PMID- 30282469
OWN - NLM
STAT- MEDLINE
DCOM- 20200114
LR  - 20200225
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Print)
IS  - 1071-1007 (Linking)
VI  - 40
IP  - 1
DP  - 2019 Jan
TI  - PROMIS and FAAM Minimal Clinically Important Differences in Foot and Ankle 
      Orthopedics.
PG  - 65-73
LID - 10.1177/1071100718800304 [doi]
AB  - BACKGROUND: Establishing score points that reflect meaningful change from the 
      patient perspective is important for interpreting patient-reported outcomes. This 
      study estimated the minimum clinically important difference (MCID) values of 2 
      Patient-Reported Outcomes Measurement Information System (PROMIS) instruments and 
      the Foot and Ankle Ability Measure (FAAM) Sports subscale within a foot and ankle 
      orthopedic population. METHODS: Patients seen for foot and ankle conditions at an 
      orthopedic clinic were administered the PROMIS Physical Function (PF) v1.2, the 
      PROMIS Pain Interference (PI) v1.1, and the FAAM Sports at baseline and all 
      follow-up visits. MCID estimation was conducted using anchor-based and 
      distribution-based methods. RESULTS: A total of 3069 patients, mean age of 51 
      years (range = 18-94), were included. The MCIDs for the PROMIS PF ranged from 
      approximately 3 to 30 points (median = 11.3) depending on the methods being used. 
      The MCIDs ranged from 3 to 25 points (median = 8.9) for the PROMIS PI, and from 9 
      to 77 points (median = 32.5) for the FAAM Sports. CONCLUSIONS: This study 
      established a range of MCIDs in the PROMIS PF, PROMIS PI, and FAAM Sports 
      indicating meaningful change in patient condition. MCID values were consistent 
      across follow-up periods, but were different across methods. Values below the 
      25th percentile of MCIDs may be useful for low-risk clinical decisions. Midrange 
      values (eg, near the median) should be used for high stakes decisions in clinical 
      practice (ie, surgery referrals). The MCID values within the interquartile range 
      should be utilized for most decision making. LEVEL OF EVIDENCE: Level I, 
      diagnostic study, testing of previously developed diagnostic measure on 
      consecutive patients with reference standard applied.
FAU - Hung, Man
AU  - Hung M
AUID- ORCID: 0000-0003-2827-3740
AD  - 1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake 
      City, UT, USA.
AD  - 2 Department of Family & Preventive Medicine, University of Utah, Salt Lake City, 
      UT, USA.
AD  - 3 Department of Population Health Sciences, University of Utah, Salt Lake City, 
      UT, USA.
FAU - Baumhauer, Judith F
AU  - Baumhauer JF
AD  - 4 Department of Orthopaedic Surgery, University of Rochester, Rochester, NY, USA.
FAU - Licari, Frank W
AU  - Licari FW
AD  - 5 College of Dental Medicine, Roseman University of Health Sciences, South 
      Jordan, UT, USA.
FAU - Voss, Maren W
AU  - Voss MW
AD  - 1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake 
      City, UT, USA.
FAU - Bounsanga, Jerry
AU  - Bounsanga J
AD  - 1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake 
      City, UT, USA.
FAU - Saltzman, Charles L
AU  - Saltzman CL
AD  - 1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake 
      City, UT, USA.
LA  - eng
GR  - U01 AR067138/AR/NIAMS NIH HHS/United States
PT  - Journal Article
DEP - 20181004
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Ankle/*physiology
MH  - Ankle Joint/physiology
MH  - Female
MH  - Foot/*physiology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Orthopedic Procedures
MH  - Outcome Assessment, Health Care/methods
MH  - Pain Measurement
MH  - *Patient Reported Outcome Measures
MH  - Prospective Studies
MH  - ROC Curve
MH  - Recovery of Function
MH  - Reference Values
MH  - Young Adult
PMC - PMC6698160
MID - NIHMS1504470
OTO - NOTNLM
OT  - FAAM
OT  - MCID
OT  - PROMIS
OT  - orthopedics
OT  - pain
OT  - patient-reported outcomes
OT  - physical function
EDAT- 2018/10/05 06:00
MHDA- 2020/01/15 06:00
PMCR- 2020/01/01
CRDT- 2018/10/05 06:00
PHST- 2018/10/05 06:00 [pubmed]
PHST- 2020/01/15 06:00 [medline]
PHST- 2018/10/05 06:00 [entrez]
PHST- 2020/01/01 00:00 [pmc-release]
AID - 10.1177/1071100718800304 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2019 Jan;40(1):65-73. doi: 10.1177/1071100718800304. Epub 2018 
      Oct 4.