The Minimal Clinically Important Difference of the PROMIS and QuickDASH Instruments in a Nonshoulder Hand and Upper Extremity Patient Population

Kazmers, Nikolas H.; Qiu, Yuqing; Yoo, Minkyoung; Stephens, Andrew R.; Tyser, Andrew R.; Yue, Zhang

doi:10.1016/j.jhsa.2019.12.002

Cited by 72 publications

(47 citation statements)

References 26 publications

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“…Although the pre–post changes reported by our patients indicate statistically significant improvements in all PROMIS-57 domains (see Table 3 ), uncertainty exists about what change in PROMIS scores represents a minimal clinically important difference in patients with pain [ 30 , 31 ]. For example, for patients with chronic low back and musculoskeletal pain (who reported worse pain than the U.S. population norm; i.e., their mean PROMIS-PI scores were one SD above the population norm of 50 and thus similar to our patient population), the minimally important difference in the PROMIS-PI domain (including the eight-item scale used in our study) ranged from 2.0 to 3.0 points [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments

Znidarsic¹,

Kirksey²,

Dombrowski³

et al. 2021

Pain Medicine

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Objective To evaluate the effectiveness of a multidisciplinary, nonpharmacological, integrative approach that uses shared medical appointments to improve health-related quality of life and reduce opioid medication use in patients with chronic pain. Design This is a retrospective, pre–post review of “Living Well with Chronic Pain” shared medical appointments (August 2016 through May 2018). Setting The appointments included eight 3-hour-long visits held once per week at an outpatient wellness facility. Subjects Patients with chronic, non–cancer-related pain. Methods Patients received evaluation and evidence-based therapies from a team of integrative and lifestyle medicine professionals, as well as education about nonpharmacological therapeutic approaches, the etiology of pain, and the relationship of pain to lifestyle factors. Experiential elements focused on the relaxation techniques of meditation, yoga, breathing, and hypnotherapy, while patients also received acupuncture, acupressure, massage, cognitive behavioral therapy, and chiropractic education. Patients self-reported data via the Patient-Reported Outcomes Measurement Information System (PROMIS-57) standardized questionnaire. Use of opioid medications was evaluated in morphine milligram equivalents. Results A total of 178 participants completed the PROMIS-57 questionnaire at the first and the last visits. Statistically significant improvements in all domains (Physical Functioning, Anxiety, Depression, Fatigue, Social Roles, Pain Interference, and Sleep Disturbance) were observed (P < 0.001) between the pre-intervention (visit 1) and post-intervention (visit 8) scores. Average opioid use decreased nonsignificantly over the 8-week intervention, but the lower rate of opioid use was not sustained at 6 and 12 months’ follow-up. Conclusions Patients suffering from chronic pain who participated in a multidisciplinary, nonpharmacological treatment approach delivered via shared medical appointments experienced reduced pain and improved measures of physical, mental, and social health without increased use of opioid pain medications.

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Section: Discussionmentioning

confidence: 99%

“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments

Znidarsic¹,

Kirksey²,

Dombrowski³

et al. 2021

Pain Medicine

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“…The minimally important difference was reported as 2.1 in one study of patients with nonshoulder upper extremity conditions (293).…”

Section: Promis Physical Function Upper Extremity Catmentioning

confidence: 99%

Measures of Adult Shoulder Function

Buchbinder

Smolen

Huang

et al. 2020

Arthritis Care & Research

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“…Statistically significant difference in QuickDASH score is 6.8 25 26 at 12 months FU.…”

Section: Methods and Analysismentioning

confidence: 87%

“…Allthough QuickDash is not validated for use in under 18-year olds, it was selected as it has been used in the literature in evaluating results of fracture healing in adolescents, and it is available in both national languages (Finnish and Swedish). 25 26 …”

Section: Methods and Analysismentioning

confidence: 99%

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Cast immobilisation in situ versus open reduction and internal fixation of displaced medial epicondyle fractures in children between 7 and 16 years old. A study protocol for a randomised controlled trial

et al. 2021

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IntroductionMedial epicondyle fracture of the humerus is a common injury in childhood. There is uniform agreement that minimally displaced fractures (dislocation ≤2 mm) can be treated nonoperatively with immobilisation. Open fractures, fractures with joint incarceration or ulnar nerve dysfunction require surgery. There is no common consensus in treatment of closed medial epicondyle fractures with >2 mm dislocation without joint incarceration or ulnar nerve dysfunction. We hypothesise that there is no difference in treatment outcomes between nonoperative and operative treatment.Methods and analysisThis is a multicentre, controlled, prospective, randomised noninferiority study comparing operative treatment to non-operative treatment of >2 mm dislocated paediatric medial epicondyle fractures without joint incarceration or ulnar nerve dysfunction. A total of 120 patients will be randomised in 1:1 ratio to either operative or nonoperative treatment. The study will have a parallel nonrandomised patient preference arm. Operative treatment will be open reduction and internal fixation. Nonoperative treatment will be upper limb immobilisation in long arm cast for 4 weeks. Data will be collected at baseline and at each follow-up up to 2 years. Quick-DASH is used as primary outcome measure. Secondary outcomes are patient-reported pain, differences in range of motion, Pediatric Quality of Life Inventory, cosmetic visual analogue scale and Mayo Elbow Performance Score.Ethics and disseminationEthical approval has been obtained from Helsinki University Hospital (HUS) ethical board HUS/1443/2019. Each study centre has obtained their own permission for the study. A written authorisation from legal guardian will be acquired and the child will be informed about the trial. Results of the trial will be disseminated as published articles in peer-reviewed journals.Trial registrationThe trial has been registered at clinicaltrials.gov with registration number NCT04531085.

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The Minimal Clinically Important Difference of the PROMIS and QuickDASH Instruments in a Nonshoulder Hand and Upper Extremity Patient Population

Cited by 72 publications

References 26 publications

“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments

“Living Well with Chronic Pain”: Integrative Pain Management via Shared Medical Appointments

Measures of Adult Shoulder Function

Cast immobilisation in situ versus open reduction and internal fixation of displaced medial epicondyle fractures in children between 7 and 16 years old. A study protocol for a randomised controlled trial

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