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Quality of Life Research
Gepubliceerd in: Quality of Life Research 3/2018

05-10-2017

Establishing clinical severity for PROMIS® measures in adult patients with rheumatic diseases

Auteurs: Vivek Nagaraja, Constance Mara, Puja P. Khanna, Rajaie Namas, Amber Young, David A. Fox, Timothy Laing, William J. McCune, Carol Dodge, Debra Rizzo, Maha Almackenzie, Dinesh Khanna

Gepubliceerd in: Quality of Life Research | Uitgave 3/2018

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Abstract

Purpose

Different patient-reported outcome (PRO) measures are used for rheumatic diseases (RD). The aims of this study are—(1) Identify PROMIS® domains most relevant to care of patients with RD, (2) Collect T-Score metrics in patients with RD, and (3) Identify clinically meaningful cut-points for these domains.

Methods

A convenience sample of RD patients was recruited consecutively during clinic visits, and asked to complete computer-adaptive tests on thirteen Patient-Reported Outcomes Measurement Information System (PROMIS®) instruments. Based on discussion with clinical providers, four measures were chosen to be relevant and actionable (from rheumatologists’ perspective) in RD patients. Data from RD patients were used to develop clinical vignettes across a range of symptom severity. Vignettes were created based on most likely item responses at different levels on the T-score metric (mean = 50; SD = 10) and anchored at 5-point intervals (0.5 SDs). Patients with RD (N = 9) and clinical providers (N = 10) participated as expert panelists in separate one-day meetings using a modified educational standard setting method.

Results

Four domains (physical function, pain interferences, sleep disturbance, depression) that are actionable at the point-of-care were selected. For all domains, patients endorsed cut-points at lower levels of impairment than providers by 0.5 to 1 SD (e.g., severe impairment in physical function was defined as a T-score of 35 by patients and 25 by providers).

Conclusions

We used a modified educational method to estimate clinically relevant cut-points to classify severity for PROMIS measures This allows for meaningful interpretation of PROMIS® measures in a clinical setting of RD population.
vorige artikel Factors affecting the quality of life before and after surgery in patients with chronic thromboembolic pulmonary hypertension
volgende artikel Effects of perceived autonomy support and basic need satisfaction on quality of life in hemodialysis patients
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Metagegevens
Titel
Establishing clinical severity for PROMIS® measures in adult patients with rheumatic diseases
Auteurs
Vivek Nagaraja
Constance Mara
Puja P. Khanna
Rajaie Namas
Amber Young
David A. Fox
Timothy Laing
William J. McCune
Carol Dodge
Debra Rizzo
Maha Almackenzie
Dinesh Khanna
Publicatiedatum
05-10-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 3/2018
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1709-z

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