Preoperative Performance of PROMIS in Patients With Patellofemoral Malalignment and Chondral Disease.
Background: Use of the Patient-Reported Outcomes Measurement Information System (PROMIS) instrument has not yet been validated in patients undergoing operative treatment for patellofemoral malalignment and chondral disease. Purpose: To evaluate the PROMIS Physical Function Computer Adaptive Testing...
| Published in: | Orthopaedic Journal of Sports Medicine Vol. 7; no. 7; pp. 1 - 6 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
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Sage Publications Inc.
Jul2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138259250&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138259250 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259671 FUGT jtl: Orthopaedic Journal of Sports Medicine issn: 23259671 maglogo: Y pubinfo: dt: Jul2019 vid: 7 iid: 7 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 138259250 138259250 138259250 10.1177/2325967119855001 138259250 ppf: 1 ppct: 5 formats: tig: atl: Preoperative Performance of PROMIS in Patients With Patellofemoral Malalignment and Chondral Disease. aug: au: Carender, Christopher N. Bollier, Matthew J. Wolf, Brian R. Duchman, Kyle R. Qiang An Westermann, Robert W. affil: University of Iowa Hospitals and Clinics, Department of Orthopedics and Rehabilitation, Iowa City, Iowa, USA. sug: subj: Instrument Validation Functional Status Physical Activity Knee Joint Pathology Cartilage, Articular Pathology Preoperative Period Human Prospective Studies Spearman's Rank Correlation Coefficient Data Analysis Software Adult Osteotomy Male Female Short Form-36 Health Survey (SF-36) Questionnaires Scales Patient-Reported Outcomes Adult: 19-44 years Male Female ab: Background: Use of the Patient-Reported Outcomes Measurement Information System (PROMIS) instrument has not yet been validated in patients undergoing operative treatment for patellofemoral malalignment and chondral disease. Purpose: To evaluate the PROMIS Physical Function Computer Adaptive Testing (PF CAT) instrument in a population of patients with patellofemoral malalignment and chondral disease relative to established patient-reported outcome (PRO) instruments. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Eligible patients were prospectively enrolled at the time of indication for surgery and completed 5 PRO instruments pre-operatively: 36-Item Short Form Health Survey (SF-36); Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC); Marx activity rating scale (Marx); EuroQol 5-dimension, 5-level instrument (EQ-5D-5L); and PROMIS PF CAT. Convergent and discriminant validity was assessed by measuring correlations between PROMIS PF CAT and other PRO instruments, including the Knee injury and Osteoarthritis Outcome Score (KOOS). Strength of correlation was measured by use of Spearman correlation coefficients. Results: In total, 37 patients (40 knees) were enrolled in the study. All knees underwent Fulkerson osteotomy and concomitant cartilage procedure (29 chondroplasty, 6 allograft, 5 microfracture). Mean patient age was 33.4 years, and 73% of knees were in female patients. Correlations (r) between PROMIS PF CAT and knee PRO instruments were as follows: SF-36 PF (r = 0.80; P < .01); KOOS Pain (r = 0.74; P < .01); KOOS Symptoms (r = 0.47; P < .01); KOOS Quality of Life (r = 0.68; P < .01); KOOS Sports and Recreation (r = 0.72; P < .01); KOOS Activities of Daily Living (ADL) (r = 0.80; P < .01); WOMAC Function (r = 0.80; P < .01); WOMAC Pain (r = 0.72; P < .01); WOMAC Stiffness (r = 0.38; P = .02); Marx (r = 0.22; P = .31); and EQ-5D-5L (r = 0.72; P < .01). Neither floor nor ceiling effects were observed in PROMIS PF CAT or KOOS ADL. Mean (±SD) question burden with PROMIS PF CAT was 5.6 ± 0.6 questions. Conclusion: In patients with patellofemoral malalignment and chondral disease, PROMIS PF CAT is an efficient and reliable PRO instrument to preoperatively assess patients across a spectrum of knee function without floor or ceiling effects. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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