PMID- 31701775
OWN - NLM
STAT- MEDLINE
DCOM- 20201222
LR  - 20201222
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Linking)
VI  - 41
IP  - 2
DP  - 2020 Feb
TI  - Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion 
      Surgery.
PG  - 133-139
LID - 10.1177/1071100719886286 [doi]
AB  - BACKGROUND: Prior studies have suggested preoperative patient-reported outcome 
      scores could predict patients who would achieve a clinically meaningful 
      improvement with hallux valgus surgery. Our goal was to determine 
      bunionectomy-specific thresholds using Patient-Reported Outcomes Measurement 
      Information System (PROMIS) values to predict patients who would or would not 
      benefit from bunion surgery. METHODS: PROMIS physical function (PF), pain 
      interference (PI), and depression assessments were prospectively collected. 
      Forty-two patients were included in the study. Using preoperative and final 
      follow-up visit scores, minimally clinically important differences (MCID), 
      receiver operating characteristic (ROC) curves, and area under the curve (AUC) 
      analyses were performed to determine if preoperative PROMIS scores predicted 
      achieving MCID with 95% specificity or failing to achieve an MCID with 95% 
      sensitivity. RESULTS: PROMIS PF demonstrated a significant AUC and likelihood 
      ratio. The preoperative threshold score for failing to achieve MCID for PF was 
      49.6 with 95% sensitivity. The likelihood ratio was 0.14 (confidence interval, 
      0.02-0.94). The posttest probability of failure to achieve an MCID for PF was 
      94.1%. PI and depression AUCs were not significant, and thus thresholds were not 
      determined. CONCLUSION: We identified a PF threshold of 49.6, which was nearly 1 
      standard deviation higher than previously published. If a patient is hoping to 
      improve PF, a patient with a preoperative t score >49.6 may not benefit from 
      surgery. This study also suggests the need for additional research to delineate 
      procedure-specific thresholds. LEVEL OF EVIDENCE: Level III, retrospective 
      comparative series.
FAU - MacDonald, Ashlee
AU  - MacDonald A
AD  - Department of Orthopaedics, University of Rochester, Rochester, NY, USA.
FAU - Houck, Jeff
AU  - Houck J
AD  - Department of Physical Therapy, George Fox University, Newberg, OR, USA.
FAU - Baumhauer, Judith F
AU  - Baumhauer JF
AUID- ORCID: 0000-0003-2142-7778
AD  - Department of Orthopaedics, University of Rochester, Rochester, NY, USA.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20191108
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - Adult
MH  - Aged
MH  - Bunion/*surgery
MH  - *Disability Evaluation
MH  - Female
MH  - Hallux Valgus/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - *Pain Measurement
MH  - *Patient Reported Outcome Measures
MH  - Predictive Value of Tests
MH  - Retrospective Studies
OTO - NOTNLM
OT  - PROMIS
OT  - bunionectomy
OT  - hallux valgus
OT  - patient-reported outcomes
EDAT- 2019/11/09 06:00
MHDA- 2020/12/23 06:00
CRDT- 2019/11/09 06:00
PHST- 2019/11/09 06:00 [pubmed]
PHST- 2020/12/23 06:00 [medline]
PHST- 2019/11/09 06:00 [entrez]
AID - 10.1177/1071100719886286 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2020 Feb;41(2):133-139. doi: 10.1177/1071100719886286. Epub 2019 
      Nov 8.