PMID- 34711448
OWN - NLM
STAT- MEDLINE
DCOM- 20220321
LR  - 20220321
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Linking)
VI  - 47
IP  - 2
DP  - 2022 Feb
TI  - Minimal Clinically Important Difference for PROMIS Physical Function and Pain 
      Interference in Patients Following Surgical Treatment of Distal Radius Fracture.
PG  - 137-144
LID - S0363-5023(21)00600-6 [pii]
LID - 10.1016/j.jhsa.2021.08.025 [doi]
AB  - PURPOSE: We estimated the minimal clinically important difference (MCID) for the 
      Patient-Reported Outcomes Measurement Information System (PROMIS) Physical 
      Function (PF) and Pain Interference (PI) computer adaptive tests (CATs) following 
      surgical treatment of distal radius fracture (DRF). METHODS: Adult patients 
      surgically treated between November 2017 and November 2020 for isolated DRF were 
      identified. Demographic and patient-reported outcome data were extracted from the 
      electronic health record. Outcomes of interest were the PROMIS PF and PI CATs. 
      Inclusion criteria were met if: (1) PROMIS PF and PI scores were available at 
      preoperative and postoperative visits; and (2) a postoperative clinical anchor 
      question asking about overall response to treatment was answered. An anchor-based 
      MCID estimate was determined by calculating the average absolute score change in 
      PROMIS PF and PI for patients who indicated a mild change to the anchor question. 
      A distribution-based MCID estimate was also calculated using the standard error 
      of measurement and effect sizes of change. RESULTS: The changes in PROMIS PF and 
      PI scores were significantly different between patients who gave responses of 
      much change (n = 73), mild change (n = 51), and no change (n = 19) to the 
      clinical anchor question. The average score changes in the mild change group for 
      PROMIS PF and PI were 5.2 (SD, 3.7) and 6.8 (SD, 4.3) points, respectively, 
      representing the anchor-based MCID estimates. The PROMIS PI anchor-based estimate 
      was moderately correlated with the preoperative score (r = -0.41), time between 
      visits (r = -0.39), and age (r = 0.30). The distribution-based MCID estimates 
      were 3.8 (SD, 1.3) and 3.7 (SD, 1.3) points for the PROMIS PF and PI, 
      respectively. CONCLUSIONS: The MCIDs were estimated as 5.2 and 6.8 for the PROMIS 
      PF and PI CATs, respectively, following surgery for DRF. CLINICAL RELEVANCE: As 
      reports continue to publish a consistent range of MCID values, researchers can be 
      confident in these values and begin using them across a broader spectrum of 
      conditions treated by hand surgeons.
CI  - Copyright (c) 2022 American Society for Surgery of the Hand. Published by Elsevier 
      Inc. All rights reserved.
FAU - Hollenberg, Alex M
AU  - Hollenberg AM
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY.
FAU - Hammert, Warren C
AU  - Hammert WC
AD  - Department of Orthopaedics and Rehabilitation, University of Rochester Medical 
      Center, Rochester, NY. Electronic address: Warren_Hammert@urmc.rochester.edu.
LA  - eng
PT  - Journal Article
DEP - 20211026
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Computers
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - Pain
MH  - Patient Reported Outcome Measures
MH  - *Radius Fractures/surgery
OTO - NOTNLM
OT  - Distal radius fracture
OT  - MCID
OT  - PROMIS
OT  - minimal clinically important difference
OT  - patient-reported outcomes
EDAT- 2021/10/30 06:00
MHDA- 2022/03/22 06:00
CRDT- 2021/10/29 05:43
PHST- 2021/02/27 00:00 [received]
PHST- 2021/08/05 00:00 [revised]
PHST- 2021/08/19 00:00 [accepted]
PHST- 2021/10/30 06:00 [pubmed]
PHST- 2022/03/22 06:00 [medline]
PHST- 2021/10/29 05:43 [entrez]
AID - S0363-5023(21)00600-6 [pii]
AID - 10.1016/j.jhsa.2021.08.025 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2022 Feb;47(2):137-144. doi: 10.1016/j.jhsa.2021.08.025. Epub 
      2021 Oct 26.