PURPOSE: To examine the performance of the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) Function Computer Adaptive Test (CAT) relative to the PROMIS Physical Function (PF) CAT in patients seeking specialty care for upper extremity conditions. METHODS: This observational trial analyzed prospectively collected PROMIS UE and PF CAT scores from 5,202 adult patients with 10,344 outpatient clinic visits presenting to a tertiary orthopedic clinic. Pearson correlation coefficient was utilized to evaluate the association between initial PF and UE scores as well as the association between changes in PF and UE scores between visits. Differences in scores between populations presenting with hand conditions versus shoulder and elbow conditions were evaluated via Student t test, as were differences in scores between new and return patient visits. RESULTS: The PROMIS UE CAT scores were strongly correlated with PROMIS PF CAT scores. However, patients averaged 8 points lower scoring on UE CAT testing than on PF CAT scores. The UE CAT demonstrated a ceiling effect at a score of 56 that affected 7% of patients with a secondary ceiling at 50. Changes in PF and UE scores between visits were moderately correlated with a mean difference of less than 1 point. Patients presenting for hand conditions achieved better PF and UE scores than patients presenting for shoulder and elbow conditions. CONCLUSIONS: The PROMIS UE module appears responsive to changes over time. However, the current UE CAT has a ceiling score of 56, which does not allow for improvement of scores 0.6 SD higher than the presumptive normative population mean of 50. Although a specific assessment of upper extremity function is desirable, continued refinement of the PROMIS UE CAT is required to better assess patients with higher levels of function. TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic II.
PURPOSE: To examine the performance of the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity (UE) Function Computer Adaptive Test (CAT) relative to the PROMIS Physical Function (PF) CAT in patients seeking specialty care for upper extremity conditions. METHODS: This observational trial analyzed prospectively collected PROMIS UE and PF CAT scores from 5,202 adult patients with 10,344 outpatient clinic visits presenting to a tertiary orthopedic clinic. Pearson correlation coefficient was utilized to evaluate the association between initial PF and UE scores as well as the association between changes in PF and UE scores between visits. Differences in scores between populations presenting with hand conditions versus shoulder and elbow conditions were evaluated via Student t test, as were differences in scores between new and return patient visits. RESULTS: The PROMIS UE CAT scores were strongly correlated with PROMIS PF CAT scores. However, patients averaged 8 points lower scoring on UE CAT testing than on PF CAT scores. The UE CAT demonstrated a ceiling effect at a score of 56 that affected 7% of patients with a secondary ceiling at 50. Changes in PF and UE scores between visits were moderately correlated with a mean difference of less than 1 point. Patients presenting for hand conditions achieved better PF and UE scores than patients presenting for shoulder and elbow conditions. CONCLUSIONS: The PROMIS UE module appears responsive to changes over time. However, the current UE CAT has a ceiling score of 56, which does not allow for improvement of scores 0.6 SD higher than the presumptive normative population mean of 50. Although a specific assessment of upper extremity function is desirable, continued refinement of the PROMIS UE CAT is required to better assess patients with higher levels of function. TYPE OF STUDY/LEVEL OF EVIDENCE: Diagnostic II.
Authors: Andrew R Tyser; James Beckmann; Jeremy D Franklin; Christine Cheng; Shirley D Hon; Angela Wang; Man Hung Journal: J Hand Surg Am Date: 2014-08-16 Impact factor: 2.230
Authors: Felix Angst; Michael John; Géza Pap; Anne F Mannion; Daniel B Herren; Matthias Flury; André Aeschlimann; Hans-Kaspar Schwyzer; Beat R Simmen Journal: Arthritis Rheum Date: 2005-02-15
Authors: Man Hung; Maren W Voss; Jerry Bounsanga; Yushan Gu; Erin K Granger; Robert Z Tashjian Journal: J Shoulder Elbow Surg Date: 2018-01-09 Impact factor: 3.019
Authors: Nikolas H Kazmers; Man Hung; Jerry Bounsanga; Maren W Voss; Abby Howenstein; Andrew R Tyser Journal: J Hand Surg Am Date: 2019-05-06 Impact factor: 2.230
Authors: David N Bernstein; Jeff R Houck; Ronald M Gonzalez; Danielle M Wilbur; Richard J Miller; David J Mitten; Warren C Hammert Journal: Hand (N Y) Date: 2018-08-03
Authors: Prakash Jayakumar; Teun Teunis; Ana-Maria Vranceanu; Sarah Lamb; Mark Williams; David Ring; Stephen Gwilym Journal: Clin Orthop Relat Res Date: 2019-11 Impact factor: 4.176
Authors: Nikolas H Kazmers; Yuqing Qiu; Minkyoung Yoo; Andrew R Stephens; Andrew R Tyser; Yue Zhang Journal: J Hand Surg Am Date: 2020-01-16 Impact factor: 2.230
Authors: Erik-Jan A Haan; Caroline B Terwee; Marieke F Van Wier; Nienke W Willigenburg; Derek F P Van Deurzen; Martijn F Pisters; Aaron J Kaat; Leo D Roorda Journal: Qual Life Res Date: 2020-01-01 Impact factor: 4.147
Authors: Andrew R Tyser; Chelsea M Allen; Angela P Presson; Andrew R Stephens; David J Petron; Wyatt Walsh; Nikolas H Kazmers Journal: J Shoulder Elbow Surg Date: 2020-06-09 Impact factor: 3.019