PMID- 33812773
OWN - NLM
STAT- MEDLINE
DCOM- 20211020
LR  - 20221003
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Print)
IS  - 0363-5023 (Linking)
VI  - 46
IP  - 10
DP  - 2021 Oct
TI  - Establishing the Minimal Clinically Important Difference for the PROMIS Upper 
      Extremity Computer Adaptive Test Version 2.0 in a Nonshoulder Hand and Upper 
      Extremity Population.
PG  - 927.e1-927.e10
LID - S0363-5023(21)00093-9 [pii]
LID - 10.1016/j.jhsa.2021.01.023 [doi]
AB  - PURPOSE: Our primary purpose was to calculate the minimal clinically important 
      difference (MCID) for the Patient-Reported Outcomes Measurement Information 
      System (PROMIS) Upper Extremity (UE) Computer Adaptive Test (CAT) version 2.0 
      (v2.0) for a nonshoulder hand and upper extremity population. Secondarily, we 
      calculated the PROMIS Physical Function (PF) CAT v2.0 and the abbreviated version 
      of the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) MCID. METHODS: 
      Adult patients treated by 1 of 5 fellowship-trained hand surgeons between March 
      2015 and September 2019 at an academic tertiary institution were identified. The 
      PROMIS UE CAT v2.0, PROMIS PF CAT v2.0, and QuickDASH were collected via tablet 
      computer. Inclusion required response to at least 1 of the instruments at both 
      baseline and follow-up (6 +/- 4 weeks), and a response to the anchor question: 
      "Compared to your first evaluation at the University Orthopaedic Center, how 
      would you describe your physical function level now?" An additional anchor 
      question assessing treatment-related improvement was also asked. The MCID was 
      calculated using an anchor-based approach using the mean change difference 
      between groups reporting no change and slight change for both anchor questions, 
      and with the 1/2 SD method. RESULTS: Of 2,106 participants, mean age was 48 +/- 17 
      years, 53% were female, and 53% were recovering from surgery. Of these patients, 
      381 completed the PROMISE UE CAT v2.0, 497 completed the PROMIS PF CAT v2.0, and 
      2,018 completed the QuickDASH. The score change between baseline and follow-up 
      was significantly different between anchor groups for both anchor-based MCID 
      calculations. Anchor-based MCID values were 3.0 to 4.0 for the UE CAT, 2.1 to 3.6 
      for the PF CAT, and 10.3 for the QuickDASH. The MCID values per the 1/2 SD method 
      were 4.1, 4.1, and 10.2, respectively. CONCLUSIONS: We propose MCID ranges of 3.0 
      to 4.1 for the PROMIS UE CAT v2.0, and 2.1 to 4.1 for the PROMIS PF CAT v2.0. The 
      observed QuickDASH MCID values (10.2-10.3) are within the range of previously 
      published values. CLINICAL RELEVANCE: These MCID estimates will aid in 
      interpreting clinical outcomes and in powering clinical studies.
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 - 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 - Zeidan, Michelle
AU  - Zeidan M
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 TR001067/TR/NCATS NIH HHS/United States
GR  - UL1 TR002538/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20210331
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Computers
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - *Patient Reported Outcome Measures
MH  - Upper Extremity/surgery
PMC - PMC8481350
MID - NIHMS1690469
OTO - NOTNLM
OT  - Minimal clinically important difference (MCID)
OT  - PROMIS
OT  - Physical Function (PF) CAT Version 2.0
OT  - QuickDASH/qDASH
OT  - Upper Extremity (UE) computer adaptive test (CAT) Version 2.0
EDAT- 2021/04/05 06:00
MHDA- 2021/10/21 06:00
PMCR- 2022/10/01
CRDT- 2021/04/04 20:35
PHST- 2020/05/20 00:00 [received]
PHST- 2020/10/12 00:00 [revised]
PHST- 2021/01/27 00:00 [accepted]
PHST- 2021/04/05 06:00 [pubmed]
PHST- 2021/10/21 06:00 [medline]
PHST- 2021/04/04 20:35 [entrez]
PHST- 2022/10/01 00:00 [pmc-release]
AID - S0363-5023(21)00093-9 [pii]
AID - 10.1016/j.jhsa.2021.01.023 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2021 Oct;46(10):927.e1-927.e10. doi: 10.1016/j.jhsa.2021.01.023. 
      Epub 2021 Mar 31.