Editor's choicePerformance of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) Versus Physical Function (PF) Computer Adaptive Tests (CATs) in Upper Extremity Clinics
Section snippets
Methods
This observational trial analyzed prospectively collected PROMIS scores drawn from a series of greater than 10,614 consecutive outpatient clinic visits of 5,278 adult patients presenting to a tertiary upper extremity clinic from June 22, 2015 to October 5, 2016. Our institutional review board deemed this study exempt because only deidentified data were used. At registration, patients were given a tablet computer (iPad mini; Apple, Cupertino, CA) that automatically loads the designated PROMIS
Results
After applying the inclusion criteria, 5,202 patients contributed data for analysis (Table 1). Patients in this cohort averaged 6 points (effect size, 0.6) worse than the expected normal population mean in PF scores but 15 points (effect size, 1.5) worse in UE scores (Table 2 and Fig. 1). Initial PF and UE scores were strongly correlated (r = 0.69; P < .05) (Fig. 2). A mean difference of 8.4 was demonstrated between paired PF and UE scores (95% confidence interval, 8.2–8.6; P < .05) (Fig. 3).
Discussion
The UE CAT was developed with the intent of creating a measure that more accurately assessed upper extremity function than the PF module.10, 11 Since the test has been made available, the UE CAT has been shown to be both reliable and consistent. Our data indicated a strong correlation between UE and PF scores, a finding that confirms published correlations ranging from 0.48 to 0.77.3, 11, 14 However, when administering both the UE CAT and the PF CAT to patients with upper extremity conditions,
References (25)
- et al.
Psychometric evaluation of the PROMIS Physical Function Computerized Adaptive Test in comparison to the American Shoulder and Elbow Surgeons score and Simple Shoulder Test in patients with rotator cuff disease
J Shoulder Elbow Surg
(2015) - et al.
Outcomes research in hand surgery: where have we been and where should we go?
J Hand Surg Am
(2006) - et al.
Measurement of upper extremity disability using the Patient-Reported Outcomes Measurement Information System
J Hand Surg Am
(2014) - et al.
Evaluation of the PROMIS Physical Function Computer Adaptive Test in the upper extremity
J Hand Surg Am
(2014) - et al.
Upper-extremity and mobility subdomains from the Patient-Reported Outcomes Measurement Information System (PROMIS) adult physical functioning item bank
Arch Phys Med Rehabil
(2013) - et al.
Evaluation of the Patient-Reported Outcomes Measurement Information System Upper Extremity Computer Adaptive Test
J Hand Surg Am
(2016) - et al.
The reliability and validity of the Disabilities of Arm, Shoulder, and Hand, EuroQol-5D, Health Utilities Index, and Short Form-6D outcome instruments in patients with proximal humeral fractures
J Shoulder Elbow Surg
(2010) - et al.
Responsiveness, minimal importance difference and minimal detectable change scores of the shortened Disability Arm Shoulder Hand (QuickDASH) questionnaire
Man Ther
(2010) - et al.
Improved responsiveness and reduced sample size requirements of PROMIS Physical Function scales with item response theory
Arthritis Res Ther
(2011) - et al.
PROMIS Physical Function Computer Adaptive Test compared with other Upper Extremity outcome measures in the evaluation of proximal humerus fractures in patients older than 60 years
J Orthop Trauma
(2015)
The Patient-Reported Outcomes Measurement Information System (PROMIS): progress of an NIH Roadmap cooperative group during its first two years
Med Care
PROMIS for orthopaedic outcomes measurement
J Am Acad Orthop Surg
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Research reported in this publication was supported by the Washington University Institute of Clinical and Translational Sciences grant UL1TR000448, subaward TL1TR000449, from the National Center for Advancing Translational Sciences (NCATS) of the National Institutes of Health (NIH), and Siteman Comprehensive Cancer Center and National Cancer Institute (NCI) Cancer Center Support Grant P30 CA091842, which supported the maintenance and use of REDCap electronic data capture tools, hosted in the Biostatistics Division of Washington University School of Medicine. The content is solely the responsibility of the authors and does not necessarily represent the official view of the NIH. This funding did not play a direct role in this investigation.