PMID- 33431194
OWN - NLM
STAT- MEDLINE
DCOM- 20210806
LR  - 20211221
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Linking)
VI  - 46
IP  - 6
DP  - 2021 Jun
TI  - Minimal Clinically Important Difference of the PROMIS Upper-Extremity Computer 
      Adaptive Test and QuickDASH for Ligament Reconstruction Tendon Interposition 
      Patients.
PG  - 516-516.e7
LID - S0363-5023(20)30675-4 [pii]
LID - 10.1016/j.jhsa.2020.11.007 [doi]
AB  - PURPOSE: To calculate the minimal clinically important difference (MCID) of the 
      Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity 
      Computer Adaptive Test (UE CAT) and Quick-Disabilities of the Arm, Shoulder, and 
      Hand (QuickDASH) for ligament reconstruction tendon interposition (LRTI) 
      patients. METHODS: Adult patients treated with LRTI for trapeziometacarpal OA by 
      fellowship-trained hand surgeons between December 2014 and February 2018 at an 
      academic tertiary institution were included. Outcomes were prospectively 
      collected at each visit by tablet computer, including the QuickDASH, PROMIS UE, 
      Pain Interference, Depression, and Anxiety CATs. Inclusion required a response to 
      the anchor question "How much relief and/or improvement do you feel you have 
      experienced as a result of your treatment?" on a 6-option Likert scale, as well 
      as preoperative (</=120 days before surgery) and follow-up (2-26 weeks) outcomes. 
      We calculated MCID both by an anchor-based approach using the mean score of the 
      minimal change group, and with the 0.5 SD method. RESULTS: Of 145 included 
      participants, mean age was 63 +/- 8 years and 74% were female. Anchor-based MCID 
      estimates for the total cohort were 4.2 for the PROMIS UE CAT and 8.8 for the 
      QuickDASH. The MCID estimates using the 0.5 SD method were 4.8 and 11.7, 
      respectively. CONCLUSIONS: We propose MCID values of 4.2 to 4.8 for the PROMIS UE 
      CAT and 8.8 to 11.7 for the QuickDASH when powering clinical studies or when 
      assessing improvement among a cohort of patients who have undergone LRTI surgery. 
      CLINICAL RELEVANCE: Minimal clinically important difference estimates are helpful 
      when interpreting clinical outcomes after LRTI and for powering prospective 
      trials.
CI  - Copyright (c) 2021 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 - Ou, Zhining
AU  - Ou Z
AD  - Division of Public Health, University of Utah, Salt Lake City, UT.
FAU - Presson, Angela P
AU  - Presson AP
AD  - Division of Public Health, 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
PT  - Journal Article
DEP - 20210109
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Adult
MH  - Computers, Handheld
MH  - Female
MH  - Humans
MH  - Ligaments
MH  - *Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
MH  - Prospective Studies
MH  - *Shoulder
MH  - Tendons
MH  - Upper Extremity/surgery
OTO - NOTNLM
OT  - Biopsychosocial
OT  - PROMIS
OT  - Upper-Extremity CAT
OT  - ligament reconstruction tendon interposition
OT  - minimal clinically important difference
EDAT- 2021/01/13 06:00
MHDA- 2021/08/07 06:00
CRDT- 2021/01/12 05:48
PHST- 2019/07/22 00:00 [received]
PHST- 2020/09/03 00:00 [revised]
PHST- 2020/11/03 00:00 [accepted]
PHST- 2021/01/13 06:00 [pubmed]
PHST- 2021/08/07 06:00 [medline]
PHST- 2021/01/12 05:48 [entrez]
AID - S0363-5023(20)30675-4 [pii]
AID - 10.1016/j.jhsa.2020.11.007 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2021 Jun;46(6):516-516.e7. doi: 10.1016/j.jhsa.2020.11.007. Epub 
      2021 Jan 9.