PMID- 35300869
OWN - NLM
STAT- MEDLINE
DCOM- 20220603
LR  - 20220603
IS  - 1879-0267 (Electronic)
IS  - 0020-1383 (Linking)
VI  - 53
IP  - 6
DP  - 2022 Jun
TI  - Responsiveness of the PROMIS physical function measure in orthopaedic trauma 
      patients.
PG  - 2041-2046
LID - S0020-1383(22)00203-0 [pii]
LID - 10.1016/j.injury.2022.03.017 [doi]
AB  - OBJECTIVES: To compare the responsiveness of the Patient-Reported Outcomes 
      Measurement Information System Physical Function (PROMIS-PF) to the 36-Item Short 
      Form Survey Physical Component Score (SF36-PCS) in orthopaedic trauma patients 
      from pre-injury to one year recovery. DESIGN AND SETTING: Prospective cohort 
      study at a Level 1 trauma centre. PARTICIPANTS: Patients over the age of 18 with 
      orthopaedic trauma injuries to the pelvis, lower extremity or upper extremity 
      between 2017 and 2018. MAIN OUTCOMES MEASUREMENTS: The PROMIS-PF and SF36-PCS 
      assessments were conducted at baseline, 3 months, 6 months and 12 months. 
      Responsiveness of each measure was assessed between time points by calculating 
      the standardized response mean (SRM), the proportions of patients exceeding 
      minimal clinically important difference (MCID), and the floor and ceiling 
      effects. RESULTS: Sixty-eight patients with completed assessments at every 
      timepoint were included: mean age 44.7 years, 39 were male and mean Injury 
      Severity Score (ISS) was 7.4 (range: 4-16). Mean time of completion for the SF-36 
      at all the time points was 5.6 min vs 1.7 min for the PROMIS-PF (p<0.01). The SRM 
      was comparable between measures at all the time points. Although a greater 
      proportion of patients achieved MCID for SF36-PCS between all the time points, 
      this only approached statistical significance between the 6- and 12-month 
      assessments (47.1% vs 33.8%; p = 0.15). There was a significant ceiling effect 
      demonstrated with the PROMIS-PF at baseline and 12-month assessments, with 34 
      (50.0%) patients and 7 (10.3%) patients achieving the maximum scores at each time 
      point, respectively. DISCUSSION AND CONCLUSIONS: PROMIS-PF has a more favourable 
      responder burden based on lower time to completion and comparable responsiveness 
      to the SF-36 PCS. However, there are limitations in responsiveness with the 
      PROMIS-PF in patients who are higher functioning as demonstrated by the ceiling 
      effects in patients at baseline pre-injury and at 12 months post-injury 
      timepoints.
CI  - Copyright (c) 2022 Elsevier Ltd. All rights reserved.
FAU - Sepehri, Aresh
AU  - Sepehri A
AD  - Department of Orthopaedics, Faculty of Medicine, The University of British 
      Columbia, Vancouver, BC, Canada.
FAU - Sleat, Graham K J
AU  - Sleat GKJ
AD  - Department of Orthopaedics, Faculty of Medicine, The University of British 
      Columbia, Vancouver, BC, Canada.
FAU - Roffey, Darren M
AU  - Roffey DM
AD  - Department of Orthopaedics, Faculty of Medicine, The University of British 
      Columbia, Vancouver, BC, Canada; Division of Orthopaedic Trauma, Vancouver 
      General Hospital, Vancouver Coastal Health, Vancouver, BC, Canada.
FAU - Broekhuyse, Henry M
AU  - Broekhuyse HM
AD  - Department of Orthopaedics, Faculty of Medicine, The University of British 
      Columbia, Vancouver, BC, Canada; Division of Orthopaedic Trauma, Vancouver 
      General Hospital, Vancouver Coastal Health, Vancouver, BC, Canada.
FAU - O'Brien, Peter J
AU  - O'Brien PJ
AD  - Department of Orthopaedics, Faculty of Medicine, The University of British 
      Columbia, Vancouver, BC, Canada; Division of Orthopaedic Trauma, Vancouver 
      General Hospital, Vancouver Coastal Health, Vancouver, BC, Canada.
FAU - Guy, Pierre
AU  - Guy P
AD  - Department of Orthopaedics, Faculty of Medicine, The University of British 
      Columbia, Vancouver, BC, Canada; Division of Orthopaedic Trauma, Vancouver 
      General Hospital, Vancouver Coastal Health, Vancouver, BC, Canada.
FAU - Lefaivre, Kelly A
AU  - Lefaivre KA
AD  - Department of Orthopaedics, Faculty of Medicine, The University of British 
      Columbia, Vancouver, BC, Canada; Division of Orthopaedic Trauma, Vancouver 
      General Hospital, Vancouver Coastal Health, Vancouver, BC, Canada. Electronic 
      address: kelly.lefaivre@vch.ca.
LA  - eng
PT  - Journal Article
DEP - 20220308
PL  - Netherlands
TA  - Injury
JT  - Injury
JID - 0226040
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Orthopedics
MH  - *Patient Reported Outcome Measures
MH  - Prospective Studies
MH  - Surveys and Questionnaires
MH  - Upper Extremity/injuries
OTO - NOTNLM
OT  - Ceiling Effects
OT  - Fracture
OT  - Injury
OT  - Minimal Clinically Important Difference
OT  - Orthopaedic
OT  - PROMIS
OT  - Patient Reported Outcome Measure
OT  - Physical Component Score
OT  - Physical Function
OT  - Responder Burden
OT  - Responsiveness
OT  - SF-36
OT  - Standardized Response Mean
OT  - Trauma
COIS- Declaration of Competing Interest Declarations of interest: none.
EDAT- 2022/03/19 06:00
MHDA- 2022/06/07 06:00
CRDT- 2022/03/18 05:37
PHST- 2021/04/14 00:00 [received]
PHST- 2022/03/02 00:00 [revised]
PHST- 2022/03/05 00:00 [accepted]
PHST- 2022/03/19 06:00 [pubmed]
PHST- 2022/06/07 06:00 [medline]
PHST- 2022/03/18 05:37 [entrez]
AID - S0020-1383(22)00203-0 [pii]
AID - 10.1016/j.injury.2022.03.017 [doi]
PST - ppublish
SO  - Injury. 2022 Jun;53(6):2041-2046. doi: 10.1016/j.injury.2022.03.017. Epub 2022 
      Mar 8.