PMID- 37428224
OWN - NLM
STAT- Publisher
LR  - 20240210
IS  - 1432-1068 (Electronic)
IS  - 1633-8065 (Print)
IS  - 1633-8065 (Linking)
DP  - 2023 Jul 10
TI  - The trajectory of patient-reported outcomes and minimal clinically important 
      differences in isolated and polytraumatic pelvis and acetabular fractures.
LID - 10.1007/s00590-023-03631-w [doi]
AB  - PURPOSE: Patient-reported minimal clinically important differences (MCID) provide 
      a standard to compare clinical outcomes. The purpose of this study was to 
      calculate the MCID of PROMIS Physical Function (PF), Pain Interference (PI), 
      Anxiety (AX), and Depression (DEP) scores in patients with pelvis and/or 
      acetabular fractures. METHODS: All patients with operatively treated pelvic 
      and/or acetabular fractures were identified. Patients were categorized as either 
      only pelvis and/or acetabular fractures (PA) or polytrauma (PT). PROMIS PF, PI, 
      AX, and DEP scores were evaluated at 3-month, 6-month, and 12-month intervals. 
      Distribution-based MCID and anchor-based MCID were calculated for the overall 
      cohort, PA, and PT groups. RESULTS: The overall distribution-based MCIDs were PF 
      (5.19), PI (3.97), AX (4.33), and DEP (4.41). The overall anchor-based MCIDs were 
      PF (7.18), PI (8.03), AX (5.85), DEP (5.00). The percentage of patients achieving 
      MCID for AX was 39.8-54% at 3 months and 32.7-56% at 12 months. The percentage of 
      patients achieving MCID for DEP was 35.7-39.3% at 3 months and 32.1-35.7% at 
      12 months. The PT group had worse PROMIS PF scores than the PA group at all time 
      points [post-operative, 3-month, 6-month, and 12-month scores, (28.3 (6.3) vs. 
      26.8 (6.8) P = 0.016), (38.1 (9.2) vs. 35.0 (8.7) P = 0.037), (42.8 (8.2) vs. 39 
      (9.6) P = 0.015), (46.2 (9.7) vs. 41.2 (9.7) P = 0.011)]. CONCLUSION: An overall 
      MCID for PROMIS PF was 5.19-7.18, PROMIS PI 3.97-8.03, PROMIS AX of 4.33-5.85, 
      and PROMIS DEP of 4.41-5.00. The PT group had worse PROMIS PF at all time points. 
      The percentage of patients achieving MCID for AX and DEP plateaued at 3 months 
      post-operatively. LEVEL OF EVIDENCE: Level IV.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, 
      part of Springer Nature.
FAU - Thorne, Tyler
AU  - Thorne T
AUID- ORCID: 0000-0001-8305-6306
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA.
FAU - Cizik, Amy
AU  - Cizik A
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA.
FAU - Dong, Willie
AU  - Dong W
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA.
FAU - Da Silva, Zarek
AU  - Da Silva Z
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA.
FAU - Wei, Yingjia
AU  - Wei Y
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 - Haller, Justin M
AU  - Haller JM
AUID- ORCID: 0000-0002-8269-3925
AD  - Department of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake 
      City, UT, 84108, USA. justin.haller@hsc.utah.edu.
LA  - eng
GR  - UL1 RR025764/RR/NCRR NIH HHS/United States
GR  - UL1 TR002538/TR/NCATS NIH HHS/United States
GR  - UL1 TR000105/TR/NCATS NIH HHS/United States
GR  - L30 AR077934/AR/NIAMS NIH HHS/United States
GR  - UL1 TR001067/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20230710
PL  - France
TA  - Eur J Orthop Surg Traumatol
JT  - European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
JID - 9518037
SB  - IM
PMC - PMC10776809
MID - NIHMS1930807
OTO - NOTNLM
OT  - Acetabular
OT  - Anxiety
OT  - Depression
OT  - MCID
OT  - PROMIS
OT  - Pain
OT  - Pelvic
OT  - Physical function
OT  - Psychometric analysis
EDAT- 2023/07/10 13:05
MHDA- 2023/07/10 13:05
PMCR- 2025/01/10
CRDT- 2023/07/10 11:06
PHST- 2023/05/22 00:00 [received]
PHST- 2023/06/17 00:00 [accepted]
PHST- 2025/01/10 00:00 [pmc-release]
PHST- 2023/07/10 13:05 [medline]
PHST- 2023/07/10 13:05 [pubmed]
PHST- 2023/07/10 11:06 [entrez]
AID - 10.1007/s00590-023-03631-w [pii]
AID - 10.1007/s00590-023-03631-w [doi]
PST - aheadofprint
SO  - Eur J Orthop Surg Traumatol. 2023 Jul 10:10.1007/s00590-023-03631-w. doi: 
      10.1007/s00590-023-03631-w.