Feasibility and diagnostic accuracy of the Patient‐Reported Outcomes Measurement Information System (PROMIS) item banks for routine surveillance of sleep and fatigue problems in ambulatory cancer care

BACKGROUND Routine screening for problematic symptoms is emerging as a best practice in cancer systems globally. The objective of this observational study was to assess the feasibility and diagnostic accuracy of Patient‐Reported Outcomes Measurement Information System (PROMIS) computerized adaptive...

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Bibliographic Details
Published in:Cancer 2016-09, Vol.122 (18), p.2906-2917
Main Authors: Leung, Yvonne W., Brown, Catherine, Cosio, Andrea Perez, Dobriyal, Aditi, Malik, Noor, Pat, Vivien, Irwin, Margaret, Tomasini, Pascale, Liu, Geoffrey, Howell, Doris
Format: Article
Language:English
Subjects:
cancer‐related fatigue
Diagnosis, Computer-Assisted - methods
Fatigue - diagnosis
Feasibility Studies
Female
Humans
Male
Middle Aged
Neoplasms - physiopathology
Patient Reported Outcome Measures
Patient‐Reported Outcomes Measurement Information System (PROMIS)
receiver operating characteristic (ROC) curve
sleep disturbance
sleep impairment
Sleep Wake Disorders - diagnosis
Surveys and Questionnaires
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Summary:BACKGROUND Routine screening for problematic symptoms is emerging as a best practice in cancer systems globally. The objective of this observational study was to assess the feasibility and diagnostic accuracy of Patient‐Reported Outcomes Measurement Information System (PROMIS) computerized adaptive testing (CAT) for fatigue and sleep‐disturbance items compared with legacy measures in routine ambulatory cancer care. METHODS Patients who attended outpatient clinics at the Princess Margaret Cancer Center completed PROMIS CAT item banks and legacy measures (the Functional Assessment of Chronic Illness Therapy [FACIT]‐Fatigue scale and the Insomnia Severity Index [ISI]) using tablet computers during clinic visits. The completion rates, patient acceptability, and diagnostic accuracy of PROMIS CAT were evaluated against legacy measures using receiver operating characteristic (ROC) curve analysis. RESULTS Participants consisted of 336 patients (mean age ± standard deviation, 57.4 ± 15.7 years; 55% females; 75% Caucasian). Over 98% of patients did not find symptom screening was burdensome, although only 65% were willing to complete the survey at every visit. PROMIS CAT scores were significantly correlated with both FACIT‐Fatigue scores (r = −0.83) and ISI scores (r = −0.57; p 
ISSN:0008-543X
1097-0142
DOI:10.1002/cncr.30134