TY - JOUR
T1 - Correlation of Patient-Reported Outcomes Measurement Information System (PROMIS) scores with legacy patient-reported outcome scores in patients undergoing rotator cuff repair
AU - Patterson, Brendan M.
AU - Orvets, Nathan D.
AU - Aleem, Alexander W.
AU - Keener, Jay D.
AU - Calfee, Ryan P.
AU - Nixon, Devon C.
AU - Chamberlain, Aaron M.
N1 - Funding Information:
Jay D. Keener is a paid consultant for Arthrex; receives royalties from Shoulder Innovations; is on the editorial board of the Journal of Shoulder and Elbow Surgery ; and receives research support from the National Institutes of Health and Zimmer. Ryan P. Calfee receives research support from Medartis. Aaron M. Chamberlain is a paid consultant for Arthrex, DePuy, and Zimmer and receives research support from Zimmer. The other authors, their immediate families, and any research foundations with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.
Publisher Copyright:
© 2018 Journal of Shoulder and Elbow Surgery Board of Trustees
PY - 2018/6
Y1 - 2018/6
N2 - Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) is being used to assess outcomes in many patient populations despite limited validation. The purpose of this study was to investigate the relationship between American Shoulder and Elbow Surgeons (ASES) and Simple Shoulder Test (SST) scores and PROMIS Physical Function (PF) and Upper Extremity (UE) function scores collected preoperatively in patients undergoing rotator cuff repair. Methods: This cross-sectional study analyzed 164 consecutive patients undergoing arthroscopic rotator cuff repair. Study inclusion required preoperative completion of the ASES and SST evaluations, as well as the PROMIS PF, UE, and Pain Interference computerized adaptive tests. Descriptive statistics were produced, and Pearson correlation coefficients were calculated between each of the outcome measures. Results: Average PROMIS UE scores indicated greater impairment than PROMIS PF scores (34 vs 44). Three percent of patients reached the PROMIS UE ceiling score of 56. PROMIS PF scores demonstrated a weak correlation with ASES scores (r = 0.43, P <.001) and a moderate correlation with SST scores (r = 0.51, P <.001). PROMIS UE scores demonstrated a moderate correlation with both ASES scores (r = 0.59, P <.001) and SST scores (r = 0.62, P <.001). PROMIS Pain Interference scores demonstrated weak negative correlations with both ASES scores (r = −0.43, P <.001) and SST scores (r = −0.41, P <.001). Patients answered fewer questions on average using the PROMIS PF and UE instruments as compared with the ASES and SST instruments. Conclusion: PROMIS UE scores indicate greater impairment and demonstrate a stronger correlation with the legacy shoulder scores than PROMIS PF scores in patients with symptomatic rotator cuff tears. PROMIS computerized adaptive tests allow for more efficient patient-reported outcome data collection compared with traditional outcome scores.
AB - Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) is being used to assess outcomes in many patient populations despite limited validation. The purpose of this study was to investigate the relationship between American Shoulder and Elbow Surgeons (ASES) and Simple Shoulder Test (SST) scores and PROMIS Physical Function (PF) and Upper Extremity (UE) function scores collected preoperatively in patients undergoing rotator cuff repair. Methods: This cross-sectional study analyzed 164 consecutive patients undergoing arthroscopic rotator cuff repair. Study inclusion required preoperative completion of the ASES and SST evaluations, as well as the PROMIS PF, UE, and Pain Interference computerized adaptive tests. Descriptive statistics were produced, and Pearson correlation coefficients were calculated between each of the outcome measures. Results: Average PROMIS UE scores indicated greater impairment than PROMIS PF scores (34 vs 44). Three percent of patients reached the PROMIS UE ceiling score of 56. PROMIS PF scores demonstrated a weak correlation with ASES scores (r = 0.43, P <.001) and a moderate correlation with SST scores (r = 0.51, P <.001). PROMIS UE scores demonstrated a moderate correlation with both ASES scores (r = 0.59, P <.001) and SST scores (r = 0.62, P <.001). PROMIS Pain Interference scores demonstrated weak negative correlations with both ASES scores (r = −0.43, P <.001) and SST scores (r = −0.41, P <.001). Patients answered fewer questions on average using the PROMIS PF and UE instruments as compared with the ASES and SST instruments. Conclusion: PROMIS UE scores indicate greater impairment and demonstrate a stronger correlation with the legacy shoulder scores than PROMIS PF scores in patients with symptomatic rotator cuff tears. PROMIS computerized adaptive tests allow for more efficient patient-reported outcome data collection compared with traditional outcome scores.
KW - American Shoulder and Elbow Surgeons score
KW - PROMIS
KW - Patient-reported outcomes
KW - Simple Shoulder Test
KW - computerized adaptive testing
KW - psychometrics
KW - rotator cuff tear
KW - upper extremity
UR - http://www.scopus.com/inward/record.url?scp=85046997337&partnerID=8YFLogxK
U2 - 10.1016/j.jse.2018.03.023
DO - 10.1016/j.jse.2018.03.023
M3 - Article
C2 - 29776469
AN - SCOPUS:85046997337
SN - 1058-2746
VL - 27
SP - S17-S23
JO - Journal of Shoulder and Elbow Surgery
JF - Journal of Shoulder and Elbow Surgery
IS - 6
ER -