PMID- 31955997
OWN - NLM
STAT- MEDLINE
DCOM- 20210625
LR  - 20210625
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Print)
IS  - 0363-5023 (Linking)
VI  - 45
IP  - 5
DP  - 2020 May
TI  - The Minimal Clinically Important Difference of the PROMIS and QuickDASH 
      Instruments in a Nonshoulder Hand and Upper Extremity Patient Population.
PG  - 399-407.e6
LID - S0363-5023(19)31534-5 [pii]
LID - 10.1016/j.jhsa.2019.12.002 [doi]
AB  - PURPOSE: The minimal clinically important difference (MCID) is used in research 
      and clinical settings as a benchmark to gauge improvement following treatment. 
      The purpose of this study was to provide anchor-based MCID estimates for 
      Patient-Reported Outcomes Measurement Information System (PROMIS) and legacy 
      instruments in a nonshoulder hand and upper extremity population. METHODS: Adult 
      patients (>/=18 years) seeking care at a tertiary academic outpatient hand surgery 
      clinic completed patient-reported outcome measures on tablet computers between 
      January 2015 and August 2017. Data were collected at baseline and at 6 +/- 2 weeks 
      of follow-up. The PROMIS Upper Extremity (UE), Physical Function (PF), and Pain 
      Interference (PI) Computer Adaptive Test (CAT) instruments were administered, 
      along with the shortened Disabilities of the Arm, Shoulder, and Hand (QuickDASH). 
      A mean change anchor-based method was used to estimate MCIDs by comparing scores 
      between anchor groups reporting no change versus slightly improved in terms of 
      function and pain. RESULTS: Scores for each instrument significantly improved 
      over the study period. With significant differences in scores between groups 
      reporting no change and slightly improved function, anchor-based MCID estimates 
      were calculated as follows: 2.1 for the PROMIS UE CAT, 1.7 for the PROMIS PF CAT, 
      and 6.8 for the QuickDASH. There was no significant difference in PROMIS PI CAT 
      scores between anchor groups when queried for level of pain improvement, 
      precluding estimation of an anchor-based MCID. CONCLUSIONS: We have provided 
      anchor-based MCID estimates for the PROMIS UE CAT, PROMIS PF CAT, and the 
      QuickDASH for a general nonshoulder hand and upper extremity population. These 
      values may be useful in future research for informing power calculations and when 
      interpreting whether the magnitude of change on these instruments is clinically 
      significant at a population level. CLINICAL RELEVANCE: This study provides 
      clinicians with a reference for values that may reflect clinically meaningful 
      changes in scores for patient-reported outcome instruments commonly utilized in 
      the current hand surgery literature.
CI  - Copyright (c) 2020 American Society for Surgery of the Hand. Published by Elsevier 
      Inc. All rights reserved.
FAU - Kazmers, Nikolas H
AU  - Kazmers NH
AD  - Department of Orthopaedics, University of Utah, Salt Lake City, UT. Electronic 
      address: nkazmers@gmail.com.
FAU - Qiu, Yuqing
AU  - Qiu Y
AD  - Division of Public Health, University of Utah, Salt Lake City, UT.
FAU - Yoo, Minkyoung
AU  - Yoo M
AD  - Department of Economics, University of Utah, Salt Lake City, UT.
FAU - Stephens, Andrew R
AU  - Stephens AR
AD  - Department of Orthopaedics, University of Utah, Salt Lake City, UT.
FAU - Tyser, Andrew R
AU  - Tyser AR
AD  - Department of Orthopaedics, University of Utah, Salt Lake City, UT.
FAU - Zhang, Yue
AU  - Zhang Y
AD  - Division of Public Health, University of Utah, Salt Lake City, UT.
LA  - eng
GR  - UL1 RR025764/RR/NCRR NIH HHS/United States
GR  - UL1 TR000105/TR/NCATS NIH HHS/United States
GR  - UL1 TR002538/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20200116
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Adult
MH  - Disability Evaluation
MH  - *Hand/surgery
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
MH  - Upper Extremity
PMC - PMC7200282
MID - NIHMS1546513
OTO - NOTNLM
OT  - Hand surgery
OT  - PROMIS
OT  - PROMIS Physical Function (PF) CAT
OT  - QuickDASH/qDASH
OT  - Upper Extremity (UE) CAT
OT  - minimal clinically important difference (MCID)
EDAT- 2020/01/21 06:00
MHDA- 2021/06/29 06:00
PMCR- 2021/05/01
CRDT- 2020/01/21 06:00
PHST- 2018/01/03 00:00 [received]
PHST- 2019/10/16 00:00 [revised]
PHST- 2019/12/04 00:00 [accepted]
PHST- 2020/01/21 06:00 [pubmed]
PHST- 2021/06/29 06:00 [medline]
PHST- 2020/01/21 06:00 [entrez]
PHST- 2021/05/01 00:00 [pmc-release]
AID - S0363-5023(19)31534-5 [pii]
AID - 10.1016/j.jhsa.2019.12.002 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2020 May;45(5):399-407.e6. doi: 10.1016/j.jhsa.2019.12.002. Epub 
      2020 Jan 16.