PROMIS Pain Interference and Physical Function Scores Correlate With the Foot and Ankle Ability Measure (FAAM) in Patients With Hallux Valgus

Nixon, Devon; McCormick, Jeremy J.; Johnson, Jeffrey E.; Klein, Sandra E.

doi:10.1007/s11999-017-5476-5

Cited by 40 publications

(27 citation statements)

References 22 publications

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“…PROMIS has been shown to be a reliable and efficient method of collecting PROs, making it an attractive alternative to legacy measures. 3,10,14,17 In addition, PROMIS scores have been validated for foot and ankle outcome measures. 2,11 Consistent with several studies, 2,[4][5][6][7]9,19 this study supports that preoperative PROs can be a useful tool for discussing postoperative treatment goals and expectations for domains such as PF.…”

Section: Discussionmentioning

confidence: 99%

Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion Surgery

2019

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Background: Prior studies have suggested preoperative patient-reported outcome scores could predict patients who would achieve a clinically meaningful improvement with hallux valgus surgery. Our goal was to determine bunionectomy-specific thresholds using Patient-Reported Outcomes Measurement Information System (PROMIS) values to predict patients who would or would not benefit from bunion surgery. Methods: PROMIS physical function (PF), pain interference (PI), and depression assessments were prospectively collected. Forty-two patients were included in the study. Using preoperative and final follow-up visit scores, minimally clinically important differences (MCID), receiver operating characteristic (ROC) curves, and area under the curve (AUC) analyses were performed to determine if preoperative PROMIS scores predicted achieving MCID with 95% specificity or failing to achieve an MCID with 95% sensitivity. Results: PROMIS PF demonstrated a significant AUC and likelihood ratio. The preoperative threshold score for failing to achieve MCID for PF was 49.6 with 95% sensitivity. The likelihood ratio was 0.14 (confidence interval, 0.02-0.94). The posttest probability of failure to achieve an MCID for PF was 94.1%. PI and depression AUCs were not significant, and thus thresholds were not determined. Conclusion: We identified a PF threshold of 49.6, which was nearly 1 standard deviation higher than previously published. If a patient is hoping to improve PF, a patient with a preoperative t score >49.6 may not benefit from surgery. This study also suggests the need for additional research to delineate procedure-specific thresholds. Level of Evidence: Level III, retrospective comparative series.

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Section: Discussionmentioning

confidence: 99%

Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion Surgery

2019

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“… 39 , 40 , 41 Additionally, multiple studies in the literature have emerged to support the use of the PIF CAT as an important augmentation to capturing physical function in patients with pain. 27 , 34 , 42 Kendall et al. 43 correlated the PIF CAT with the PF CAT in a population of patients presenting with spinal pain and concluded that the PIF CAT is a useful augmentation to physical function measures.…”

Section: Discussionmentioning

confidence: 99%

Performance of PROMIS Physical Function, Pain Interference, and Depression Computer Adaptive Tests Instruments in Patients Undergoing Meniscal Surgery

Nwachukwu

Patel

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To compare the performance of the Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF), pain interference (PIF), and depression computer adaptive tests (CAT) relative to legacy instruments in patients undergoing meniscal surgery. Methods Patients scheduled to undergo meniscal surgery completed legacy knee function PROMs (International Knee Documentation Committee [IKDC], Knee Injury and Osteoarthritis Outcome Score [KOOS] subscores), Marx Activity Rating Scale (MARS), Veterans-Rand 12 (VR12), Short Form 12 (SF12), and the Brief Resilience Scale (BRS) alongside PROMIS PF, PIF, and Depression preoperatively. Spearman rank correlations were calculated, and score distributions were examined for floor and ceiling effects. Results 152 patients (46.6 ± 14.9 years, 67.1% male) completed PROMs for appropriate inclusion. PROMIS PF yielded high-moderate to high correlations with the IKDC and KOOS subscales ( r = 0.61 to 0.73), demonstrating similar performance to the IKDC. PROMIS PIF demonstrated moderately high-moderate to high correlations with the IKDC, KOOS subscales, VR-12 Physical Component Score (PCS), and SF12 PCS ( r = 0.62 to 0.71), performing comparably to KOOS Pain ( r = 0.55 to 0.92). PROMIS Depression demonstrated moderate to high-moderate correlations with the mental health legacies ( r = 0.46 to 0.66). Significant ceiling effects were observed for MARS (n = 29, 18.8%), and significant floor effects were exhibited by PROMIS Depression (n = 38, 25%) and MARS (n = 27, 17.6%). Conclusion The PROMIS PF, PIF CAT, and Depression instruments exhibit comparable performance profiles relative to legacy knee PROMs. PROMIS PF and PIF demonstrated no floor and ceiling effects, whereas PROMIS Depression exhibited a significant relative floor effect. PROMIS PF and PIF may be appropriately used to establish functional baselines preoperatively. Level of Evidence IV, diagnostic case series.

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“…PROMIS data—specifically, physical function, pain interference, and depression scores—were captured at every clinic appointment electronically using previously defined and validated criteria. 10 To briefly review, a PROMIS score of 50 represents a population average, and 10-point changes represent a standard deviation from that average. Higher scores in negatively worded questions like PROMIS pain interference and depression represent more disability (ie, greater pain and more depression), whereas larger PROMIS physical function scores indicate greater function.…”

Section: Methodsmentioning

confidence: 99%

Patient-Reported Allergies Do Not Predict Poorer PROMIS Function, Pain, and Depression Scores Following Foot and Ankle Surgery

et al. 2018

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PROMIS Pain Interference and Physical Function Scores Correlate With the Foot and Ankle Ability Measure (FAAM) in Patients With Hallux Valgus

Cited by 40 publications

References 22 publications

Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion Surgery

Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion Surgery

Performance of PROMIS Physical Function, Pain Interference, and Depression Computer Adaptive Tests Instruments in Patients Undergoing Meniscal Surgery

Patient-Reported Allergies Do Not Predict Poorer PROMIS Function, Pain, and Depression Scores Following Foot and Ankle Surgery

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