The PROMIS Physical Function Correlates With the QuickDASH in Patients With Upper Extremity Illness

Overbeek, Celeste L.; Nota, Sjoerd; Jayakumar, Prakash; Hageman, Michiel G.J.S.; Ring, David

doi:10.1007/s11999-014-3840-2

Cited by 132 publications

(89 citation statements)

References 26 publications

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“…9,11,13,18,19 Menendez observed that 51% of variability in the qDASH was explained by differences in PROMIS PI CAT scores among new or follow-up hand surgery patients at an urban academic medical center, and furthermore reported a large correlation between PROMIS PI and qDASH scores and medium correlation between PROMIS depression CAT and qDASH scores. 19 Nota observed that pain interference had a strong influence on qDASH variability in a similar patient cohort.…”

Section: Discussionmentioning

confidence: 99%

“…9,13 In a retrospective study of 93 consecutive new and follow-up outpatients, Overbeek observed that increasing PROMIS PI CAT scores were associated with greater disability on the PROMIS PF CAT and qDASH. 13 Similarly, Doring published data suggesting an association between the PROMIS UE and PI CATs.…”

Section: Discussionmentioning

confidence: 99%

“…12 PROMIS PI scores independently predicted inferior PROMIS PF and UE CAT scores amongst outpatients seeking hand surgical care, albeit in limited populations of 84 and 93 patients at a single center, respectively. 9,13 …”

Section: Introductionmentioning

confidence: 99%

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Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Kazmers

Hung

Rane

et al. 2017

The Journal of Hand Surgery

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Purpose The relationship between psychosocial factors and self-reported physical function among hand and upper extremity patients is complex. The Patient-Reported Outcomes Measurement Information System (PROMIS) platform has attempted to create a variety of specifically-targeted metrics which can be administered using computer adaptive testing (CAT). Three metrics measuring self-reported physical function (herein referred to in combination as “functional” metrics) include the PROMIS Physical Function (PF) CAT, PROMIS Upper Extremity (UE) CAT, and the quick-Dash (qDASH). Two metrics assessing psychosocial factors include the PROMIS Anxiety and Pain Interference (PI) CATs (“non-functional” metrics). This study evaluates whether the functional metrics were correlated with non-functional metrics. Methods The five questionnaires were administered prospectively on a tablet computer to all consecutive adult patients presenting to outpatient hand and upper extremity (non-shoulder) clinic at a tertiary academic medical center from 1/1/2014 – 11/1/2014. For patients with multiple visits during the study period, only the first was included. Data were evaluated retrospectively to assess the relationship between functional and non-functional measures, with Pearson correlation coefficients to understand the relationship between continuous variables, and one-way ANOVAs to examine for differences in outcome measures across demographic groups. Multivariable linear regression analyses were performed to determine factors predicting functional disability. Results We included 1299 patients: mean age was 46.8 years, 53% were female, and 23% were unemployed or on disability. The PROMIS PF CAT, PROMIS UE CAT, and qDASH scores were all significantly correlated with PROMIS Anxiety CAT (Pearson correlation coefficients −0.46, −0.48, and 0.53, respectively) and PROMIS PI CAT (−0.60, −0.65, and 0.76, respectively) scores. Multivariable regression analyses demonstrated that increased PROMIS Anxiety and Pain Interference CAT scores each independently and adversely influenced PROMIS PF CAT, PROMIS UE CAT, and qDASH scores. Conclusions Increasing levels of patient anxiety and pain interference are independently associated with decreased patient-reported upper extremity function. Clinical Relevance Statement This study provides further support of the biopsychosocial model by highlighting that increased anxiety is associated with decreased self-reported function using the PROMIS platform.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Kazmers

Hung

Rane

et al. 2017

The Journal of Hand Surgery

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“…Among the Patient-Reported Outcomes Measurement Information System (PROMIS 1 ) Computer Adaptive Testing (CAT) measures, PROMIS 1 depression and PROMIS 1 pain interference (the degree to which pain interferes with activities of daily living) have been shown to be associated with disability as measured by the QuickDASH [11,21]. Social support has been found to be an independent predictor of pain outcomes among patients with chronic pain [17], and a target for psychosocial treatments in this population [13].…”

Section: Introductionmentioning

confidence: 99%

Is Social Support Associated With Upper Extremity Disability?

Nota

Spit

Oosterhoff

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…Symptoms of anxiety and depression adversely affect outcomes scores in patients whose physical health status is objectively no worse [12,15]. While those symptoms can confound the use of otherwise valid patient-reported outcomes tools, they render the measurement of satisfaction with treatment outcomes all but impossible.…”

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confidence: 99%