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Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery.

Publication ,  Journal Article
Hancock, KJ; Glass, N; Anthony, CA; Hettrich, CM; Albright, J; Amendola, A; Wolf, BR; Bollier, M
Published in: J Bone Joint Surg Am
June 7, 2017

BACKGROUND: The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed as an extensive question bank with multiple health domains that could be utilized for computerized adaptive testing (CAT). In the present study, we investigated the use of the PROMIS Physical Function CAT (PROMIS PF CAT) in an otherwise healthy population scheduled to undergo surgery for meniscal injury with the hypotheses that (1) the PROMIS PF CAT would correlate strongly with patient-reported outcome instruments that measure physical function and would not correlate strongly with those that measure other health domains, (2) there would be no ceiling effects, and (3) the test burden would be significantly less than that of the traditional measures. METHODS: Patients scheduled to undergo meniscal surgery completed the PROMIS PF CAT, Knee injury and Osteoarthritis Outcome Score (KOOS), Marx Knee Activity Rating Scale, Short Form-36 (SF-36), and EuroQol-5 Dimension (EQ-5D) questionnaires. Correlations were defined as high (≥0.7), high-moderate (0.61 to 0.69), moderate (0.4 to 0.6), moderate-weak (0.31 to 0.39), or weak (≤0.3). If ≥15% respondents to a patient-reported outcome measure obtained the highest or lowest possible score, the instrument was determined to have a significant ceiling or floor effect. RESULTS: A total of 107 participants were analyzed. The PROMIS PF CAT had a high correlation with the SF-36 Physical Functioning (PF) (r = 0.82, p < 0.01) and KOOS Sport (r = 0.76, p < 0.01) scores; a high-moderate correlation with the KOOS Quality-of-Life (QOL) (r = 0.63, p < 0.01) and EQ-5D (r = 0.62, p < 0.01) instruments; and a moderate correlation with the SF-36 Pain (r = 0.60, p < 0.01), KOOS Symptoms (r = 0.57, p < 0.01), KOOS Activities of Daily Living (ADL) (r = 0.60, p < 0.01), and KOOS Pain (r = 0.60, p < 0.01) scores. The majority (89%) of the patients completed the PROMIS PF CAT after answering only 4 items. The PROMIS PF CAT had no floor or ceiling effects, with 0% of the participants achieving the lowest and highest score, respectively. CONCLUSIONS: 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.

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Published In

J Bone Joint Surg Am

DOI

EISSN

1535-1386

Publication Date

June 7, 2017

Volume

99

Issue

11

Start / End Page

954 / 958

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Quality of Life
  • Patient Reported Outcome Measures
  • Osteoarthritis, Knee
  • Orthopedics
  • Menisci, Tibial
  • Male
  • Humans
  • Female
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
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Hancock, K. J., Glass, N., Anthony, C. A., Hettrich, C. M., Albright, J., Amendola, A., … Bollier, M. (2017). Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery. J Bone Joint Surg Am, 99(11), 954–958. https://doi.org/10.2106/JBJS.16.00848
Hancock, Kyle J., Natalie Glass, Chris A. Anthony, Carolyn M. Hettrich, John Albright, Annunziato Amendola, Brian R. Wolf, and Matthew Bollier. “Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery.J Bone Joint Surg Am 99, no. 11 (June 7, 2017): 954–58. https://doi.org/10.2106/JBJS.16.00848.
Hancock KJ, Glass N, Anthony CA, Hettrich CM, Albright J, Amendola A, et al. Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery. J Bone Joint Surg Am. 2017 Jun 7;99(11):954–8.
Hancock, Kyle J., et al. “Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery.J Bone Joint Surg Am, vol. 99, no. 11, June 2017, pp. 954–58. Pubmed, doi:10.2106/JBJS.16.00848.
Hancock KJ, Glass N, Anthony CA, Hettrich CM, Albright J, Amendola A, Wolf BR, Bollier M. Performance of PROMIS for Healthy Patients Undergoing Meniscal Surgery. J Bone Joint Surg Am. 2017 Jun 7;99(11):954–958.

Published In

J Bone Joint Surg Am

DOI

EISSN

1535-1386

Publication Date

June 7, 2017

Volume

99

Issue

11

Start / End Page

954 / 958

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Quality of Life
  • Patient Reported Outcome Measures
  • Osteoarthritis, Knee
  • Orthopedics
  • Menisci, Tibial
  • Male
  • Humans
  • Female
  • Adult