Role of preoperative PROMIS scores in predicting postoperative outcomes and likelihood of achieving MCID following reverse shoulder arthroplasty

Franovic, Sreten; Kuhlmann, N; Schlosser, Collin; Pietroski, Alexander; Buchta, Asa G; Muh, Stephanie J.

doi:10.1053/j.sart.2020.05.008

Cited by 14 publications

(6 citation statements)

References 21 publications

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“…Preoperative PROMs were included for analysis if they were completed within six months prior to THA. Postoperative PROMs were included if they were completed between six months and two years following THA, these intervals for both preoperative and postoperative PROMs have been justified in similar studies [12][13][14][15]. There were 1692 patients who completed both preoperative and postoperative PROMs who were included for MCID analysis.…”

Section: Introductionmentioning

confidence: 99%

Different Designs of Proximal Femoral Stems for Total Hip Arthroplasty: Mid-Term Clinical and Patient-Reported Functional Outcomes

Katakam¹,

Hosseinzadeh²,

Humphrey³

et al. 2021

Cureus

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Introduction: A comprehensive comparison of the performance of different femoral stem geometries in total hip arthroplasty (THA) is yet to be described. The primary aim of this study was to evaluate objective and subjective outcome measures in primary THA with different femoral implant styles. Methods: Stems were classified into the following five classes: cemented, conical, fit and fill, modular, and wedge. The objective outcomes of interest were the length of inpatient hospital stay (LOS), 90-day readmission rate, one-year revision rate, and two-year mortality rate. Preoperative and postoperative patient-reported outcome measures (PROMs), including hip disability and osteoarthritis outcome score (HOOS) - physical function shortform (HOOS-PS), patient-reported outcomes measurement information system physical function short form 10a (PROMIS PF-10a), and patient-reported outcomes measurement information system - short form - mental 10a (PROMIS M-10a) were recorded and compared between different classes. Results: Patients with a wedge stem had a significantly lower LOS versus every other stem group, while patients with a cemented stem had the highest LOS, approximately twofold that of the wedge stem group. Accounting for potential confounders, the conical and fit and fill groups had a significantly higher two-year mortality rate than the wedge stem group. Fit and fill stems conferred a slight risk of revision THA at one-year compared to wedge stems. There was no significant difference in the rates of failure to achieve the minimal clinically important difference (MCID) for the PROMs. Conclusion: Placement of wedge stems resulted in a significantly lower LOS compared to every other stem class and a lower mortality rate than the conical, fit and fill, and modular stems. As for the 90-day readmission, one-year revision, and the rates of failure to achieve the MCID for general or hip-specific PROMs, stem design had no meaningful effect.

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Section: Introductionmentioning

confidence: 99%

Different Designs of Proximal Femoral Stems for Total Hip Arthroplasty: Mid-Term Clinical and Patient-Reported Functional Outcomes

Katakam¹,

Hosseinzadeh²,

Humphrey³

et al. 2021

Cureus

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“…With the advent of both reverse and stemless total shoulder arthroplasty alongside considerable advancements in the materials, mechanics and surgical techniques used with modern implants, the popularity of shoulder replacement surgery has surged (Issa et al, 2016;Palsis et al, 2018). Prior studies have demonstrated that lower patient reported outcome scores for measures of depression, physical function and pain are predictive of poor outcomes in shoulder replacement surgery (Chen et al, 2019;Franovic et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

What are the risk factors associated with limited musculoskeletal health literacy in shoulder arthroplasty patients?

Sabbagh

Shah

Newyear

et al. 2021

Musculoskeletal Care

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Objectives Low health literacy is both pervasive in the United States and a substantial barrier to satisfactory patient care and the appropriate utilization of healthcare resources. This prospective study aims to evaluate the factors that contribute to limited musculoskeletal literacy in patients who undergo shoulder arthroplasty. Methods Ninety patients undergoing shoulder replacement surgery completed demographics and Literacy in Musculoskeletal Problems (LiMP) surveys. Scores of less than six were considered indicative of limited musculoskeletal literacy. Results The overall percentage of participants with limited musculoskeletal literacy was 38.8%. Multivariable logistic regression analysis with multiple imputation modeling demonstrated a significant positive relationship between patient income and adequate LiMP scores (p = 0.009) with an odds ratio of 1.15 (CI: 1.04; 1.28) while level of education (p = 0.173) and patient ethnicity (p = 0.830) among other patient characteristics did not have a significant relationship with LiMP scores. Conclusion In patients undergoing shoulder replacement surgery, low income was the only variable found to be predictive of limited musculoskeletal health literacy scores. Therefore, when discussing the risks and benefits of shoulder arthroplasty, orthopaedic surgeons should be cognizant of the possibility that any given patient may not meet the threshold of adequate musculoskeletal literacy.

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“…Demographics collected included the following: age, sex, race, employment status, body mass index, smoking status, and zip code. Following previously published methods, 4 , 5 the zip code was used to determine median household income with data from the 2019 United States Census Bureau: ( https://data.census.gov/cedsci/map?q=michigan%20median%20income&t=Income%20%28Households,%20Families,%20Individuals%29&tid=ACSST1Y2019.S1901&hidePreview=false&vintage=2019&layer=VT_2019_860_00_PY_D1&cid=S1901_C01_001E&palette=Teal&break=5&classification=Natural%20Breaks&mode=thematic ).…”

Section: Methodsmentioning

confidence: 99%

Patient-Reported Outcomes Measurements Information System (PROMIS) upper extremity and pain interference do not significantly predict rotator cuff tear dimensions

et al. 2022

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Background Proper diagnosis of rotator cuff tears is typically established with magnetic resonance imaging (MRI); however, studies show that MRI-derived measurements of tear severity may not align with patient-reported pain and shoulder function. The purpose of this study is to investigate the capacity for the Patient-reported Outcomes Measurements Information System (PROMIS) computer adaptive tests to predict rotator cuff tear severity by correlating preoperative tear morphology observed on MRI with PROMIS upper extremity (UE) and pain interference (PI) scores. This is the first study to investigate the relationship between tear characteristics and preoperative patient-reported symptoms using PROMIS. Considering the essential roles MRI and patient-reported outcomes play in the management of rotator cuff tears, the findings of this study have important implications for both treatment planning and outcome reporting. Methods Two PROMIS–computer adaptive test forms (PROMIS-UE and PROMIS-PI) were provided to all patients undergoing rotator cuff repair by one of three fellowship-trained surgeons at a single institution. Demographic information including age, sex, race, employment status, body mass index, smoking status, zip code, and preoperative PROMIS-UE and -PI scores was prospectively recorded. A retrospective chart review of small to large full- or partial-thickness rotator cuff tears between May 1, 2017 and February 27, 2019 was used to collect each patient’s MRI-derived tear dimensions and determine tendon involvement. Results Our cohort consisted of 180 patients (56.7% male, 43.3% female) with an average age of 58.9 years (standard deviation, 9.0). There was no significant difference in PROMIS-UE or -PI scores based on which rotator cuff tendons were involved in the tear ( P > .05). Neither PROMIS-UE nor PROMIS-PI significantly correlated with tear length or retraction length of the supraspinatus tendon ( P > .05). The sum of tear lengths in the anterior-posterior and medial-lateral directions was weakly correlated with PROMIS-UE ( P = .042; r = -0.152, r 2 = 0.031) and PROMIS-PI ( P = .027; r = 0.165, r 2 = 0.012). Conclusion Rotator cuff tear severity does not significantly relate to preoperative PROMIS-UE and -PI scores. This finding underscores the importance of obtaining a balanced preoperative assessment of rotator cuff tears that acknowledges the inconsistent relationship between rotator cuff tear characteristics observed on MRI and patient-reported pain and physical function.

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Role of preoperative PROMIS scores in predicting postoperative outcomes and likelihood of achieving MCID following reverse shoulder arthroplasty

Cited by 14 publications

References 21 publications

Different Designs of Proximal Femoral Stems for Total Hip Arthroplasty: Mid-Term Clinical and Patient-Reported Functional Outcomes

Different Designs of Proximal Femoral Stems for Total Hip Arthroplasty: Mid-Term Clinical and Patient-Reported Functional Outcomes

What are the risk factors associated with limited musculoskeletal health literacy in shoulder arthroplasty patients?

Patient-Reported Outcomes Measurements Information System (PROMIS) upper extremity and pain interference do not significantly predict rotator cuff tear dimensions

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