PMID- 38041197 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231205 IS - 2234-0726 (Print) IS - 2234-2451 (Electronic) IS - 2234-0726 (Linking) VI - 35 IP - 1 DP - 2023 Dec 1 TI - Patient-reported outcomes measurement information system instruments in knee arthroplasty patients: a systematic review of the literature. PG - 27 LID - 10.1186/s43019-023-00201-6 [doi] LID - 27 AB - BACKGROUND: The purpose of this study is to provide a systematic review of the literature pertaining to Patient-Reported Outcome Measurement Information System (PROMIS) validation and utilization as an outcomes metric in total knee arthroplasty (TKA) patients. This is the first systematic review on PROMIS use in total knee arthroplasty patients. METHODS: A systematic search of the Pubmed/MEDLINE and Embase databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study characteristics, patient demographics, psychometric properties (Pearson and Spearman correlation) with legacy patient-reported outcome measurement (PROM) instruments, floor and ceiling effects, responsiveness, and minimum clinically important difference (MCID) and PROMIS outcomes were recorded and analyzed. RESULTS: Fifteen studies investigating PROMIS in 11,140 patients were included. The weighted-average Pearson correlation coefficient comparing PROMIS domains with legacy patient-reported outcome measurements in total knee arthroplasty patients was 0.62 [standard error (SE) = 0.06] and the weighted-average Spearman correlation comparing PROMIS domains with legacy patient-reported outcome measurements in total knee arthroplasty patients was 0.59 (SE = 0.06), demonstrating moderate-to-strong correlation and validity. There were no differences in weighted average floor [0.03% (SE = 3.1) versus 0% (SE = 0.1) versus 0.01% (SE = 1.1); p = 0.25] or ceiling effects [0.01% (SE = 0.7) versus 0.02% (SE = 1.4) versus 0.04% (SE = 3.5); p = 0.36] between PROMIS and legacy instruments. The weighted average for percentage of patients achieving MCID was 59.1% for global physical health (GPH), 26.0% for global mental health (GMH), 52.7% for physical function (PF), 67.2% for pain interference (PI), and 37.2% for depression. CONCLUSION: Notably, PROMIS global physical health, physical function, and pain interference were found to be significantly responsive, with PROMIS pain interference most effectively capturing clinical improvement as evidenced by the achievement of MCID. CI - (c) 2023. The Author(s). FAU - Czerwonka, Natalia AU - Czerwonka N AUID- ORCID: 0000-0003-2445-7833 AD - Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York-Presbyterian Hospital, 622 W 168th St., PH11-Center Wing, New York, NY, 10032, USA. nc3014@cumc.columbia.edu. FAU - Gupta, Puneet AU - Gupta P AD - Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York-Presbyterian Hospital, 622 W 168th St., PH11-Center Wing, New York, NY, 10032, USA. AD - George Washington University School of Medicine, 2300 I St NW, Washington, DC, 20052, USA. FAU - Desai, Sohil S AU - Desai SS AD - Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York-Presbyterian Hospital, 622 W 168th St., PH11-Center Wing, New York, NY, 10032, USA. FAU - Hickernell, Thomas R AU - Hickernell TR AD - Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York-Presbyterian Hospital, 622 W 168th St., PH11-Center Wing, New York, NY, 10032, USA. FAU - Neuwirth, Alexander L AU - Neuwirth AL AD - Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York-Presbyterian Hospital, 622 W 168th St., PH11-Center Wing, New York, NY, 10032, USA. FAU - Trofa, David P AU - Trofa DP AD - Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York-Presbyterian Hospital, 622 W 168th St., PH11-Center Wing, New York, NY, 10032, USA. LA - eng PT - Journal Article PT - Review DEP - 20231201 PL - England TA - Knee Surg Relat Res JT - Knee surgery & related research JID - 101575761 PMC - PMC10690965 OTO - NOTNLM OT - MCID OT - PROMIS OT - Patient-reported outcomes OT - Total knee arthroplasty COIS- Thomas R. Hickernell is on the Board of Directors for the New York State Society of Orthopedic Surgeons. Otherwise, the authors declares that they have no competing interests. EDAT- 2023/12/02 06:41 MHDA- 2023/12/02 06:42 PMCR- 2023/12/01 CRDT- 2023/12/02 00:06 PHST- 2023/03/03 00:00 [received] PHST- 2023/11/07 00:00 [accepted] PHST- 2023/12/02 06:42 [medline] PHST- 2023/12/02 06:41 [pubmed] PHST- 2023/12/02 00:06 [entrez] PHST- 2023/12/01 00:00 [pmc-release] AID - 10.1186/s43019-023-00201-6 [pii] AID - 201 [pii] AID - 10.1186/s43019-023-00201-6 [doi] PST - epublish SO - Knee Surg Relat Res. 2023 Dec 1;35(1):27. doi: 10.1186/s43019-023-00201-6.