Patients Require Less Time to Complete Preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) Than Legacy Patient-Reported Outcome Measures

Abstract

To analyze time to completion of preoperative legacy patient-reported outcomes (PROs) and more recent computer adaptive Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaires in patients with symptomatic femoroacetabular impingement syndrome undergoing primary hip arthroscopy. Methods: A retrospective analysis was conducted on patients undergoing hip arthroscopy by a single fellowship-trained hip arthroscopist. Inclusion criteria were patients undergoing primary arthroscopic hip surgery and completion of at least 1 legacy PRO or PROMIS questionnaire at the preoperative time point. Exclusion criteria were history of contralateral or ipsilateral hip surgery, noneEnglish-speaking patients, patients who completed PROs by phone or by paper form, and patients who did not complete preoperative PROs. Legacy PROs included modified Harris Hip Score (mHHS), Hip Outcome Score (HOS), International Hip Outcome Tool (iHOT-12), and Hip Pain Visual Analog Scale (VAS-Pain). PROMIS PROs included Physical Function (PROMIS-PF), Pain Interference (PROMIS-PI), and Depression (PROMIS-D). Only preoperative PROs were included in the analysis. Completion time was calculated using the questionnaire start and stop time reported by the survey collecting software. The median and interquartile range of each PRO were reported for analysis of central tendency and statistical dispersion, respectively. Results: A total of 1,901 patients and 269 patients were included in the legacy and PROMIS groups, respectively.

The current utilization of the patient-reported outcome measurement information system (PROMIS) in isolated or combined total knee arthroplasty populations

“…A second advantage of PROMIS is that it is highly time efficient compared with other PROMs [ 10 – 13 ]. In a retrospective study of 2170 patients undergoing hip arthroscopy, Browning et al.…”

Time to Completion of Pediatric PROMIS Computerized Adaptive Testing Measures and the SRS-22r in an Adolescent Idiopathic Scoliosis Population

“…1,5,6 These efforts have spanned several subspecialties within orthopaedics, including sports medicine, arthroplasty, adult spinal surgery, and more recently, pediatric orthopaedics. 4,5,7,8 While legacy measures, such as the Scoliosis Research Society-22, revised, health questionnaire (SRS-22r), have had decades of use in evaluating preoperative function and postoperative clinical outcomes, they are lengthy and can create patient survey response burden. 5 Further, they are disease-specific and cannot be used to perform comparisons across diseases or conditions without proper validation.…”

“…4,5,7,8 While legacy measures, such as the Scoliosis Research Society-22, revised, health questionnaire (SRS-22r), have had decades of use in evaluating preoperative function and postoperative clinical outcomes, they are lengthy and can create patient survey response burden. 5 Further, they are disease-specific and cannot be used to perform comparisons across diseases or conditions without proper validation. The SRS-22r is multi-dimensional and assesses function/activity, pain, self-image, and mental health of patients with scoliosis.…”

“…Patient-reported outcome measures (PROMs) are being increasingly used in the evaluation of orthopaedic patients 1–4. Validation of multiple, unidimensional Patient-Reported Outcome Measurement Information System (PROMIS) measures against many anatomic-or disease-specific measures, or “legacy measures”, has also recently increased which include the Activities Scale for Kids, Child Health Questionnaire, Pediatric Outcomes Data Collection Instrument, and Scoliosis Research Society questionnaires, among others 1,5,6. These efforts have spanned several subspecialties within orthopaedics, including sports medicine, arthroplasty, adult spinal surgery, and more recently, pediatric orthopaedics 4,5,7,8…”

“…PROMIS leverages item response theory and is available with an electronic computerized adaptive testing (CAT) platform 2. Generally, these tests allow for more efficient data collection and reduced test-taker burden 5. Each PROMIS CAT is unidimensional and serves as a measure of the dimension for which it is named (for example, pain interference quantifies the degree to which a patient’s pain interferes with their day-to-day life).…”