PMID- 34977645
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220429
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 3
IP  - 6
DP  - 2021 Dec
TI  - Preoperative Patient-Reported Outcomes Measurement Information System 
      Computerized Adaptive Testing (PROMIS CAT) Scores Predict Achievement of Minimum 
      Clinically Important Difference Following Anterior Cruciate Ligament 
      Reconstruction Using an Anchor-Based Methodology.
PG  - e1891-e1898
LID - 10.1016/j.asmr.2021.09.004 [doi]
AB  - PURPOSE: To determine the change in Patient-Reported Outcomes Measurement 
      Information System Computerized Adaptive Testing (PROMIS CAT) scores for physical 
      function, pain interference, and depression that constitute minimum clinically 
      important difference (MCID) using an anchor-based technique and to identify 
      pre-operative clinical thresholds in anchor-based MCID that predict likelihood of 
      achieving MCID following anterior cruciate ligament (ACL) reconstruction. 
      METHODS: Adult patients aged 18 years or older undergoing ACL reconstruction that 
      completed both preoperative and postoperative PROMIS CAT assessments and an 
      anchor-based questionnaire were identified over a 23-month period. Anchor-based 
      MCID was determined for PROMIS CAT forms for physical function (PROMIS PF CAT), 
      pain interference (PROMIS PI CAT), and depression (PROMIS D CAT). RESULTS: A 
      total of 137 patients were included for statistical analysis, with pre-operative 
      PROMIS CAT forms completed 27.9 +/- 31.2 days before surgery and 492.5 +/- 219.9 days 
      postoperatively on average. Statistically significant improvements were observed 
      for all PROMIS CAT domains. PROMIS PF CAT improved from 39.5 +/- 8.2 to 55.0 +/- 9.7 
      (P < .0005), PROMIS PI CAT from 59.8 +/- 7.2 to 48.2 +/- 8.3 (P < .0005), and PROMIS 
      D CAT from 47.9 +/- 8.8 to 41.5 +/- 8.6 (P < .0005). Anchor-based MCID for each 
      PROMIS CAT form was calculated to be +4.5, -5.4, and -4.1 for PROMIS PF CAT, 
      PROMIS PI CAT, and PROMIS D CAT, respectively. Mean difference between 
      preoperative and postoperative PROMIS CAT scores exceeded MCID for all domains. 
      The percentage of patients achieving MCID for PROMIS PF CAT, PROMIS PI CAT, and 
      PROMIS D CAT was 85%, 72%, and 55%, respectively. After introduction of 95% 
      specificity cutoffs, the percentage of patients achieving MCID for PROMIS PF CAT, 
      PROMIS PI CAT, and PROMIS D CAT increased to 100% (<35.6 cutoff score), 92% 
      (>65.7 cutoff score), and 83% (>57.5 cutoff score), respectively. CONCLUSIONS: 
      According to anchor-based analysis of PROMIS CAT MCID, ACL reconstruction is 
      effective in improving physical function, pain interference, and depression 
      symptoms. In addition, preoperative PROMIS CAT scores can predict the likelihood 
      of achieving MCID postoperatively. LEVEL OF EVIDENCE: Level IV, prognostic case 
      series.
CI  - (c) 2021 Published by Elsevier on behalf of the Arthroscopy Association of North 
      America.
FAU - Yedulla, Nikhil R
AU  - Yedulla NR
AD  - Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, 
      U.S.A.
FAU - Tramer, Joseph S
AU  - Tramer JS
AD  - Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, 
      U.S.A.
FAU - Koolmees, Dylan S
AU  - Koolmees DS
AD  - Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, 
      U.S.A.
FAU - Franovic, Sreten
AU  - Franovic S
AD  - Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, 
      U.S.A.
FAU - Elhage, Kareem G
AU  - Elhage KG
AD  - Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, 
      U.S.A.
FAU - Moutzouros, Vasilios
AU  - Moutzouros V
AD  - Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, 
      U.S.A.
FAU - Makhni, Eric C
AU  - Makhni EC
AD  - Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, 
      U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20211014
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC8689251
EDAT- 2022/01/04 06:00
MHDA- 2022/01/04 06:01
PMCR- 2021/10/14
CRDT- 2022/01/03 05:55
PHST- 2021/04/02 00:00 [received]
PHST- 2021/09/01 00:00 [accepted]
PHST- 2022/01/03 05:55 [entrez]
PHST- 2022/01/04 06:00 [pubmed]
PHST- 2022/01/04 06:01 [medline]
PHST- 2021/10/14 00:00 [pmc-release]
AID - S2666-061X(21)00165-6 [pii]
AID - 10.1016/j.asmr.2021.09.004 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2021 Oct 14;3(6):e1891-e1898. doi: 
      10.1016/j.asmr.2021.09.004. eCollection 2021 Dec.