The PROMIS Global Health Questionnaire Correlates With the QuickDASH in Patients With Upper Extremity Illness

Abstract

The consistent finding that general patient-reported outcomes correlate moderately with regional patient-reported outcomes suggests that a small number of relatively nonspecific patient-reported outcome measures might be used to assess a variety of illnesses. In our opinion, the blending of physical and mental health questions in the PROMIS Global Health makes this instrument less useful for research or patient care.

Adult Measures of General Health and Health‐Related Quality of Life

“…Although the above study included measures of both physical and mental health , other validation studies of the PROMIS‐GH only included measures of disease‐specific physical health . These studies again largely support the construct validity of the PROMIS‐GH; however, the results are less consistent.…”

Content and psychometric evaluations of questionnaires for assessing physical function in people with arm–shoulder–hand disorders. A systematic review of the literature

“…Further, there were also few similarities with previous reviews regarding the inclusion of studies. The current study included five studies investigating the DASH [45,[51][52][53][54] and ten studies investigating the Quick-DASH [32,45,49,52,53,[55][56][57][58][59], while Alreni et al [7] only presented results from two studies for DASH [60,61] and three for Quick-DASH [55,61,62]. Only one study was used in both cases despite overlapping time frames.…”

Correlation and responsiveness of global health, upper extremity-specific, and shoulder-specific functional outcome measures following reverse total shoulder arthroplasty for proximal humerus fracture

“…The Physical Health subscale score, which was utilized in our study, ranges from 0 to 100 with a mean score of 50 representing the norm for the US general population and a standard deviation of 10. Higher scores indicate better health [ 16 , 21 ].…”

“…Patient-reported outcome metrics (PROMs) attempt to capture the biopsychosocial impact of disease on patients’ lives [ 15 ] and are becoming more important than ever in orthopaedic surgery with the shift in healthcare from fee-for-service to value-based care [ 16 ]. They allow the patient’s subjective experience of their injury and its treatment to be formally assessed, in addition to traditional objective and clinician-reported measures, which tend to underestimate patient symptoms and functional limitations [ 17 , 18 ].…”

“…Surgery for a PHF is intended to restore HRQoL and reduce disability, but the relationship between overall HRQoL and extremity-specific function for this condition is not known. In addition, PROMIS scores are increasingly used to evaluate patient functional outcomes but they have not been widely studied for upper extremity conditions [ 16 ]. Understanding associations between global health, upper extremity-specific, and shoulder-specific outcomes after rTSA for fracture will help surgeons to better measure the results of this treatment on patients’ lives.…”