The Impact of Total Hip Arthroplasty Surgical Approach on Patient-Reported Outcomes Measurement Information System Computer Adaptive Tests of Physical Function and Pain Interference

Quinzi, David A; Childs, Sean; Kuhns, Ben; Balkissoon, Rishi; Drinkwater, Christopher; Ginnetti, John G

doi:10.1016/j.arth.2020.05.006

Cited by 10 publications

(8 citation statements)

References 29 publications

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“…Our rates of attempting and completing PROMIS once attempted are well within the ranges reported at the University of Rochester and elsewhere. [33][34][35][36][37][38][39][40][41] It is important to qualify this, however, as PROMIS is a customizable survey instrument, and we could find no other study reporting the exact PROMIS survey used here.…”

Section: Discussionmentioning

confidence: 99%

Implementation of PROMIS® in an Optometry Clinic

Porter

Holt

Ramchandran

2021

PROM

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Purpose: The full utility of general health Patient-Reported Outcomes Measurement Information System ® (PROMIS) surveys in the eye care setting has not been previously demonstrated. This report demonstrates the feasibility of implementing PROMIS in an eye care clinic. Patients and Methods: Over 2 months, general health and functioning PROMIS surveys were offered to all patients in an optometric clinic in Rochester, NY. Demographic and clinical variables were recorded along with percent completion and time to completion of the survey. Results: Across 651 patients, 258 chose to attempt PROMIS. Patients with low visual acuity were less likely to attempt the survey (p=0.049), and younger patients were more likely to complete the survey (p=0.025); no other patient characteristics were found to differ between those who did and did not participate in, nor complete, PROMIS. A total of 193 patients completed the survey (74.8%) in a mean time of 6.36 minutes (range = [1.43, 51.92] minutes; standard deviation = 5.62 minutes). Time to completion did not vary significantly across any groups. Conclusion: Our relatively high completion rate among those who attempted PROMIS indicates that PROMIS surveys are feasible to implement in an optometry clinic. While most patients completed the survey in little time, the large range of time to completion may indicate that some patients had difficulty completing the survey. Furthermore, the significant difference in visual acuity between those who participated in the survey and those who did not highlights the need to address the way PROMIS is delivered in order to foster greater inclusion.

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Section: Discussionmentioning

confidence: 99%

Implementation of PROMIS® in an Optometry Clinic

Porter

Holt

Ramchandran

2021

PROM

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“…Utilising the pre-determined inclusion and exclusion criteria, 24 articles were included in the final analysis. 16–39 Each article’s reference list was evaluated in a stepwise manner, and no additional studies were included.…”

Section: Methodsmentioning

confidence: 99%

“…The most utilised tool for evaluating postoperative pain was the VAS score, reported by 8 articles (Table 1). 17,20,22,24,[30][31][32]39 Data could be pooled for 4 of the 8 studies. Under the random-effects model, although VAS scores tended to be higher in other approaches (i.e.…”

Section: Painmentioning

confidence: 99%

No clinically significant differences in patient-reported outcome measures across total hip arthroplasty approaches

et al. 2023

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Introduction: As recent studies demonstrate an ongoing debate surrounding outcomes and complications with respect to different total hip arthroplasty (THA) approaches, patient-reported outcome measures (PROMs) may provide valuable information for clinician and patient decision-making. Therefore, our systematic review aimed to assess how surgical approach influences patient-reported outcomes. Methods: 5 online databases were queried for all studies published between January 1, 1997 and March 4, 2022 that reported on PROMs across various surgical approaches to THA. Studies reporting on PROMs in primary THA patients segregated by surgical approach were included. Articles reporting on revision THA, hip resurfacing, and arthroscopy were excluded. Mantel-Haenszel (M-H) models were utilised to calculate the pooled mean difference (MDs) and 95% confidence interval (CIs). Results: No differences between the DAA and other approaches were observed when evaluating HOOS (MD −0.28; 95% CI, −1.98–1.41; p = 0.74), HHS (MD 2.38; 95% CI, −0.27–5.03; p = 0.08), OHS (MD 1.35; 95% CI, −2.00–4.71; p = 0.43), FJS-12 (MD 5.88; 95% CI, −0.36–12.12; p = 0.06), VAS-pain (MD −0.32; 95% CI, −0.68–0.04; p = 0.08), and WOMAC-pain (MD −0.73; 95% CI, −3.85–2.39; p = 0.65) scores. WOMAC (MD 2.47; 95% CI, 0.54–4.40; p = 0.01) and EQ-5D Index (MD 0.03; 95% CI, 0.01–0.06; p = 0.002) scores were found to significantly favour the DAA cohort over the other approaches. Only the EQ-5D index score remained significant following sensitivity analysis. Conclusions: Superiority of any 1 approach could not be concluded based on the mixed findings of the present analysis. Although our pooled analysis found no significant differences in outcomes except for those measured by the EQ-5D index, a few additional metrics, notably the WOMAC, HHS, FJS-12, and VAS-pain scores, leaned in favour of the DAA.

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“…We expected negative correlations between change scores of PAIN, PI and OHS, and positive correlations between change scores of PF and OHS, each in the order of |r| (confidence intervals) ≥ 0.5. The smallest effect size of interest was defined as a Cohen’s d ≥ 1.5 for the decrease in PI and increase in PF based on other studies [ 3 , 18 ]. Responsiveness was considered sufficient if at least 75% of the hypotheses were confirmed.…”

Section: Methodsmentioning

confidence: 99%

Measurement properties of PROMIS short forms for pain and function in total hip arthroplasty patients

Stephan

Stadelmann

Leunig

et al. 2021

J Patient Rep Outcomes

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Introduction While the Patient-Reported Outcomes Measurement Information System (PROMIS) is mainly designed for computer adaptive testing, its static short forms (SF) are used when a paper-pencil format is preferred or item banks are not yet translated into the target language. This study examined the measurement properties of the German PROMIS-SF for pain intensity (PAIN), pain interference (PI) and physical function (PF) in total hip arthroplasty (THA) patients. Methods SF were collected before and 12 months post-surgery. Higher scores indicate more PAIN, higher PI and better PF. Oxford Hip Score (OHS) was the main reference measure. Six months post-surgery, a subsample completed the SF twice within 14 days to test reliability. Results Of 172 eligible patients, 147 consented to participate and received questionnaires; 132 (74 males) returned baseline questionnaires (mean age 65.8 ± 10.2 years) and 116, 12-month questionnaires. Forty-five patients provided test-retest data. Correlations of all SF with OHS were large (│r│ ≥ 0.7; confidence intervals did not include 0.50). Cronbach’s alpha values were: PAIN, 0.86; PI, 0.93; PF, 0.91. Intraclass correlation coefficients were: PAIN, 0.77; PI, 0.81; PF, 0.69. Standard errors of measurement were: PAIN, 3.8; PI, 2.8; PF, 3.6. Smallest detectable change thresholds were: PAIN, 8.8; PI, 6.6; PF, 8.4. Follow-up data showed a ceiling effect (best score) for PAIN (66%), PI (76%), and PF (66%). SF change scores showed large correlations with OHS change scores (│r│ > 0.6). Conclusion Our results provide some evidence of construct validity, and acceptable reliability and responsiveness of PROMIS-SF for pain and function in THA patients. These SF can thus be considered acceptable for use, although patients’ improvement in physical function might be underestimated due to the large follow-up PF score ceiling effects.

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The Impact of Total Hip Arthroplasty Surgical Approach on Patient-Reported Outcomes Measurement Information System Computer Adaptive Tests of Physical Function and Pain Interference

Cited by 10 publications

References 29 publications

Implementation of PROMIS® in an Optometry Clinic

Implementation of PROMIS® in an Optometry Clinic

No clinically significant differences in patient-reported outcome measures across total hip arthroplasty approaches

Measurement properties of PROMIS short forms for pain and function in total hip arthroplasty patients

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