Patient-Reported Outcomes Measurement Information System Mobility Computerized Adaptive Testing Maintains High Correlation and Low Test Burden Compared With Legacy Hip-Specific Instruments in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement

Day, Molly A.; Hancock, Kyle J.; Selley, Ryan S.; Olsen, Reena; Antao, Vinicius C.; Ranawat, Anil S.; Nawabi, Danyal H.; Kelly, Bryan T.

doi:10.1016/j.arthro.2022.03.038

Arthroscopy: The Journal of Arthroscopic & Related Surgery

2022

DOI: 10.1016/j.arthro.2022.03.038

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Patient-Reported Outcomes Measurement Information System Mobility Computerized Adaptive Testing Maintains High Correlation and Low Test Burden Compared With Legacy Hip-Specific Instruments in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement

Molly A. Day¹,

Kyle J. Hancock²,

Ryan S. Selley³

et al.

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Cited by 4 publications

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“…The PROMIS does have psychometric evidence to support its use for hip arthroscopy patients. 3 , 4 , 10 , 19 , 20 , 24 , 27 , 32 An essential psychometric property in outcome assessment is the ability to define a patient's current status. This can be done using clinically important outcome values (CIOVs), such as minimal clinically important difference, Patient Acceptable Symptom State (PASS), substantial clinical benefit (SCB), and maximal outcome improvement.…”

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confidence: 99%

Comparison of the PROMIS and iHOT-12 in Determining Satisfaction Levels After Hip Arthroscopy for FAIS

Martin

Harris

Ellis

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) has not been fully evaluated for outcomes assessment after hip arthroscopy to correct femoroacetabular impingement syndrome (FAIS). Purpose/Hypothesis: The purpose of this study was to compare the accuracy of the PROMIS Physical Function (PF) and Pain Interference (PI) subscales with the 12-Item International Hip Outcome Tool (iHOT-12) to define patients with 3 unique substantial clinical benefit (SCB) scores—patients who reported ≥80%, ≥90%, and 100% satisfaction at 1 year after hip arthroscopy for FAIS. We hypothesized that the iHOT-12 would be more accurate than the PROMIS-PF and PROMIS-PI subscales in identifying these 3 patient groups. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: We reviewed the records of patients who underwent hip arthroscopy for symptomatic FAIS at 3 centers from January 2019 through June 2021 and had 1-year clinical and radiographic follow-up data. Patients completed the iHOT-12, PROMIS-PF, and PROMIS-PI on initial assessment and at 1 year (±30 days) postoperatively. Postoperative satisfaction was reported on an 11-category scale with anchors defined as “0% satisfied” and “100% satisfied.” Receiver operator characteristic analysis was performed to determine the absolute SCB values for the iHOT-12 and PROMIS subscales that would most accurately identify those patients who reported ≥80%, ≥90%, and 100% satisfaction. Area under the curve (AUC) values and 95% CIs for the 3 instruments were compared. Results: Included were 163 patients (111 [68%] women and 52 [32%] men), with a mean age of 26.1 years. Corresponding absolute SCB scores for patients who reported ≥80%, ≥90%, and 100% satisfaction were as follows: iHOT-12, 68.4, 72.1, 74.7; PROMIS-PF, 45, 47.7, 49.9; and PROMIS-PI, 55.9, 52.4, 51.9. The AUC ranged between 0.67 and 0.82, with overlapping 95% CIs indicating a minimal difference in accuracy between the 3 instruments. Sensitivity and specificity values ranged between 0.61 and 0.82. Conclusion: The PROMIS-PF and PROMIS-PI subscales were as accurate as the iHOT-12 in defining absolute SCB scores for patients reporting ≥80%, ≥90%, and 100% satisfaction at 1-year follow-up after hip arthroscopy for FAIS.

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mentioning

confidence: 99%

Comparison of the PROMIS and iHOT-12 in Determining Satisfaction Levels After Hip Arthroscopy for FAIS

Martin

Harris

Ellis

et al. 2023

Orthopaedic Journal of Sports Medicine

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Preoperative opioid use is associated with worse preoperative patient-reported outcomes in hip arthroscopy patients

Rocca,

Honig,

Tran

et al. 2024

Journal of ISAKOS

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Patient-Reported Outcomes Associated With “Completely Better” Status at 2 Years After Hip Arthroscopy

Kolevar,

Honig,

Rocca

et al. 2024

Orthopaedic Journal of Sports Medicine

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Background: Measures such as the Patient Acceptable Symptom State and minimum clinically important difference have been used to contextualize patient-reported outcomes (PROs). Assessment of patients’ perception of being “completely better” (CB) after hip arthroscopy has not been studied. Purposes: To (1) determine the prevalence and characteristics of patients who report being CB at 2 years after hip arthroscopy; (2) determine whether PROs measuring function, pain, and mental health are associated with CB status; and (3) determine threshold values for PROs predictive of achieving CB status. Study Design: Case-control study; Level of evidence, 3. Methods: Patients undergoing hip arthroscopy at a single institution from October 2015 to January 2020 were administered electronic surveys assessing sociodemographic variables and PROs at baseline and 2 years postoperatively. The CB anchor question was “ Is the condition for which you underwent surgery completely better now?” Threshold values for PROs associated with achieving CB status at 2 years postoperatively were identified with 90% specificity. Variables with an area under the curve of >0.80 on a receiver operating characteristic curve were selected for multivariate analysis. Results: Overall, 29 of 62 patients (47%) achieved CB status. There were no differences in age, sex, body mass index, race, prior hip surgery, preoperative opioid use, smoking status, or preoperative expectations between the CB and no-CB groups. The CB group had better 2-year postoperative and pre- to postoperative change values on all PROs ( P < .05 for all) except for the Patient-Reported Outcomes Measurement Information System (PROMIS)–Depression and the Numeric Pain Scale (NPS) for whole-body pain. Two-year postoperative PRO thresholds for achieving CB status were determined as PROMIS–Physical Function (PF) ≥51.3 or increase in PROMIS–PF ≥12 points, PROMIS–Pain Interference ≤46.6 or decrease in PROMIS–Pain Interference ≥12.2 points, NPS for operative hip pain of ≤1.0, Musculoskeletal Outcomes Data Evaluation and Management System–expectations met ≥95.0, and Surgical Satisfaction Questionnaire (SSQ-8) ≥87.5. Multivariate analysis demonstrated that higher SSQ-8 score and greater improvement on the PROMIS–PF were independent predictors of achieving CB status. Conclusion: Almost half of the study patients perceived being CB at 2 years after hip arthroscopy. Multiple postoperative PROs scores were associated with achieving CB status.

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Patient-Reported Outcomes Measurement Information System Mobility Computerized Adaptive Testing Maintains High Correlation and Low Test Burden Compared With Legacy Hip-Specific Instruments in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement

Cited by 4 publications

References 30 publications

Comparison of the PROMIS and iHOT-12 in Determining Satisfaction Levels After Hip Arthroscopy for FAIS

Comparison of the PROMIS and iHOT-12 in Determining Satisfaction Levels After Hip Arthroscopy for FAIS

Preoperative opioid use is associated with worse preoperative patient-reported outcomes in hip arthroscopy patients

Patient-Reported Outcomes Associated With “Completely Better” Status at 2 Years After Hip Arthroscopy

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