 9 Unlike other PROMIS domains, the PROMIS Physical Function (PF) domain does not display significant floor or ceiling effects and therefore may be the most specific and relevant instrument for capturing clinical outcomes in meniscal surgery patients. 10 As PROMIS testing continues to be increasingly used, there is a growing need to correlate changes in PROM scores with clinically significant improvements.…”

“…13,15,[19][20][21] Although the PROMIS PF CAT has shown an acceptable performance relative to legacy PROMs in patients undergoing meniscal surgery, the MCID, SCB, and PASS values have yet to be defined. 9 The purpose of our study was to define the MCID, SCB, and PASS thresholds for the PROMIS PF CAT instrument in patients undergoing arthroscopic meniscal surgery. We hypothesized that patients would show achievement of CSOs at 6 months after meniscal surgery as measured by the PROMIS PF CAT, that these CSOs might be more sensitive to change than traditional instruments, and that preoperative score thresholds exist that would predict achievement of these CSOs.…”

It Is All About Value Now: The Data You Need to Collect and How to Do It

“…PROMIS offers CAT to speed test completion, and it has become increasingly accepted for both research and clinical care by funding agencies and journals alike. While performance assessment of PROMIS continues, in general, it has performed well when compared against historical, region-specific PROMs [36][37][38] .…”

Evaluation of the PROMIS Physical Function Computer Adaptive Test in Patients Undergoing Knee Surgery

“…questions, thus saving time without reducing reliability and validity. [1][2][3]5,11,13,14 The PROMIS PF CT is a generalized measure of PF covering four subdomains: instrumental ADL (IADL), lower extremity function, back and neck (central) function, and upper extremity function. 5 However, there is a paucity of data regarding whether PROMIS PF, a measure of general disability, can measure lower extremity disability as well as a lower extremity specific tool, such as the IKDC form.…”

“…5 However, there is a paucity of data regarding whether PROMIS PF, a measure of general disability, can measure lower extremity disability as well as a lower extremity specific tool, such as the IKDC form. 1,3,4,8,9,11 As the medical community moves toward an outcomesbased health care system, the PROMIS questionnaires offer the potential to be a highly effective and reliable means for patients to report their understanding of their function and activity level, and physicians to assess changes in outcomes over time. We hypothesized that there would be a strong correlation between PROMIS PF and IKDC, with minimal floor and ceiling effects.…”