PMID- 31126813
OWN - NLM
STAT- MEDLINE
DCOM- 20200914
LR  - 20200914
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Linking)
VI  - 44
IP  - 8
DP  - 2019 Aug
TI  - Minimal Clinically Important Differences for PROMIS Physical Function, Upper 
      Extremity, and Pain Interference in Carpal Tunnel Release Using Region- and 
      Condition-Specific PROM Tools.
PG  - 635-640
LID - S0363-5023(18)31334-0 [pii]
LID - 10.1016/j.jhsa.2019.04.004 [doi]
AB  - PURPOSE: Uncertainty exists about what change in Patient-Reported Outcomes 
      Measurement Information System (PROMIS) scores represents a clinically relevant 
      improvement (minimal clinically important difference [MCID]) in hand surgery 
      care. Using a region-specific patient-reported outcome measure (PROM) (Michigan 
      Hand Question [MHQ]) and a condition-specific PROM (Boston Carpal Tunnel 
      Questionnaire [BCTQ]), MCID values were determined for PROMIS Physical Function 
      (PF), Upper Extremity (UE), and Pain Interference (PI) computerized adaptive 
      testing among patients undergoing carpal tunnel release (CTR). METHODS: Patients 
      undergoing CTR with a single surgeon from November 2014 to April 2017 were asked 
      to complete the BCTQ, MHQ, and PROMIS PF, UE, and PI at each visit. Patients who 
      had completed questionnaires both at a preoperative and either a 6-week or a 
      3-month postoperative visit were included. The PROMIS PF, UE, and PI MCID values 
      were calculated using previously determined MCID estimates in the literature with 
      both region- (ie, MHQ) and condition-specific (ie, BCTQ) PROM anchors. The PROMIS 
      domain MCID estimates were also determined using the distribution-based method. 
      RESULTS: A total of 70 patients fit our inclusion criteria. Using MHQ Function 
      and Pain, PROMIS UE, PF, and PI MCIDs were 6.3, 1.8, and -8.9, respectively. 
      Using the average of the 2 BCTQ domains, PROMIS UE, PF, and PI MCIDs were 8.0, 
      2.8, and -9.7, respectively. Using the distribution-based method, PROMIS UE, PF, 
      and PI MCIDs were 4.2, 2.7, and -4.1, respectively. CONCLUSIONS: Using region- 
      and condition-specific PROMs, we were able to provide MCID estimates of PROMIS 
      UE, PF, and PI for patients undergoing CTR. CLINICAL RELEVANCE: Estimating PROMIS 
      UE, PF, and PI MCIDs in CTR using validated region- and condition-specific PROMs 
      provides hand surgeons a way to evaluate CTR outcomes not previously described in 
      the literature. Surgeons should understand that these values are only estimates 
      and future work is needed to verify whether they reflect clinical improvement.
CI  - Copyright (c) 2019 American Society for Surgery of the Hand. Published by Elsevier 
      Inc. All rights reserved.
FAU - Bernstein, David N
AU  - Bernstein DN
AD  - University of Rochester School of Medicine and Dentistry, Rochester, NY.
FAU - Houck, Jeff R
AU  - Houck JR
AD  - George Fox University, Newberg, OR.
FAU - Mahmood, Bilal
AU  - Mahmood B
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY.
FAU - Hammert, Warren C
AU  - Hammert WC
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY. Electronic address: Warren_Hammert@urmc.rochester.edu.
LA  - eng
PT  - Journal Article
DEP - 20190522
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
CIN - J Hand Surg Am. 2019 Dec;44(12):e1. PMID: 31806121
CIN - J Hand Surg Am. 2019 Dec;44(12):e7. PMID: 31806124
MH  - Carpal Tunnel Syndrome/*physiopathology/*surgery
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Pain Management
MH  - Pain Measurement
MH  - *Patient Reported Outcome Measures
MH  - Prospective Studies
MH  - Recovery of Function
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Carpal tunnel release
OT  - MCID
OT  - PROMIS
OT  - carpal tunnel syndrome
OT  - minimal clinically important difference
OT  - patient-reported outcomes
OT  - value-based health care
EDAT- 2019/05/28 06:00
MHDA- 2020/09/15 06:00
CRDT- 2019/05/26 06:00
PHST- 2018/09/04 00:00 [received]
PHST- 2019/02/10 00:00 [revised]
PHST- 2019/04/18 00:00 [accepted]
PHST- 2019/05/28 06:00 [pubmed]
PHST- 2020/09/15 06:00 [medline]
PHST- 2019/05/26 06:00 [entrez]
AID - S0363-5023(18)31334-0 [pii]
AID - 10.1016/j.jhsa.2019.04.004 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2019 Aug;44(8):635-640. doi: 10.1016/j.jhsa.2019.04.004. Epub 
      2019 May 22.