PMID- 32045278
OWN - NLM
STAT- MEDLINE
DCOM- 20210518
LR  - 20210518
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Linking)
VI  - 41
IP  - 3
DP  - 2020 Mar
TI  - Relationship of Preoperative Patient-Reported Outcome Measures (PROMs) to 
      Postoperative Success in End-Stage Ankle Arthritis.
PG  - 253-258
LID - 10.1177/1071100719893334 [doi]
AB  - BACKGROUND: Ankle osteoarthritis is a significant cause of pain and disability. 
      Despite the effectiveness of treatments, a subset of patients remains with 
      persistent pain and functional limitations. The purpose of this study was to use 
      preoperative patient-reported outcome measures to predict which ankle 
      osteoarthritis patients would be most likely to experience postoperative 
      improvements in functional outcomes. METHODS: A retrospective analysis of 
      prospectively collected data was used to evaluate 427 patients with end-stage 
      ankle arthritis with 5-year follow-up. Demographics, comorbidities, Ankle 
      Osteoarthritis Scale (AOS), Ankle Arthritis Score (AAS), and the physical and 
      mental component scores of the Short Form-36 (SF-36 Physical Components Score 
      [PCS] and Mental Components Score [MCS]) were collected. The minimal clinically 
      important difference (MCID) was then calculated. Receiver operating 
      characteristic (ROC) analysis was used to choose the optimal threshold values of 
      preoperative patient-reported outcome measure and assess the prediction 
      performance. RESULTS: Patients who scored worst at preoperative baseline made the 
      greatest gains in function and pain relief, and they had a high chance of 
      achieving MCID following surgical treatment. ROC curves demonstrated that 
      preoperative AOS, AAS, and SF-36 PCS and MCS scores were predictive of 
      postoperative improvements in physical and mental function. Patients with 
      preoperative AOS score above 45.7 had an 83% probability of achieving an MCID 
      (AUC = 0.67). Similarly, patients with a preoperative AAS score above 25.7 had a 
      78% probability of achieving an MCID (AUC = 0.63). Patients with a preoperative 
      SF-36 PCS score below 31 had a 62% probability of achieving an MCID (AUC = 0.64). 
      Patients with a preoperative SF-36 MCS below 52.7 had a 47% probability of 
      achieving an MCID (AUC = 0.89). MCIDs for AOS, AAS, SF3-36 PCS, and SF-36 MCS 
      score changes were 12.4, 10.0, 6.43, and 8.1, respectively. CONCLUSION: 
      Preoperative patient-reported outcomes measures could predict postoperative 
      improvement in ankle arthritis patients. The results of this study may be used to 
      facilitate discussion between physicians and patients regarding the expected 
      benefit of surgery. LEVEL OF EVIDENCE: Level III, prognostic comparative study.
FAU - Waly, Feras J
AU  - Waly FJ
AUID- ORCID: 0000-0003-0421-2089
AD  - Department of Orthopedic Surgery, University of British Columbia, Vancouver, BC, 
      Canada.
AD  - Department of Orthopedic Surgery, University of Tabuk, Tabuk, Saudi Arabia.
FAU - Yeo, Eng Meng Nicholas
AU  - Yeo EMN
AD  - Department of Orthopedic Surgery, University of British Columbia, Vancouver, BC, 
      Canada.
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
FAU - Wing, Kevin J
AU  - Wing KJ
AD  - Department of Orthopedic Surgery, University of British Columbia, Vancouver, BC, 
      Canada.
FAU - Penner, Murray J
AU  - Penner MJ
AUID- ORCID: 0000-0003-1349-2510
AD  - Department of Orthopedic Surgery, University of British Columbia, Vancouver, BC, 
      Canada.
FAU - Veljkovic, Andrea
AU  - Veljkovic A
AD  - Department of Orthopedic Surgery, University of British Columbia, Vancouver, BC, 
      Canada.
FAU - Younger, Alastair S E
AU  - Younger ASE
AD  - Department of Orthopedic Surgery, University of British Columbia, Vancouver, BC, 
      Canada.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20191209
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Ankle Joint/physiopathology/*surgery
MH  - Female
MH  - Forecasting
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Osteoarthritis/physiopathology/*surgery
MH  - *Pain Measurement
MH  - *Patient Reported Outcome Measures
MH  - Postoperative Period
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - ankle arthritis
OT  - ankle fusion
OT  - foot and ankle surgery
OT  - patient-reported outcomes
OT  - predictive outcome
OT  - total ankle replacement
EDAT- 2020/02/12 06:00
MHDA- 2021/05/19 06:00
CRDT- 2020/02/12 06:00
PHST- 2020/02/12 06:00 [pubmed]
PHST- 2021/05/19 06:00 [medline]
PHST- 2020/02/12 06:00 [entrez]
AID - 10.1177/1071100719893334 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2020 Mar;41(3):253-258. doi: 10.1177/1071100719893334. Epub 2019 
      Dec 9.