PROMIS: a valid and efficient outcomes instrument for patients with ACL tears

Purpose The current study compares the Patient Reported Outcomes Information System Physical Function Computer Adaptive Test (PROMIS PF CAT) to traditional knee PRO instruments in a healthy population undergoing surgery for ACL injuries with the following objectives: (1) identify and determine the s...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2019-01, Vol.27 (1), p.100-104
Main Authors: Hancock, Kyle John, Glass, Natalie, Anthony, Chris A., Wolf, Brian R., Hettrich, Carolyn M., Albright, John, Bollier, Matt, Amendola, Annunziato
Format: Article
Language:English
Subjects:
Adaptive systems
Biocompatibility
Biomedical materials
Correlation analysis
Information systems
Injuries
Knee
Ligaments
Medicine
Medicine & Public Health
Orthopedics
Osteoarthritis
Patients
Sports injuries
Surgery
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Summary:Purpose The current study compares the Patient Reported Outcomes Information System Physical Function Computer Adaptive Test (PROMIS PF CAT) to traditional knee PRO instruments in a healthy population undergoing surgery for ACL injuries with the following objectives: (1) identify and determine the strength of any correlations between the scores of PROMIS PF CAT and current knee PROs or their subscales that measure physical function; (2) evaluate PROMIS PF CAT’s test burden; and (3) determine if PROMIS PF CAT has any floor or ceiling effects in this population. Methods Patients indicated for ACL surgery completed the Short Form-36 Physical Function (SF-36 PF), Knee Injury and Osteoarthritis Outcome Score (KOOS), Marx Knee Activity Rating Scale (Marx), the EuroQol 5-dimensions Questionnaire (EQ-5D), and PROMIS PF CAT. Correlations between PROs were defined as follows: High (≥ 0.7); high–moderate (0.61–0.69); moderate (0.4–0.6); moderate–weak (0.31–0.39); and weak (≤ 0.3). Floor or ceiling effects were considered significant if 15% or more patients reported the lowest or highest possible total score, respectively. Results 100 patients participated with a mean age of 26 years (range 11–57). The PROMIS PF CAT demonstrated high correlations with SF-36 PF ( r  = 0.82, p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-018-5034-z