PMID- 36318339
OWN - NLM
STAT- MEDLINE
DCOM- 20230727
LR  - 20231023
IS  - 1432-1068 (Electronic)
IS  - 1633-8065 (Print)
IS  - 1633-8065 (Linking)
VI  - 33
IP  - 6
DP  - 2023 Aug
TI  - Determining the clinical significance of the PROMIS physical function score in 
      the setting of femur fractures.
PG  - 2277-2282
LID - 10.1007/s00590-022-03417-6 [doi]
AB  - BACKGROUND: To adequately utilize patient reported outcome scores in the clinical 
      setting, accurate determination of a cohort-specific minimal clinically important 
      differences (MCID) is necessary. The purpose of this study was to assess MCID for 
      Patient Reported Outcome Information System Physical Function Scores (PROMIS(R)) 
      Physical Function (PF) in a sample of patients who have undergone operative 
      fixation for femur fractures. METHODS: All patients at a single Level 1 trauma 
      center who were treated for operative femur fractures were identified by Current 
      Procedural Terminology (CPT) codes (27,244, 27,245, 27,506, 27,507). PROMIS PF 
      was collected as part of routine clinical care via computer adaptive testing 
      (CAT). MCID calculations were performed using both anchor-based and 
      distribution-based methods. RESULTS: A total of 182 patients with 723 score 
      observations were included in the overall distribution-based analysis and 131 
      patients with 309 score observations were included in the anchor-based analysis. 
      In the overall cohort, the average age was 53.1 (SD 22.3), and 45% of 
      participants were female. MCID for PROMIS PF scores was 5.43 in the 
      distribution-based method and 5.18 in the anchor-based method. Overall scores in 
      the distribution group improved from mean of 27.4 (SD 7.0) at the first 
      postoperative visit to a mean of 36.7 (SD 10.0) at a subsequent follow up visit. 
      Overall scores in the anchor group improved from mean of 26.7 (SD 7.3) at the 
      first postoperative visit to a mean of 37.5 (SD 9.3) at a subsequent follow up 
      visit. CONCLUSIONS: This study identifies two MCID values (5.18, 5.43) based on 
      two calculation methods for PROMIS physical function scores in the operative 
      femur fracture population. This data could be helpful in targeting postoperative 
      patients who fall below expected norms or in allowing clinical correlation with 
      changes in surgical practice.
CI  - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, 
      part of Springer Nature.
FAU - Myhre, Luke
AU  - Myhre L
AUID- ORCID: 0000-0001-8373-8593
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA. Luke.myhre@hsc.utah.edu.
FAU - Olsen, Zachary
AU  - Olsen Z
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA.
AD  - Division of Epidemiology, Department of Internal Medicine, University of Utah, 
      Salt Lake City, UT, USA.
FAU - Li, Haojia
AU  - Li H
AD  - Division of Epidemiology, Department of Internal Medicine, University of Utah, 
      Salt Lake City, UT, USA.
FAU - Zhang, Yue
AU  - Zhang Y
AD  - Division of Epidemiology, Department of Internal Medicine, University of Utah, 
      Salt Lake City, UT, USA.
FAU - Cizik, Amy M
AU  - Cizik AM
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA.
AD  - Division of Epidemiology, Department of Internal Medicine, University of Utah, 
      Salt Lake City, UT, USA.
FAU - Haller, Justin
AU  - Haller J
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA.
LA  - eng
GR  - UL1 RR025764/RR/NCRR NIH HHS/United States
GR  - UL1 TR000105/TR/NCATS NIH HHS/United States
GR  - UL1 TR001067/TR/NCATS NIH HHS/United States
GR  - UL1 TR002538/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20221101
PL  - France
TA  - Eur J Orthop Surg Traumatol
JT  - European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
JID - 9518037
SB  - IM
MH  - Female
MH  - Male
MH  - Animals
MH  - *Clinical Relevance
MH  - *Minimal Clinically Important Difference
MH  - Physical Examination
MH  - Patient Reported Outcome Measures
MH  - Femur
MH  - Treatment Outcome
PMC - PMC10589945
MID - NIHMS1930805
OTO - NOTNLM
OT  - Femur fracture
OT  - MCID
OT  - PROMIS
OT  - Physical function
COIS- Conflict of Interest: The authors conflict of interests are designated on their 
      respective ICMJE forms.
EDAT- 2022/11/02 06:00
MHDA- 2023/07/27 06:42
PMCR- 2024/08/01
CRDT- 2022/11/01 12:15
PHST- 2022/07/03 00:00 [received]
PHST- 2022/10/18 00:00 [accepted]
PHST- 2024/08/01 00:00 [pmc-release]
PHST- 2023/07/27 06:42 [medline]
PHST- 2022/11/02 06:00 [pubmed]
PHST- 2022/11/01 12:15 [entrez]
AID - 10.1007/s00590-022-03417-6 [pii]
AID - 10.1007/s00590-022-03417-6 [doi]
PST - ppublish
SO  - Eur J Orthop Surg Traumatol. 2023 Aug;33(6):2277-2282. doi: 
      10.1007/s00590-022-03417-6. Epub 2022 Nov 1.