Validation of PROMIS Physical Function for Evaluating Outcome After Acute Achilles Tendon Rupture.
Background: There is increased demand for valid, reliable, and responsive patient-reported outcome measures (PROMs) to evaluate treatment for Achilles tendon rupture, but not all PROMs currently in use are reliable and responsive for this condition. Purpose: To evaluate the measurement properties of...
| Publicado en: | Orthopaedic Journal of Sports Medicine Vol. 9; no. 10; pp. 1 - 8 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153370503&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153370503 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259671 FUGT jtl: Orthopaedic Journal of Sports Medicine issn: 23259671 maglogo: Y pubinfo: dt: 2021 vid: 9 iid: 10 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 153370503 153370503 153370503 10.1177/23259671211022686 153370503 ppf: 1 ppct: 7 formats: tig: atl: Validation of PROMIS Physical Function for Evaluating Outcome After Acute Achilles Tendon Rupture. aug: au: Ochen, Yassine Guss, Daniel Houwert, R. Marijn Smith, Jeremy T. DiGiovanni, Christopher W. Groenwold, Rolf H.H. Heng, Marilyn affil: Department of Orthopedic Surgery, Harvard Medical School Orthopedic Trauma Initiative, Massachusetts General Hospital, Boston, Massachusetts, USA. sug: subj: Patient-Reported Outcomes Information Systems Functional Status Physical Activity Task Performance and Analysis Evaluation Achilles Tendon Rupture Therapy Retrospective Design Prospective Studies Questionnaires After Care Time Factors Treatment Outcomes Computerized Adaptive Testing Clinical Assessment Tools Scales Pearson's Correlation Coefficient Surgery, Reconstructive Descriptive Statistics Correlational Studies Confidence Intervals Reliability and Validity Instrument Validation Current Procedural Terminology International Classification of Diseases Human Male Female Adolescence Young Adult Adult Middle Age Aged Aged, 80 and Over Sample Size Data Analysis Software Activities of Daily Living Test-Retest Reliability Cost Benefit Analysis Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: There is increased demand for valid, reliable, and responsive patient-reported outcome measures (PROMs) to evaluate treatment for Achilles tendon rupture, but not all PROMs currently in use are reliable and responsive for this condition. Purpose: To evaluate the measurement properties of the Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS PF) compared with other PROMs used after treatment for acute Achilles tendon rupture. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A retrospective cohort study with a follow-up questionnaire was performed. All adult patients with an acute Achilles tendon rupture between June 2016 and June 2018 with a minimum 12-month follow-up were eligible for inclusion. Functional outcome was assessed using the PROMIS PF computerized adaptive test (CAT), Foot and Ankle Ability Measure (FAAM) Activities of Daily Living (ADL), FAAM–Sports, and Achilles Tendon Total Rupture Score (ATRS). Pearson correlation (r) was used to assess the correlations between PROMs. Absolute and relative floor and ceiling effects were calculated. Results: In total, 103 patients were included (mean age, 44.7 years; 74% male); 82 patients (79.6%) underwent operative repair, while 21 patients (20.4%) underwent nonoperative management. The mean time between treatment and collection of PROMs was 25.3 months (range, 15-36 months). The mean scores were 55.4 ± 9.2 (PROMIS PF), 92.9 ± 12.2 (FAAM-ADL), 77.7 ± 22.9 (FAAM–Sports), and 83.0 ± 19.4 (ATRS). The ATRS was correlated with FAAM-ADL (r = 0.80; 95% CI, 0.72-0.86; P <.001) and FAAM–Sports (r = 0.86; 95% CI, 0.80-0.90; P <.001). The PROMIS PF was correlated with the FAAM-ADL (r = 0.66; 95% CI, 0.53-0.75; P <.001), FAAM–Sports (r = 0.65; 95% CI, 0.53-0.75; P <.001), and ATRS (r = 0.69; 95% CI, 0.58-0.78; P <.001). The PROMIS PF did not show absolute floor or ceiling effects (0%). The FAAM-ADL (35.9%), FAAM–Sports (15.8%), and ATRS (20.4%) had substantial absolute ceiling effects. Conclusion: The PROMIS PF, FAAM-ADL, and FAAM–Sports all showed a moderate to high mutual correlation with the ATRS. Only the PROMIS PF avoided substantial floor and ceiling effects. The results suggest that the PROMIS PF CAT is a valid, reliable, and perhaps the most responsive tool to evaluate patient outcomes after treatment for an Achilles tendon rupture. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|