PMID- 29761114
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220317
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 6
IP  - 5
DP  - 2018 May
TI  - Preoperative PROMIS Scores Predict Postoperative Outcomes After Primary ACL 
      Reconstruction.
PG  - 2325967118771286
LID - 10.1177/2325967118771286 [doi]
LID - 2325967118771286
AB  - BACKGROUND: PROMIS (Patient-Reported Outcomes Measurement Information System) 
      scores in patients undergoing anterior cruciate ligament (ACL) reconstruction 
      have not been fully described in the literature to date. The ability of 
      preoperative patient-reported outcome scores to directly predict postoperative 
      outcomes in patients who undergo primary ACL reconstruction is unknown. 
      HYPOTHESIS: Postoperative PROMIS physical function (PF), pain interference (PI), 
      and depression (D) scores in patients who undergo ACL reconstruction will show 
      improvement when compared with preoperative scores. Additionally, preoperative 
      PROMIS PF, PI, and D scores will predict which patients will not achieve a 
      minimal clinically important difference (MCID) postoperatively. STUDY DESIGN: 
      Cohort study; Level of evidence, 3. METHODS: A total of 233 patients who 
      underwent primary ACL reconstruction between 2015 and 2016 and had completed 
      PROMIS measures both preoperatively (within 60 days of surgery) and 
      postoperatively (100-240 days after surgery) were included in this study. PROMIS 
      PF, PI, and D scores were compared. Accuracy analyses were performed to determine 
      whether preoperative PROMIS scores from each domain could predict postoperative 
      achievement of MCID in the same domain. Cutoff scores were then calculated. 
      RESULTS: PROMIS PF, PI, and D scores all showed a significant improvement after 
      ACL reconstruction (all P < .001). Preoperative scores from all 3 PROMIS domains 
      showed a strong ability to predict clinically meaningful improvement, as defined 
      by MCID, with areas under the receiver operating characteristic curve from 0.72 
      to 0.84. Optimal cutoffs for preoperative PROMIS scores showed that patients with 
      a PF score of <42.5, PI score of >56.2, or D score of >44.8 were more likely to 
      achieve MCID. CONCLUSION: PROMIS PF, PI, and D scores improved significantly in 
      patients who underwent primary ACL reconstruction. Preoperative PROMIS PF, PI, 
      and D scores were highly predictive of outcome in the early postoperative period. 
      The reported cutoff scores showed high probability in predicting which patients 
      would and would not achieve a clinically meaningful improvement.
FAU - Chen, Raymond E
AU  - Chen RE
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
FAU - Papuga, M Owen
AU  - Papuga MO
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
FAU - Voloshin, Ilya
AU  - Voloshin I
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
FAU - Nicandri, Gregg T
AU  - Nicandri GT
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
FAU - Goldblatt, John P
AU  - Goldblatt JP
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
FAU - Bronstein, Robert D
AU  - Bronstein RD
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
FAU - Rouse, Lucien M
AU  - Rouse LM
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
FAU - Maloney, Michael D
AU  - Maloney MD
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester, 
      Rochester, New York, USA.
LA  - eng
PT  - Journal Article
DEP - 20180508
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
PMC - PMC5946616
OTO - NOTNLM
OT  - Patient-Reported Outcomes Measurement Information System
OT  - anterior cruciate ligament reconstruction
OT  - depression
OT  - pain
OT  - physical function
COIS- One or more of the authors has declared the following potential conflict of 
      interest or source of funding: I.V. is a paid consultant for Acumed, Smith & 
      Nephew, and Zimmer Biomet; has received hospitality payments from Acumed, 
      Arthrex, Pacira Pharmaceuticals, Prodigy Surgical Distribution, Smith & Nephew, 
      Tenex Health, and Zimmer Biomet; has been a paid speaker/presenter for Zimmer; 
      and has received educational support from Acumed, Arthrex, and Pacira 
      Pharmaceuticals. G.T.N. has received hospitality payments from Pacific Medical 
      and Arthrex and has received educational support from Pacific Medical and 
      Arthrex. M.D.M. has received educational support from Arthrex and Prodigy 
      Surgical Distribution and has received hospitality payments from Arthrex and 
      Prodigy Surgical Distribution.
EDAT- 2018/05/16 06:00
MHDA- 2018/05/16 06:01
PMCR- 2018/05/08
CRDT- 2018/05/16 06:00
PHST- 2018/05/16 06:00 [entrez]
PHST- 2018/05/16 06:00 [pubmed]
PHST- 2018/05/16 06:01 [medline]
PHST- 2018/05/08 00:00 [pmc-release]
AID - 10.1177_2325967118771286 [pii]
AID - 10.1177/2325967118771286 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2018 May 8;6(5):2325967118771286. doi: 
      10.1177/2325967118771286. eCollection 2018 May.