PMID- 34097552
OWN - NLM
STAT- MEDLINE
DCOM- 20210809
LR  - 20210809
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 49
IP  - 9
DP  - 2021 Jul
TI  - Defining Clinically Significant Improvement on the Patient-Reported Outcomes 
      Measurement Information System Test at 1-Year Follow-up for Patients Undergoing 
      Hip Arthroscopy for the Treatment of Femoroacetabular Impingement Syndrome.
PG  - 2457-2465
LID - 10.1177/03635465211015687 [doi]
AB  - BACKGROUND: Although minimal clinically important difference (MCID), Patient 
      Acceptable Symptom State (PASS), and substantial clinical benefit (SCB) have been 
      defined for hip-specific legacy patient-reported outcome measures, these metrics 
      have not been defined for the Patient-Reported Outcomes Measurement Information 
      System (PROMIS) instruments for patients undergoing hip arthroscopy. PURPOSE: To 
      define the MCID, PASS, and SCB thresholds for the PROMIS Physical Function (PF) 
      computerized adaptive test (CAT) and PROMIS Pain Interference (PI) instruments in 
      patients undergoing hip arthroscopy for femoroacetabular impingement syndrome 
      (FAIS). STUDY DESIGN: Cohort study (Diagnosis); Level of evidence, 2. METHODS: 
      Patients undergoing primary hip arthroscopy between August 2018 and January 2019 
      for the treatment of FAIS were retrospectively analyzed. Patients were 
      administered the PROMIS-PF, PROMIS-PI, Hip Outcome Score (HOS)-Activities of 
      Daily Living, HOS-Sports Subscale, modified Harris Hip Score, and International 
      Hip Outcome Tool-12 preoperatively and at 1 year postoperatively. MCID was 
      calculated using the distribution method, whereas PASS and SCB were calculated 
      using an anchor-based method. Patients achieving clinically significant outcomes 
      (CSOs) were compared with those who did not achieve CSOs via chi-square and 
      independent-samples t tests, and a multivariate logistic regression was conducted 
      to determine predictors of CSO achievement. RESULTS: 124 patients with a mean age 
      of 32.7 +/- 12.3 years were included in the analysis. The threshold scores required 
      to achieve MCID, PASS, and SCB, respectively, were as follows: PROMIS-PI (-3.1, 
      53.7, 51.9) and PROMIS-PF (3.3, 47.0, 49.9). Patients achieved any MCID, PASS, 
      and SCB for PROMIS scores at a rate of 89.0%, 71.8%, and 62.1%, respectively, 
      compared with 87.1%, 76.6%, and 71.8% for legacy patient-reported outcome 
      measurements. For PROMIS-PF, higher preoperative PROMIS-PF score was a positive 
      predictor of CSO achievement, and patients achieving SCB were significantly 
      younger (30.3 +/- 12 vs 35.6 +/- 12 years; P = .017) with significantly lower body 
      mass index (BMI) (24.7 +/- 6.4 vs 27.9 +/- 7; P = .009). Preoperative chronic pain 
      and history of orthopaedic surgery were negative predictors of PROMIS-PI CSO 
      achievement, whereas higher (worse) preoperative PROMIS-PI scores were a positive 
      predictor. CONCLUSION: Our study defined the MCID, PASS, and SCB for the 
      PROMIS-PF CAT and PROMIS-PI CAT at 1 year postoperatively. Patients with higher 
      preoperative PROMIS scores, younger age, and lower BMI were more likely to 
      achieve CSO, whereas preoperative chronic pain and history of orthopaedic surgery 
      were negative predictors of CSO achievement.
FAU - Bodendorfer, Blake M
AU  - Bodendorfer BM
AUID- ORCID: 0000-0002-1313-6025
AD  - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - DeFroda, Steven F
AU  - DeFroda SF
AD  - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Clapp, Ian M
AU  - Clapp IM
AD  - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Newhouse, Alexander
AU  - Newhouse A
AD  - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University 
      Medical Center, Chicago, Illinois, USA.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New 
      York, USA.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University 
      Medical Center, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
DEP - 20210607
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Activities of Daily Living
MH  - Arthroscopy
MH  - Cohort Studies
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Information Systems
MH  - Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - FAI
OT  - PROMIS
OT  - femoroacetabular impingement
OT  - hip arthroscopy
EDAT- 2021/06/08 06:00
MHDA- 2021/08/10 06:00
CRDT- 2021/06/07 17:13
PHST- 2021/06/08 06:00 [pubmed]
PHST- 2021/08/10 06:00 [medline]
PHST- 2021/06/07 17:13 [entrez]
AID - 10.1177/03635465211015687 [doi]
PST - ppublish
SO  - Am J Sports Med. 2021 Jul;49(9):2457-2465. doi: 10.1177/03635465211015687. Epub 
      2021 Jun 7.