Scientific articleEvaluation of the PROMIS Physical Function Computer Adaptive Test in the Upper Extremity
Section snippets
Materials and Methods
We collected data from new and returning patients over 18 years of age seen in a university clinic for any upper extremity problem excluding the shoulder between March 2013 and June 2013. We obtained institutional review board exemption to analyze data from our institution’s musculoskeletal outcomes registry. Patients were given a handheld tablet computer and prompted to complete the DASH (Appendix A, available on the Journal’s Web site at http://www.jhandsurg.org) and PROMIS PF CAT (Appendix B
Results
A total of 134 nonconsecutive patients (74 men and 60 women) made up the final analysis. Table 1 contains information on patient characteristics.
The average number of questions needed to complete a scoreable PF CAT was 5 (range, 4–12) compared with the 30 (range, 27–30) needed to complete a scoreable DASH. Average time to complete the PF CAT was 57 seconds compared with 262 seconds for the DASH (P < .001).
The instruments were highly correlated (r = 0.726; P < .001) (Fig. 1) and both
Discussion
The main strength of this study was that it demonstrated the viability of using CAT as a fast, accurate, and precise alternative to more commonly used questionnaires that evaluate patient outcomes in a hand and upper extremity clinic. A, over 75% reduction in time to complete the PF CAT compared with the DASH was not associated with a loss of reliability, precision, or targeting of the chosen metric.
The noted reduction in time to complete the PF CAT is likely because of the fewer number of
References (21)
- et al.
Outcomes research in hand surgery: where have we been and where should we go?
J Hand Surg Am
(2006) - et al.
Clinical research and patient-rated outcome measures in hand surgery
J Hand Surg Am
(2012) - et al.
Measuring outcomes in hand surgery
Clin Plast Surg
(2008) - et al.
Measuring wrist and hand function: common scales and checklists
Injury
(2011) - et al.
Responsiveness of the Michigan Hand Outcomes Questionnaire and the Disabilities of the Arm, Shoulder and Hand questionnaire in carpal tunnel surgery
J Hand Surg Am
(2005) - et al.
Comparative responsiveness of the disabilities of the arm, shoulder, and hand, the carpal tunnel questionnaire, and the SF-36 to clinical change after carpal tunnel release
J Hand Surg Am
(2003) - et al.
The Disabilities of the Arm, Shoulder, and Hand questionnaire in intercollegiate athletes: validity limited by ceiling effect
J Shoulder Elbow Surg
(2010) - et al.
Predictors of patient and surgeon satisfaction after orthopaedic trauma
Injury
(2009) - et al.
Evaluation of a preliminary physical function item bank supported the expected advantages of the Patient-Reported Outcomes Measurement Information System (PROMIS)
J Clin Epidemiol
(2008) - et al.
Prevalence, health care expenditures, and orthopedic surgery workforce for musculoskeletal conditions
JAMA
(2009)
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2023, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :Using item response theory11 to select questions based on previous answers helps PROMIS reduce the total questions presented to patients. The resulting advantages of increased efficiency and quicker evaluation may improve survey compliance.10,15,16 Consequently, PROMIS has gained recent popularity as a possible modern alternative to legacy PROs, as studies have reported strong correlations of PROMIS scores with legacy measures in the orthopaedic literature.17
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.