PMID- 31256677
OWN - NLM
STAT- MEDLINE
DCOM- 20190708
LR  - 20210110
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Print)
IS  - 2049-4394 (Linking)
VI  - 101-B
IP  - 7
DP  - 2019 Jul
TI  - Comparative responsiveness of the PROMIS-10 Global Health and EQ-5D 
      questionnaires in patients undergoing total knee arthroplasty.
PG  - 832-837
LID - 10.1302/0301-620X.101B7.BJJ-2018-1543.R1 [doi]
AB  - AIMS: Responsiveness to clinically important change is a key feature of any 
      outcome measure. Throughout Europe, health-related quality of life following 
      total knee arthroplasty (TKA) is routinely measured with EuroQol five-dimension 
      (EQ-5D) questionnaires. The Patient-Reported Outcomes Measurement Information 
      System 10-Question Short-Form (PROMIS-10 Global Health) score is a new general 
      heath outcome tool which is thought to offer greater responsiveness. Our aim was 
      to compare these two tools. PATIENTS AND METHODS: We accessed data from a 
      prospective multicentre cohort study in the United Kingdom, which evaluated 
      outcomes following TKA. The median age of the 721 patients was 69.0 years 
      (interquartile range, 63.3 to 74.6). There was an even division of sex, and 
      approximately half were educated to secondary school level. The preoperative 
      EQ-5D, PROMIS-10, and Oxford Knee Scores (OKS) were available and at three, six, 
      and 12 months postoperatively. Internal responsiveness was assessed by 
      standardized response mean (SRM) and effect size (Cohen's d). External 
      responsiveness was assessed by correlating change scores of the EQ-5D and 
      PROMIS-10, with the minimal clinically important difference (MCID) of the OKS. 
      Receiver operating characteristic (ROC) curves were used to assess the ability of 
      change scores to discriminate between improved and non-improved patients. 
      RESULTS: All measures showed significant changes between the preoperative score 
      and the various postoperative times (p < 0.001). Most improvement occurred during 
      the first three months, with small but significant changes between three and six 
      months, and no further change between six and 12 months postoperatively. SRM 
      scores for EQ-5D, PROMIS-10, and OKS were large (> 0.8). ROC curves showed that 
      both EQ-5D and PROMIS-10 were able to discriminate between patients who achieved 
      the OKS MCID and those who did not (area under the curve (AUC) of 0.7 to 0.82). 
      CONCLUSION: The PROMIS-10 physical health tool showed greater responsiveness to 
      change than the EQ-5D, most probably due to the additional questions on physical 
      health parameters that are more susceptible to modification following TKA. The 
      EQ-5D was, however, shown to be sensitive to clinically meaningful change 
      following TKA, and provides the additional ability to calculate health economic 
      utility scores. It is likely, therefore, that EQ-5D will continue to be the 
      global health metric of choice in the United Kingdom. Cite this article: Bone 
      Joint J 2019;101-B:832-837.
FAU - Shim, J
AU  - Shim J
AD  - Epidemiology Group, School of Medicine, Medical Sciences and Nutrition, 
      University of Aberdeen, Aberdeen, UK.
AD  - Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, 
      Aberdeen, UK.
FAU - Hamilton, D F
AU  - Hamilton DF
AD  - Department of Orthopaedics and Trauma, School of Clinical Sciences, University of 
      Edinburgh, Edinburgh, UK.
LA  - eng
GR  - 20100/VAC_/Versus Arthritis/United Kingdom
PT  - Clinical Trial
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PL  - England
TA  - Bone Joint J
JT  - The bone & joint journal
JID - 101599229
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Arthroplasty, Replacement, Knee
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Reported Outcome Measures
MH  - Prospective Studies
MH  - Quality of Life
MH  - ROC Curve
MH  - United Kingdom
PMC - PMC6616061
OTO - NOTNLM
OT  - EQ-5D, Responsiveness
OT  - Health-related quality of life
OT  - Knee arthroplasty
OT  - Outcome measures
OT  - PROMIS-10 Global Health
EDAT- 2019/07/02 06:00
MHDA- 2019/07/10 06:00
PMCR- 2019/06/30
CRDT- 2019/07/02 06:00
PHST- 2019/07/02 06:00 [entrez]
PHST- 2019/07/02 06:00 [pubmed]
PHST- 2019/07/10 06:00 [medline]
PHST- 2019/06/30 00:00 [pmc-release]
AID - BJJ-101B-832 [pii]
AID - 10.1302/0301-620X.101B7.BJJ-2018-1543.R1 [doi]
PST - ppublish
SO  - Bone Joint J. 2019 Jul;101-B(7):832-837. doi: 
      10.1302/0301-620X.101B7.BJJ-2018-1543.R1.