Physical function computer adaptive test outcomes in diabetic lumbar spine surgical patients

Squires, Mathieu D.; Brodke, Darrel S.; Neese, Ashley; Zhang, Yue; Spiker, W. Ryan; Lawrence, Brandon D.; Spina, Nicholas

doi:10.1016/j.spinee.2018.12.008

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…However, a significant proportion of these patients still obtained a meaningful improvement in physical function. 31 Lastly, our finding of prior surgeries predicting improved function and decreased pain is unexpected. In general, revision surgeries across orthopaedics are associated with worse and less predictable outcomes and more complications.…”

Section: Discussionmentioning

confidence: 84%

Does the Canadian Orthopaedic Foot and Ankle Society Postoperative COFAS End-Stage Ankle Arthritis Classification System Correlate With Pre- and Postoperative PROMIS Scores for Total Ankle Arthroplasty?

Shlykov

Savage-Elliott

Lonergan³

et al. 2022

Foot & Ankle Orthopaedics

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Background: Recently, the Canadian Orthopaedic Foot and Ankle Society (COFAS) proposed a classification system addressing adjunct procedures in the treatment for end-stage ankle arthritis. We reviewed Patient-Reported Outcome Measures Information System (PROMIS) data to determine if outcomes of total ankle arthroplasty (TAA) correlated with postoperative COFAS classification. We hypothesize that as COFAS classification increases, patients will demonstrate greater improvement in the change between pre- and postoperative PROMIS scores. Methods: From June 2015 to December 2018, a total of 127 patients underwent 132 TAA. Demographic factors and preoperative and most recent postoperative PROMIS scores were collected. Univariate, multivariate and post hoc analyses with a significance threshold of P <.05 were performed. Results: Eighty-seven patients with a mean follow-up of 13.6±7.3 months and complete PROMIS scores were classified into COFAS types 1-4. Significant differences were identified in the PROMIS Pain Interference domain comparing COFAS types 2 and 4 and COFAS types 3 and 4. These results demonstrate that more complex ankles with a higher COFAS score had worse interval improvement in PROMIS scores. Additionally, multivariate linear regression showed that age and BMI were associated with worse physical function and depression, whereas diabetes and a history of prior surgeries were associated with improved postoperative function. Conclusion: The COFAS postoperative classification system is useful for categorizing end-stage ankle arthritis. Further research into the ideal timing of surgery and higher-level studies to better determine TAA efficacy with different classification systems is warranted. This information can be helpful with preoperative counseling about treatment outcomes. Level of Evidence: Level IV, retrospective analysis of prospectively collected data.

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Section: Discussionmentioning

confidence: 84%

Does the Canadian Orthopaedic Foot and Ankle Society Postoperative COFAS End-Stage Ankle Arthritis Classification System Correlate With Pre- and Postoperative PROMIS Scores for Total Ankle Arthroplasty?

Shlykov

Savage-Elliott

Lonergan³

et al. 2022

Foot & Ankle Orthopaedics

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“…Historically, PROs have relied on long questionnaires which may be more precise but more time-consuming for patients, which are potentially burdensome and may affect compliance 11 , 23 , 36 , 37 . For instance, the original Kidney Disease Quality of Life (KDQOL) questionnaire has 134 items.…”

Section: Measure Selectionmentioning

confidence: 99%

“…CAT, which is based on the principles of item response theory, was proposed by several studies as a potential approach for tailoring ePROMs to the individual respondent thereby addressing respondent burden due to the presence of irrelevant questions within a questionnaire 11 , 37 , 45 , 60 – 82 . Most of the studies utilised the approach in conjunction with the PROMIS item banks.…”

Section: Measure Deliverymentioning

confidence: 99%

“…Computer adaptive testing is a potential approach for tailoring ePROMs to the individual respondent 97 , thereby eliminating the burden due to the presence of irrelevant questions within a questionnaire 37 , 45 , 60 – 77 .…”

Section: Key Considerations To Address Respondent Burdenmentioning

confidence: 99%

“…• When selecting PROMs, the characteristics of candidate measures should be considered as these may contribute to potential respondent burden. Various issues as highlighted in the previous sections need to be carefully considered 4,[22][23][24][27][28][29][30][32][33][34]37,[41][42][43][44][45] . • The delivery of PROMs may influence respondent burden.…”

Section: Key Considerations To Address Respondent Burdenmentioning

confidence: 99%

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Key considerations to reduce or address respondent burden in patient-reported outcome (PRO) data collection

et al. 2022

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Patient-reported outcomes (PROs) are used in clinical trials to provide evidence of the benefits and risks of interventions from a patient perspective and to inform regulatory decisions and health policy. The collection of PROs in routine practice can facilitate monitoring of patient symptoms; identification of unmet needs; prioritisation and/or tailoring of treatment to the needs of individual patients and inform value-based healthcare initiatives. However, respondent burden needs to be carefully considered and addressed to avoid high rates of missing data and poor reporting of PRO results, which may lead to poor quality data for regulatory decision making and/or clinical care.

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Pearls and pitfalls of PROMIS clinically significant outcomes in orthopaedic surgery

Gilat

Mitchnik

Patel

et al. 2023

Arch Orthop Trauma Surg

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Physical function computer adaptive test outcomes in diabetic lumbar spine surgical patients

Cited by 6 publications

References 28 publications

Does the Canadian Orthopaedic Foot and Ankle Society Postoperative COFAS End-Stage Ankle Arthritis Classification System Correlate With Pre- and Postoperative PROMIS Scores for Total Ankle Arthroplasty?

Does the Canadian Orthopaedic Foot and Ankle Society Postoperative COFAS End-Stage Ankle Arthritis Classification System Correlate With Pre- and Postoperative PROMIS Scores for Total Ankle Arthroplasty?

Key considerations to reduce or address respondent burden in patient-reported outcome (PRO) data collection

Pearls and pitfalls of PROMIS clinically significant outcomes in orthopaedic surgery

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