PMID- 34766096
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220428
IS  - 2666-6383 (Electronic)
IS  - 2666-6383 (Linking)
VI  - 5
IP  - 6
DP  - 2021 Nov
TI  - The minimal clinically important difference of the Patient-Reported Outcomes 
      Measurement Information System (PROMIS) physical function and upper extremity 
      computer adaptive tests and QuickDASH in the setting of elbow trauma.
PG  - 1132-1138
LID - 10.1016/j.jseint.2021.06.005 [doi]
AB  - BACKGROUND: Minimal clinically important difference (MCID) estimates are useful 
      for gauging clinical relevance when interpreting changes or differences in 
      patient-reported outcomes scores. These values are lacking in the setting of 
      elbow trauma. Our primary purpose was to estimate the MCID of the 
      Patient-Reported Outcomes Measurement Information System (PROMIS) physical 
      function (PF) computer adaptive test (CAT), the PROMIS upper extremity (UE) CAT, 
      and the QuickDASH using an anchor-based approach for patients recovering from 
      elbow trauma and related surgeries. Secondarily, we aimed to estimate the MCID 
      using the 1/2 standard deviation method. MATERIALS & METHODS: Adult patients 
      undergoing treatment for isolated elbow injuries between July 2014 and April 2020 
      were identified at a single tertiary academic medical center. Outcomes, including 
      the PROMIS PF CAT v1.2/2.0, PROMIS UE CAT v1.2, and QuickDASH, were collected via 
      a tablet computer. For inclusion, baseline (6 months before injury up to 11 days 
      postoperatively or after injury) and follow-up (11 to 150 days postoperative or 
      after injury) PF or UE CAT scores were required, as well as a response to an 
      anchor question querying improvement in physical function. The MCID was 
      calculated using (1) an anchor-based approach using the difference in mean score 
      change between anchor groups reporting "No change" and "Slightly 
      Improved/Improved" and (2) the 1/2 standard deviation method. RESULTS: Of the 146 
      included patients, the mean age was 46 +/- 18 years and 67 (46%) were women. Most 
      patients (129 of 146 or 88%) were recovering from surgery, and the remaining 12% 
      were recovering from nonoperatively managed fractures and/or dislocations. The 
      mean follow-up was 157 +/- 192 days. Scores for each instrument improved 
      significantly between baseline and follow-up. Anchor-based MCID values were 
      calculated as follows: 5.7, 4.6, and 5.3 for the PROMIS PF CAT, PROMIS UE CAT, 
      and QuickDASH, respectively. MCID values estimated using the 1/2 standard 
      deviation method were 4.3, 4.8, and 11.7 for the PROMIS PF CAT, PROMIS UE CAT, 
      and QuickDASH, respectively. CONCLUSIONS: In the setting of elbow trauma, we 
      propose MCID ranges of 4.3 to 5.7 for the PROMIS PF CAT, 4.6 to 4.8 for the 
      PROMIS UE CAT, and 5.3 to 11.7 for the QuickDASH. These values will provide a 
      framework for clinical relevance when interpreting clinical outcomes studies, or 
      powering clinical trials, for populations recovering from trauma.
CI  - (c) 2021 The Author(s).
FAU - Randall, Dustin J
AU  - Randall DJ
AD  - Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
AD  - Oakland University William Beaumont School of Medicine, Rochester, MI, USA.
FAU - Zhang, Yue
AU  - Zhang Y
AD  - Division of Public Health, University of Utah, Salt Lake City, UT, USA.
FAU - Harris, Andrew P
AU  - Harris AP
AD  - University Orthopedic Surgeons, Knoxville, TN, USA.
FAU - Qiu, Yuqing
AU  - Qiu Y
AD  - Weill Cornell Medicine, Department of Population Health Sciences, New York, NY, 
      USA.
FAU - Li, Haojia
AU  - Li H
AD  - Division of Public Health, University of Utah, Salt Lake City, UT, USA.
FAU - Stephens, Andrew R
AU  - Stephens AR
AD  - Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
FAU - Kazmers, Nikolas H
AU  - Kazmers NH
AD  - Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
LA  - eng
PT  - Journal Article
DEP - 20210808
PL  - United States
TA  - JSES Int
JT  - JSES international
JID - 101763461
PMC - PMC8568814
OTO - NOTNLM
OT  - Elbow
OT  - Minimal clinically important difference (MCID)
OT  - Orthopaedic/orthopedic trauma
OT  - PROMIS physical function (PF) computer adaptive test (CAT)
OT  - PROMIS upper extremity (UE) computer adaptive test
OT  - QuickDash
EDAT- 2021/11/13 06:00
MHDA- 2021/11/13 06:01
PMCR- 2021/08/08
CRDT- 2021/11/12 07:13
PHST- 2021/11/12 07:13 [entrez]
PHST- 2021/11/13 06:00 [pubmed]
PHST- 2021/11/13 06:01 [medline]
PHST- 2021/08/08 00:00 [pmc-release]
AID - S2666-6383(21)00167-5 [pii]
AID - 10.1016/j.jseint.2021.06.005 [doi]
PST - epublish
SO  - JSES Int. 2021 Aug 8;5(6):1132-1138. doi: 10.1016/j.jseint.2021.06.005. 
      eCollection 2021 Nov.