PMID- 35934589
OWN - NLM
STAT- MEDLINE
DCOM- 20240205
LR  - 20240206
IS  - 1531-6564 (Electronic)
IS  - 0363-5023 (Linking)
VI  - 49
IP  - 2
DP  - 2024 Feb
TI  - Responsiveness of the Brief Michigan Hand Outcomes Questionnaire and 
      Patient-Reported Outcomes Measurement Information System Pain Interference in the 
      Context of Patient Mental Health.
PG  - 185.e1-185.e7
LID - S0363-5023(22)00357-4 [pii]
LID - 10.1016/j.jhsa.2022.06.010 [doi]
AB  - PURPOSE: A patient-reported outcomes measure (PROM) is responsive if it is 
      sensitive to clinical status changes. The minimal clinically important difference 
      (MCID) is used to indicate meaningful change, helpful in designing studies and 
      adding context to some study results, and is related to instrument 
      responsiveness. Our purpose was to provide MCID estimates for the brief Michigan 
      Hand Outcomes Questionnaire (bMHQ) and Patient-Reported Outcomes Measurement 
      Information System (PROMIS) pain interference (PI) in a hand and upper extremity 
      surgery cohort within the context of varying patient-reported mental health. 
      METHODS: Data were analyzed from 1,262 adult patients who received surgical care 
      at a single center between January 1, 2018, and December 31, 2019. Patients 
      completed PROMIS PI, PROMIS Global Health (including global mental health [GMH] 
      component), bMHQ, and a pain-focused anchor question before each clinic visit. 
      Data were collected 8 +/- 2 weeks before and after surgery. A distribution-based 
      MCID then was calculated for the general patient population, lowest 10th 
      percentile of GMH scores, and top 10th percentile of GMH scores. RESULTS: Minimal 
      clinically important difference estimates were 10.4 for the bMHQ and 4.3 for 
      PROMIS PI. Analysis of MCID across different GMH score groups showed a mean score 
      of 11.5 for bMHQ for the lowest 10th percentile of GMH, 9.6 for bMHQ for the top 
      10th percentile, 4.5 for PI for the lowest 10th percentile, and 4.9 for PI for 
      the top 10th percentile. CONCLUSIONS: Analysis of subgroups stratified by 
      preoperative patient-reported mental health condition found that preoperative 
      mental health status, as indicated by GMH score, does not have a meaningful 
      impact on responsiveness of bMHQ or PROMIS PI. CLINICAL RELEVANCE: A patient's 
      reported mental health condition does not meaningfully change how these common 
      PRO instruments reflect the patient condition after hand and upper extremity 
      surgery.
CI  - Copyright (c) 2024 American Society for Surgery of the Hand. Published by Elsevier 
      Inc. All rights reserved.
FAU - Lee, Daniel
AU  - Lee D
AD  - The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD.
FAU - Paulson, Ambika
AU  - Paulson A
AD  - The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; 
      Georgetown University School of Medicine, Washington, DC.
FAU - Sanghavi, Kavya
AU  - Sanghavi K
AD  - The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; 
      MedStar Health Research Institute, Hyattsville, MD.
FAU - Giladi, Aviram M
AU  - Giladi AM
AD  - The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. 
      Electronic address: editor@curtishand.com.
LA  - eng
PT  - Journal Article
DEP - 20220805
PL  - United States
TA  - J Hand Surg Am
JT  - The Journal of hand surgery
JID - 7609631
SB  - IM
MH  - Adult
MH  - Humans
MH  - *Mental Health
MH  - Michigan
MH  - *Patient Reported Outcome Measures
MH  - Information Systems
MH  - Pain
OTO - NOTNLM
OT  - Brief Michigan Hand Questionnaire
OT  - minimal clinically important difference
OT  - pain interference
OT  - patient mental health
OT  - patient-reported outcomes
EDAT- 2022/08/08 06:00
MHDA- 2024/02/05 06:42
CRDT- 2022/08/07 22:05
PHST- 2021/12/07 00:00 [received]
PHST- 2022/04/28 00:00 [revised]
PHST- 2022/06/13 00:00 [accepted]
PHST- 2024/02/05 06:42 [medline]
PHST- 2022/08/08 06:00 [pubmed]
PHST- 2022/08/07 22:05 [entrez]
AID - S0363-5023(22)00357-4 [pii]
AID - 10.1016/j.jhsa.2022.06.010 [doi]
PST - ppublish
SO  - J Hand Surg Am. 2024 Feb;49(2):185.e1-185.e7. doi: 10.1016/j.jhsa.2022.06.010. 
      Epub 2022 Aug 5.