PMID- 30473243
OWN - NLM
STAT- MEDLINE
DCOM- 20190329
LR  - 20190329
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Linking)
VI  - 28
IP  - 3
DP  - 2019 Mar
TI  - Preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) 
      scores predict postoperative outcome in total shoulder arthroplasty patients.
PG  - 547-554
LID - S1058-2746(18)30652-9 [pii]
LID - 10.1016/j.jse.2018.08.040 [doi]
AB  - BACKGROUND: The Patient-Reported Outcomes Measurement Information System (PROMIS) 
      has recently been validated in orthopedic patients with upper-extremity disease. 
      The purpose of this study was to describe preoperative and postoperative PROMIS 
      scores in total shoulder arthroplasty (TSA) patients, compare PROMIS physical 
      function (PF) scores with clinical functional measurements, and determine whether 
      preoperative PROMIS scores could predict achievement of the minimal clinically 
      important difference (MCID) postoperatively. METHODS: Preoperative and 
      postoperative (>3 months) PROMIS scores in patients who underwent primary 
      anatomic TSA were reviewed. Preoperative and postoperative shoulder forward 
      flexion and external rotation were also collected. PROMIS PF, pain interference 
      (PI), and depression scores were compared. Accuracy analyses determined whether 
      preoperative PROMIS scores from each domain could predict postoperative 
      achievement of the MCID in the same domain. RESULTS: The study included 62 
      patients. Significant improvements in PROMIS PF, PI, and depression scores, as 
      well as forward flexion and external rotation, were found postoperatively 
      (P < .001). The multivariate model demonstrated that preoperative PROMIS PF, PI, 
      and depression scores were predictive of postoperative achievement of the MCID 
      (area under the receiver operating characteristic curve, 0.70-0.87). Ninety 
      percent cutoff scores showed that patients with a preoperative PF score lower 
      than 31.7, PI score greater than 66.9, and depression score greater than 55.5 
      were more likely to achieve the MCID. CONCLUSIONS: In TSA patients, preoperative 
      PROMIS PF, depression, and PI scores demonstrated strong to excellent abilities 
      to predict postoperative achievement of the MCID. PROMIS PF scores were 
      responsive to the functional improvements observed clinically. The reported 
      cutoff scores allow surgeons to identify patients with increased or decreased 
      probabilities of achieving a clinically meaningful improvement after TSA.
CI  - Copyright (c) 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Chen, Raymond E
AU  - Chen RE
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY, USA.
FAU - Papuga, M Owen
AU  - Papuga MO
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY, USA.
FAU - Nicandri, Gregg T
AU  - Nicandri GT
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY, USA.
FAU - Miller, Richard J
AU  - Miller RJ
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY, USA.
FAU - Voloshin, Ilya
AU  - Voloshin I
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY, USA. Electronic address: Ilya_Voloshin@urmc.rochester.edu.
LA  - eng
PT  - Journal Article
DEP - 20181122
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Aged
MH  - *Arthroplasty, Replacement, Shoulder
MH  - Depression/etiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - *Patient Reported Outcome Measures
MH  - Postoperative Period
MH  - Preoperative Period
MH  - ROC Curve
MH  - Range of Motion, Articular
MH  - Shoulder Joint/*physiopathology/surgery
MH  - Shoulder Pain/etiology
MH  - Treatment Outcome
OTO - NOTNLM
OT  - PROMIS score
OT  - depression
OT  - pain interference
OT  - patient-reported outcomes
OT  - physical function
OT  - shoulder arthroplasty
OT  - total shoulder arthroplasty
EDAT- 2018/11/27 06:00
MHDA- 2019/03/30 06:00
CRDT- 2018/11/27 06:00
PHST- 2018/04/19 00:00 [received]
PHST- 2018/08/20 00:00 [revised]
PHST- 2018/08/29 00:00 [accepted]
PHST- 2018/11/27 06:00 [pubmed]
PHST- 2019/03/30 06:00 [medline]
PHST- 2018/11/27 06:00 [entrez]
AID - S1058-2746(18)30652-9 [pii]
AID - 10.1016/j.jse.2018.08.040 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2019 Mar;28(3):547-554. doi: 10.1016/j.jse.2018.08.040. 
      Epub 2018 Nov 22.