PMID- 35466738
OWN - NLM
STAT- MEDLINE
DCOM- 20220805
LR  - 20220831
IS  - 1944-7876 (Electronic)
IS  - 1071-1007 (Linking)
VI  - 43
IP  - 8
DP  - 2022 Aug
TI  - Relationship Between Preoperative PROMIS Scores and Postoperative Outcomes in 
      Hallux Rigidus Patients Undergoing Cheilectomy.
PG  - 1053-1061
LID - 10.1177/10711007221088822 [doi]
AB  - BACKGROUND: Previous studies have demonstrated that preoperative patient-reported 
      outcome measures are associated with postoperative outcomes in foot and ankle 
      surgery, and also in specific procedures such as bunionectomy, flatfoot 
      reconstruction, and total ankle replacement. The primary purpose of this study 
      was to determine if preoperative Patient-Reported Outcomes Measurement 
      Information System (PROMIS) physical function, pain interference, pain intensity, 
      and depression scores were associated with the ability of patients undergoing 
      cheilectomy for hallux rigidus to achieve a minimal clinically important 
      difference (MCID) of improvement. METHODS: This retrospective study included 
      preoperative and >/=2-year postoperative PROMIS physical function, pain 
      interference, pain intensity, and depression scores for 125 feet in 118 patients 
      undergoing cheilectomy collected from an institutional review board 
      (IRB)-approved foot and ankle registry database. MCIDs were established using 
      distribution-based methods to determine clinical significance of improvements in 
      PROMIS scores. Receiver operating characteristic (ROC) curves and area under the 
      curve analyses were used to determine which preoperative PROMIS scores were 
      associated with patients meeting the MCID. RESULTS: ROC analysis found 
      statistically significant areas under the curve (AUCs) for the physical function 
      domain (AUC 0.71), pain intensity (AUC 0.70), and depression (AUC 0.79) PROMIS 
      domains. Subsequent analyses were unable to identify clinically useful 95% 
      sensitivity and specificity preoperative thresholds, with the exception of the 
      95% sensitivity PROMIS physical function threshold. A preoperative physical 
      function score of greater than 53.2 resulted in a 63% probability of achieving 
      the MCID. The pain interference PROMIS domain did not demonstrate a statistically 
      significant AUC. CONCLUSION: Preoperative PROMIS physical function, pain 
      interference, pain intensity, and depression scores are minimally associated with 
      preoperative to 2-year postoperative improvement in patients undergoing 
      cheilectomy. It may be difficult to determine which patients improve from a 
      cheilectomy based on the severity of symptoms they exhibit preoperatively. LEVEL 
      OF EVIDENCE: Level IV, retrospective case series.
FAU - Rajan, Lavan
AU  - Rajan L
AUID- ORCID: 0000-0003-2530-2956
AD  - Research Assistant, Hospital for Special Surgery, New York, NY, USA.
FAU - Conti, Matthew S
AU  - Conti MS
AUID- ORCID: 0000-0003-3313-2520
AD  - Foot and Ankle Fellow, OrthoCarolina.
FAU - Cororaton, Agnes
AU  - Cororaton A
AD  - Biostatistician, Hospital for Special Surgery, New York, NY, USA.
FAU - Fuller, Robert
AU  - Fuller R
AUID- ORCID: 0000-0002-3840-4209
AD  - Research Assistant, Hospital for Special Surgery, New York, NY, USA.
FAU - Ellis, Scott J
AU  - Ellis SJ
AUID- ORCID: 0000-0002-4304-7445
AD  - Attending, Hospital for Special Surgery, New York, NY, USA.
LA  - eng
PT  - Journal Article
DEP - 20220425
PL  - United States
TA  - Foot Ankle Int
JT  - Foot & ankle international
JID - 9433869
SB  - IM
MH  - *Hallux Rigidus/surgery
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - Pain
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - PROMIS
OT  - cheilectomy
OT  - hallux rigidus
OT  - patient-reported outcomes
EDAT- 2022/04/26 06:00
MHDA- 2022/08/06 06:00
CRDT- 2022/04/25 08:56
PHST- 2022/04/26 06:00 [pubmed]
PHST- 2022/08/06 06:00 [medline]
PHST- 2022/04/25 08:56 [entrez]
AID - 10.1177/10711007221088822 [doi]
PST - ppublish
SO  - Foot Ankle Int. 2022 Aug;43(8):1053-1061. doi: 10.1177/10711007221088822. Epub 
      2022 Apr 25.