PMID- 29972033
OWN - NLM
STAT- MEDLINE
DCOM- 20190909
LR  - 20200109
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Print)
IS  - 1071-1007 (Linking)
VI  - 39
IP  - 10
DP  - 2018 Oct
TI  - Computerized Adaptive Testing for Patient Reported Outcomes in Ankle Fracture 
      Surgery.
PG  - 1192-1198
LID - 10.1177/1071100718782487 [doi]
AB  - BACKGROUND: Advantages of using computerized adaptive testing (CAT) include 
      decreased survey-burden, diminished floor and ceiling effect, and improved 
      ability to detect the minimal clinical significant difference (MCID) among 
      patients. The goal of this study was to compare the legacy patient-reported 
      outcome measures (PROMs) to the Patient-Reported Outcomes Measurement Information 
      System (PROMIS) scores in terms of ability to detect clinically significant 
      changes in patients who have undergone surgery for ankle fractures. METHODS: 
      Patients who underwent osteosynthesis for an unstable ankle fracture between 
      2013-2016 and completed legacy outcome scores (Foot and Ankle Outcome Score 
      [FAOS], Olerud and Molander Ankle Score [OMAS], and Weber Score) along with the 
      PROMIS Physical Function (PF) and PROMIS Lower Extremity (LE) CATs 
      postoperatively were included. Correlation between the scores at 3-month, 
      6-month, and 1-year intervals, as well as floor and ceiling effects, in addition 
      to MCIDs were calculated for each instrument. A total of 132 patients were 
      included in the study. RESULTS: There was no observed floor or ceiling effect in 
      either the PROMIS PF or the PROMIS LE scores. Clinically significant changes in 
      the PROMIS LE score were detected in patients between 6-month and 12-month 
      postoperative visits ( P = .0006), whereas the reported OMAS score and Weber 
      scores did not identify a clinically significant difference between patients at 
      their 6-month and 12-month visit. CONCLUSION: The results of this study indicate 
      that the PROMIS LE was superior for evaluating patients following ankle fracture 
      surgery in terms of lower floor and ceiling effects and greater ability to 
      distinguish clinically significant changes in patients between time points 
      following surgery. LEVEL OF EVIDENCE: Level III, comparative study.
FAU - Gausden, Elizabeth B
AU  - Gausden EB
AUID- ORCID: 0000-0001-8596-3292
AD  - 1 Hospital for Special Surgery, New York, NY, USA.
FAU - Levack, Ashley
AU  - Levack A
AD  - 1 Hospital for Special Surgery, New York, NY, USA.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AUID- ORCID: 0000-0002-6170-7769
AD  - 1 Hospital for Special Surgery, New York, NY, USA.
FAU - Sin, Danielle
AU  - Sin D
AD  - 1 Hospital for Special Surgery, New York, NY, USA.
FAU - Wellman, David S
AU  - Wellman DS
AD  - 1 Hospital for Special Surgery, New York, NY, USA.
FAU - Lorich, Dean G
AU  - Lorich DG
AD  - 2 Weill Cornell Medical College, New York Presbyterian Hospital, Hospital for 
      Special Surgery, New York, NY USA.
LA  - eng
GR  - T32 AR007281/AR/NIAMS NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
DEP - 20180704
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - Adult
MH  - Ankle Fractures/*physiopathology/*surgery
MH  - *Disability Evaluation
MH  - Female
MH  - Fracture Fixation, Internal/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Reported Outcome Measures
MH  - Postoperative Period
MH  - Prospective Studies
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
PMC - PMC6948193
MID - NIHMS1064713
OTO - NOTNLM
OT  - PROMIS
OT  - ankle fractures
OT  - computerized adaptive testing
OT  - minimal clinical important difference
OT  - patient-reported outcomes
COIS- Declaration of Conflicting Interests The author(s) declared no potential 
      conflicts of interest with respect to the research, authorship, and/or 
      publication of this article. ICMJE forms for all authors are available online.
EDAT- 2018/07/05 06:00
MHDA- 2019/09/10 06:00
PMCR- 2020/01/08
CRDT- 2018/07/05 06:00
PHST- 2018/07/05 06:00 [pubmed]
PHST- 2019/09/10 06:00 [medline]
PHST- 2018/07/05 06:00 [entrez]
PHST- 2020/01/08 00:00 [pmc-release]
AID - 10.1177/1071100718782487 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2018 Oct;39(10):1192-1198. doi: 10.1177/1071100718782487. Epub 
      2018 Jul 4.