Longitudinal Predictors of PROMIS Satisfaction With Social Roles and Activities After Shoulder and Knee Sports Orthopaedic Surgery in United States Military Servicemembers: An Observational Study.
Background: Satisfaction with social roles and activities is an important outcome for postsurgical rehabilitation and quality of life but not commonly assessed. Purpose: To evaluate longitudinal patterns of the Patient-Reported Outcomes Measurement Information System (PROMIS) Satisfaction with Socia...
| Publicado en: | Orthopaedic Journal of Sports Medicine Vol. 11; no. 7; pp. 1 - 9 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jul2023
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| 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=169342650&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 169342650 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259671 FUGT jtl: Orthopaedic Journal of Sports Medicine issn: 23259671 maglogo: Y pubinfo: dt: Jul2023 vid: 11 iid: 7 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 169342650 169342650 169342650 10.1177/23259671231184834 169342650 ppf: 1 ppct: 8 formats: tig: atl: Longitudinal Predictors of PROMIS Satisfaction With Social Roles and Activities After Shoulder and Knee Sports Orthopaedic Surgery in United States Military Servicemembers: An Observational Study. aug: au: Highland, Krista B. Kent, Michael McNiffe, Nicholas Patzkowski, Jeanne C. Patzkowski, Michael S. Kane, Alexandra Giordano, Nicholas A. affil: Department of Anesthesiology, Defense and Veterans Center for Integrative Pain Management, Uniformed Services University, Bethesda, Maryland, USA. sug: subj: Patient Satisfaction Community Role Postoperative Period Activities of Daily Living Shoulder Injuries Surgery Knee Injuries Surgery Athletic Injuries Surgery Orthopedic Surgery Rehabilitation Military Personnel United States Patient-Reported Outcomes Self Report Outcomes (Health Care) Human United States Nonexperimental Studies Prospective Studies Surgical Patients Multimethod Studies Peripheral Nerves Nerve Block Anxiety Sleep Disorders Pain Measurement Confidence Intervals Analytic Research Scales Depression Male Female Adolescence Adult Middle Age Descriptive Statistics Texas Univariate Statistics Bivariate Statistics Patient Attitudes Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Satisfaction with social roles and activities is an important outcome for postsurgical rehabilitation and quality of life but not commonly assessed. Purpose: To evaluate longitudinal patterns of the Patient-Reported Outcomes Measurement Information System (PROMIS) Satisfaction with Social Roles and Activities measure, including how it relates to other biopsychosocial factors, before and up to 6 months after sports-related orthopaedic surgery. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Participants (N = 223) who underwent knee and shoulder sports orthopaedic surgeries between August 2016 and October 2020 completed PROMIS computer-adaptive testing item banks and pain-related measures before surgery and at 6-week, 3-month, and 6-month follow-ups. In a generalized additive mixed model, covariates included time point; peripheral nerve block; the PROMIS Anxiety, Sleep Disturbance, and Pain Behavior measures; and previous 24-hour pain intensity. Patient-reported outcomes were modeled as nonlinear (smoothed) effects. Results: The linear (estimate, 2.06; 95% CI, 0.77-3.35; P =.002) and quadratic (estimate, 2.93; 95% CI, 1.78-4.08; P <.001) effects of time, as well the nonlinear effects of PROMIS Anxiety (P <.001), PROMIS Sleep Disturbance (P <.001), PROMIS Pain Behavior (P <.001), and pain intensity (P =.02), were significantly associated with PROMIS Satisfaction with Social Roles and Activities. The cubic effect of time (P =.06) and peripheral nerve block (P =.28) were not. The proportion of patients with a 0.5-SD improvement in the primary outcome increased from 23% at 6 weeks to 52% by 6 months postsurgery, whereas those reporting worsening PROMIS Satisfaction with Social Roles and Activities decreased from 30% at 6 weeks to 13% at 6 months. Conclusion: The PROMIS Satisfaction with Social Roles and Activities measure was found to be related to additional domains of function (eg, mental health, behavioral, pain) associated with postsurgical rehabilitation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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