The e-MSWS-12: improving the multiple sclerosis walking scale using item response theory

Engelhard, Matthew M.; Schmidt, K; Engel, Casey; Brenton, J. Nicholas; Patek, Stephen D.; Goldman, Myla D.

doi:10.1007/s11136-016-1342-2

Cited by 16 publications

(16 citation statements)

References 33 publications

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“…5,10 CAT specifically offers the advantage of selecting the best items to estimate the measurable outcomes of a survey (ie, pain, physical function), resulting in fewer responses needed for accuracy, while IRT matches actual to predicted responses using parametric category response curves to establish item-trait relationships. 6,8 Utilizing IRT and CAT, the PROMIS seeks to accomplish the goal of providing precise health state estimations without floor or ceiling effects while requiring the completion of fewer individual questions when compared with legacy PROMs. 23…”

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confidence: 99%

Preoperative Performance of the PROMIS in Patients Undergoing Hip Arthroscopic Surgery for Femoroacetabular Impingement Syndrome

Nwachukwu

Beck

Chapman

et al. 2019

Orthopaedic Journal of Sports Medicine

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Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) is being increasingly evaluated for use in orthopaedic surgery. The performance of the PROMIS in patients undergoing hip preservation surgery is unknown. Purpose: To investigate the psychometric performance of the PROMIS compared with legacy patient-reported outcome measures (PROMs) in patients indicated for hip arthroscopic surgery for femoroacetabular impingement syndrome (FAIS). Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Data from consecutive patients who underwent primary hip arthroscopic surgery between January and October 2018 for the treatment of FAIS were collected and analyzed. Baseline data, including preoperative PROM scores and demographics, were recorded. PROMs included the PROMIS Physical Function (PF), the Hip Outcome Score (HOS), the modified Harris Hip Score (mHHS), the International Hip Outcome Tool–12 (iHOT-12), and the Veterans RAND 12-item health survey (VR-12). Pearson and Spearman coefficient analyses were used to identify correlations between continuous and noncontinuous variables, respectively. Correlation was defined as excellent (>0.80), very good (0.71-0.80), good (0.61-0.70), fair (0.41-0.60), or poor (0.21-0.40). A multivariate linear regression analysis was used to identify preoperative predictors of having higher preoperative PROMIS scores. Results: A total of 197 patients with a mean age and body mass index (BMI) of 32.8 ± 12.6 years and 25.7 ± 5.6 kg/m2, respectively, were included in the final analysis. There were no ceiling or floor effects for the PROMIS PF score observed in the study group. With regard to hip-specific measures, PROMIS PF scores demonstrated excellent correlation with HOS–Activities of Daily Living ( r = 0.801; P < .001) scores, very good correlation with mHHS ( r = 0.721; P < .001) and iHOT-12 ( r = 0.722; P < .001) scores, and good correlation with HOS–Sports Specific ( r = 0.675; P < .001) scores. With regard to general health–related quality of life (HRQoL) measures, PROMIS PF scores demonstrated very good correlation with VR-12 mental ( r = 0.721; P < .001) scores, good correlation with VR-12 physical ( r = 0.618; P < .001) scores, and poor correlation with visual analog scale for pain ( r = –0.365; P < .001) scores. Patients who reported being physically active were more likely to have a higher preoperative PROMIS score (β = 3.216; P = .004). Lower PROMIS scores were found in patients with a higher BMI (β = –0.236; P = .005) and in female patients (β = –2.608; P = .014). Conclusion: In patients with FAIS, the preoperative PROMIS PF scores demonstrated excellent to good correlation with legacy hip-specific instruments as well as with HRQoL measures. No ceiling or floor effects were identified. Notably, of the hip-specific PROMs administered, the PROMIS PF demonstrated the weakest correlation with the HOS–Sports Specific subscale. Physical activity, BMI, and sex were predictors of preoperative PROMIS scores in our patient population.

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confidence: 99%

Preoperative Performance of the PROMIS in Patients Undergoing Hip Arthroscopic Surgery for Femoroacetabular Impingement Syndrome

Nwachukwu

Beck

Chapman

et al. 2019

Orthopaedic Journal of Sports Medicine

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“…31 Patients also completed the CAT version of PROMIS-PF and PROMIS-PI 25 via the Outcome Based Electronic Research Database (Universal Research Solutions). 15 For PROMIS CAT, the measures are scored on a T-score metric where a score of 50 represents the average of the general population of the United States and 10 represents the standard deviation. A higher PROMIS-PI score represents greater (worse) pain, whereas a higher PROMIS-PF score represents greater (better) function.…”

Section: Methodsmentioning

confidence: 99%

“…PROMIS functions with integrated item response theory with computerized adaptive testing (CAT) to provide a single, generalizable, and validated patient-reported outcome measure (PROM) while attempting to negate floor or ceiling effects with fewer individual questions when compared with legacy PROMs. 9,11,15,17,40 Previous studies have used PROMIS for evaluating patients with meniscal surgery, rotator cuff tears, shoulder arthritis, shoulder instability, and anterior cruciate ligament tears. 2,3,14,19,20 However, there is a relative paucity of literature applying PROMIS to patients who have undergone hip arthroscopy for femoroacetabular impingement syndrome (FAIS).…”

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confidence: 99%

Defining Clinically Significant Improvement on the Patient-Reported Outcomes Measurement Information System Test at 1-Year Follow-up for Patients Undergoing Hip Arthroscopy for the Treatment of Femoroacetabular Impingement Syndrome

et al. 2021

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Background: Although minimal clinically important difference (MCID), Patient Acceptable Symptom State (PASS), and substantial clinical benefit (SCB) have been defined for hip-specific legacy patient-reported outcome measures, these metrics have not been defined for the Patient-Reported Outcomes Measurement Information System (PROMIS) instruments for patients undergoing hip arthroscopy. Purpose: To define the MCID, PASS, and SCB thresholds for the PROMIS Physical Function (PF) computerized adaptive test (CAT) and PROMIS Pain Interference (PI) instruments in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Study Design: Cohort study (Diagnosis); Level of evidence, 2. Methods: Patients undergoing primary hip arthroscopy between August 2018 and January 2019 for the treatment of FAIS were retrospectively analyzed. Patients were administered the PROMIS-PF, PROMIS-PI, Hip Outcome Score (HOS)–Activities of Daily Living, HOS–Sports Subscale, modified Harris Hip Score, and International Hip Outcome Tool–12 preoperatively and at 1 year postoperatively. MCID was calculated using the distribution method, whereas PASS and SCB were calculated using an anchor-based method. Patients achieving clinically significant outcomes (CSOs) were compared with those who did not achieve CSOs via chi-square and independent-samples t tests, and a multivariate logistic regression was conducted to determine predictors of CSO achievement. Results: 124 patients with a mean age of 32.7 ± 12.3 years were included in the analysis. The threshold scores required to achieve MCID, PASS, and SCB, respectively, were as follows: PROMIS-PI (–3.1, 53.7, 51.9) and PROMIS-PF (3.3, 47.0, 49.9). Patients achieved any MCID, PASS, and SCB for PROMIS scores at a rate of 89.0%, 71.8%, and 62.1%, respectively, compared with 87.1%, 76.6%, and 71.8% for legacy patient-reported outcome measurements. For PROMIS-PF, higher preoperative PROMIS-PF score was a positive predictor of CSO achievement, and patients achieving SCB were significantly younger (30.3 ± 12 vs 35.6 ± 12 years; P = .017) with significantly lower body mass index (BMI) (24.7 ± 6.4 vs 27.9 ± 7; P = .009). Preoperative chronic pain and history of orthopaedic surgery were negative predictors of PROMIS-PI CSO achievement, whereas higher (worse) preoperative PROMIS-PI scores were a positive predictor. Conclusion: Our study defined the MCID, PASS, and SCB for the PROMIS-PF CAT and PROMIS-PI CAT at 1 year postoperatively. Patients with higher preoperative PROMIS scores, younger age, and lower BMI were more likely to achieve CSO, whereas preoperative chronic pain and history of orthopaedic surgery were negative predictors of CSO achievement.

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“…There were six studies that evaluated internal consistency. The methodological quality of four [33][34][53][54] was rated as 'excellent', for one [55] it was rated as 'good' and one [56] as 'poor' due to a small sample size. All six studies evaluated the MSWS-12 and were rated as positive ('+') for the quality of their results.…”

Section: Internal Consistencymentioning

confidence: 99%

Walking measures to evaluate assistive technology for foot drop in multiple sclerosis: A systematic review of psychometric properties

2018

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The e-MSWS-12: improving the multiple sclerosis walking scale using item response theory

Cited by 16 publications

References 33 publications

Preoperative Performance of the PROMIS in Patients Undergoing Hip Arthroscopic Surgery for Femoroacetabular Impingement Syndrome

Preoperative Performance of the PROMIS in Patients Undergoing Hip Arthroscopic Surgery for Femoroacetabular Impingement Syndrome

Defining Clinically Significant Improvement on the Patient-Reported Outcomes Measurement Information System Test at 1-Year Follow-up for Patients Undergoing Hip Arthroscopy for the Treatment of Femoroacetabular Impingement Syndrome

Walking measures to evaluate assistive technology for foot drop in multiple sclerosis: A systematic review of psychometric properties

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