PMID- 33243590 OWN - NLM STAT- MEDLINE DCOM- 20210806 LR - 20240331 IS - 1531-6564 (Electronic) IS - 0363-5023 (Print) IS - 0363-5023 (Linking) VI - 46 IP - 3 DP - 2021 Mar TI - Reliability of Telephone Acquisition of the PROMIS Upper Extremity Computer Adaptive Test. PG - 187-199 LID - S0363-5023(20)30565-7 [pii] LID - 10.1016/j.jhsa.2020.09.014 [doi] AB - PURPOSE: Our primary purpose was to evaluate the reliability of telephone administration of the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) Computer Adaptive Test (CAT) version 2.0 in a hand and upper extremity population, and secondarily to make comparisons with the abbreviated version of the Disabilities of the Arm, Shoulder, and Hand (QuickDASH). METHODS: Patients more than 1 year out from hand surgeries performed at a single tertiary institution were enrolled. Half of the patients completed telephone PROMIS UE CAT and QuickDASH surveys first, followed by computer-based surveys 1 to 10 days later, and the other half completed them in the reverse order. Telephone surveys were readministered 2 to 6 weeks later to evaluate test-retest reliability. Concordance correlation coefficients (CCCs) were used to assess agreement between telephone and computer-based scores, and intraclass correlation coefficients (ICCs) were used to assess test-retest reliability. The proportion of patients with discrepancies in follow-up scores that exceeded estimates of the minimal clinically important difference (MCID) was evaluated. RESULTS: For the 89 enrolled patients, the PROMIS UE CAT CCC was 0.82 (83% confidence interval [83% CI], 0.77-0.86; good), which was significantly lower than 0.92 (83% CI, 0.89-0.94; good to excellent) for the QuickDASH. The PROMIS UE CAT ICC did not differ significantly from the QuickDASH (0.85 and 0.91, respectively). Differences in telephone versus computer scores exceeded 5 points (MCID estimate) for the PROMIS UE CAT in 34% of patients versus 5% of patients exceeding 14 points (MCID estimate) for the QuickDASH. CONCLUSIONS: Significantly better reliability was observed for the QuickDASH than the PROMIS UE CAT when comparing telephone with computer-based score acquisition. Over one-third of patients demonstrated a clinically relevant difference in scores between the telephone and the computer-administered tests. We conclude that the PROMIS UE CAT should only be administered through computer-based methods. CLINICAL RELEVANCE: These findings suggest that differences in collection methods for the PROMIS UE CAT may systematically affect the scores obtained, which may erroneously influence the interpretation of postoperative scores for hand surgery patients. CI - Copyright (c) 2021 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. FAU - Wilkinson, John T AU - Wilkinson JT AD - Department of Orthopaedics, Salt Lake City, UT. FAU - Clawson, Jordan W AU - Clawson JW AD - School of Medicine, University of Colorado, Aurora, CO. FAU - Allen, Chelsea M AU - Allen CM AD - Department of Pediatric Research Enterprise, University of Utah, Salt Lake City, UT. FAU - Presson, Angela P AU - Presson AP AD - Department of Pediatric Research Enterprise, University of Utah, Salt Lake City, UT. FAU - Tyser, Andrew R AU - Tyser AR AD - Department of Orthopaedics, Salt Lake City, UT. FAU - Kazmers, Nikolas H AU - Kazmers NH AD - Department of Orthopaedics, Salt Lake City, UT. Electronic address: nkazmers@gmail.com. LA - eng GR - UL1 TR000105/TR/NCATS NIH HHS/United States GR - UL1 TR001067/TR/NCATS NIH HHS/United States GR - UL1 TR002538/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20201124 PL - United States TA - J Hand Surg Am JT - The Journal of hand surgery JID - 7609631 SB - IM MH - Computers MH - *Disability Evaluation MH - Humans MH - *Patient Reported Outcome Measures MH - Reproducibility of Results MH - Telephone MH - Upper Extremity/surgery PMC - PMC7935760 MID - NIHMS1638350 OTO - NOTNLM OT - Computer adaptive test (CAT) OT - PROMIS (Patient-Reported Outcomes Measurement Information System) OT - reliability OT - test-retest OT - upper extremity EDAT- 2020/11/28 06:00 MHDA- 2021/08/07 06:00 PMCR- 2022/03/01 CRDT- 2020/11/27 05:37 PHST- 2019/11/03 00:00 [received] PHST- 2020/07/17 00:00 [revised] PHST- 2020/09/28 00:00 [accepted] PHST- 2020/11/28 06:00 [pubmed] PHST- 2021/08/07 06:00 [medline] PHST- 2020/11/27 05:37 [entrez] PHST- 2022/03/01 00:00 [pmc-release] AID - S0363-5023(20)30565-7 [pii] AID - 10.1016/j.jhsa.2020.09.014 [doi] PST - ppublish SO - J Hand Surg Am. 2021 Mar;46(3):187-199. doi: 10.1016/j.jhsa.2020.09.014. Epub 2020 Nov 24.