Evaluation of the PROMIS Physical Function Computer Adaptive Test in the Upper Extremity

Tyser, Andrew R.; Beckmann, James T.; Franklin, Jeremy D.; Cheng, Christine; Hon, Shirley D.; Wang, Angela Yee-Moon; Hung, Man

doi:10.1016/j.jhsa.2014.06.130

Cited by 139 publications

(78 citation statements)

References 19 publications

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“…An additional point of agreement between the current study and prior publications is the significant correlation between measures of physical function (qDASH, PROMIS PF CAT, and PROMIS UE CAT) among patients presenting to a hand surgery clinic. 5,8,9,13 …”

Section: Discussionmentioning

confidence: 99%

“…7,8 Psychometric characteristics of the PROMIS Physical Function (PF) and Physical Function Upper Extremity (UE) CATs have been described specifically in the context of hand and upper extremity patients, and both correlate strongly with the DASH and quickDASH. 5,8,9 While some studies did not observe floor or ceiling effects for the PF CAT 5 and UE CAT 9 , others have demonstrated ceiling effects of 1.3% and 10.8%, respectively. 8 …”

Section: Introductionmentioning

confidence: 97%

“…3 These metrics are valuable, but have demonstrated occasional high ceiling effects in some populations and have a relatively large responder burden. 4,5 …”

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: Introductionmentioning

confidence: 97%

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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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“…418 2017 used to perform objective measurements that are essentially independent of the observer; however, many of these are impractical for routine clinical use because of their size, complexity, hardware requirements, and expense 14,23,[25][26][27][28][29] . A recent article demonstrated that an inexpensive operator-independent objective shoulder motion measurement system based on the Microsoft Kinect can serve as a practical tool in the clinical examination room 26 .…”

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confidence: 99%

Relationship Between Patient-Reported Assessment of Shoulder Function and Objective Range-of-Motion Measurements

Matsen

Tang

Russ

et al. 2017

The Journal of Bone and Joint Surgery

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“…Size of the olecranon bursa and pain are certainly important contributing factors, but may not correlate well with the patient's reported function or general health status. This could be an existing fixed-length questionnaire (such as the DASH) or computerized adaptive testing (such as a PROMIS tool) [5]. A valid, reliable, and responsive tool for monitoring symptoms of olecranon bursitis will allow for determination of the MCID between treatments.…”

mentioning

confidence: 99%

CORR Insights®: A Randomized Trial Among Compression Plus Nonsteroidal Antiinflammatory Drugs, Aspiration, and Aspiration With Steroid Injection for Nonseptic Olecranon Bursitis

Kennedy

2016

Clinical Orthopaedics &Amp; Related Research

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Evaluation of the PROMIS Physical Function Computer Adaptive Test in the Upper Extremity

Cited by 139 publications

References 19 publications

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

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

Relationship Between Patient-Reported Assessment of Shoulder Function and Objective Range-of-Motion Measurements

CORR Insights®: A Randomized Trial Among Compression Plus Nonsteroidal Antiinflammatory Drugs, Aspiration, and Aspiration With Steroid Injection for Nonseptic Olecranon Bursitis

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