患者报告结局测量信息系统上肢计算机自适应测试与美国肩肘外科协会肩关节评估表和简单肩部测试在肩部疼痛患者中的相关性。
Correlation of Patient-Reported Outcome Measurement Information System Physical Function Upper Extremity Computer Adaptive Testing, With the American Shoulder and Elbow Surgeons Shoulder Assessment Form and Simple Shoulder Test in Patients With Shoulder Pain.
机构信息
Department of Orthopaedics and Sports Medicine, University of Cincinnati, Cincinnati, Ohio, U.S.A..
Department of Orthopaedics and Sports Medicine, University of Cincinnati, Cincinnati, Ohio, U.S.A.
出版信息
Arthroscopy. 2018 May;34(5):1430-1436. doi: 10.1016/j.arthro.2017.11.040. Epub 2018 Feb 13.
PURPOSE
To evaluate the Patient-Reported Outcome Measurement Information System Physical Function Upper Extremity Computer Adaptive Testing (PROMIS PFUE CAT) measurement tool against the already validated American Shoulder and Elbow Surgeons Shoulder Assessment Form (ASES) and the Simple Shoulder Test (SST) in patients presenting with shoulder pain and determine the responder burden for each of the 3 surveys.
METHODS
Ninety patients presenting with shoulder pain were asked to fill out the ASES, SST, and PROMIS PFUE CAT. The time for completion of each survey was measured to determine responder burden, and the Pearson correlation between the 3 instruments was defined as excellent (r > 0.7), excellent-good (0.61 ≤ r ≤ 0.7), good (0.31 ≤ r ≤ 0.6), and poor (0.2 ≤ r ≤ 0.3).
RESULTS
The PROMIS PFUE CAT showed an excellent correlation with the SST (r = 0.82, P < .001) and ASES (r = 0.72, P < .001). The average time to complete SST, ASES, and PROMIS PFUE CAT was 92.8 ± 35.8, 142.3 ± 60.1, and 61.3 ± 28.8 seconds, respectively. The time to complete the PROMIS PFUE CAT was significantly less than both the SST (P < .001) and ASES (P < .001).
CONCLUSIONS
The PROMIS PFUE CAT showed an excellent correlation with the previously validated ASES and SST in patients with shoulder pain. The time saving of the PROMIS PFUE CAT was found to be smaller than that of the ASES and SST but shows that moving forward, using the PROMIS PFUE CAT would not place any additional burden on the patient filling out the survey. The lack of ceiling or floor effects with the PROMIS PFUE CAT indicates its ability to differentiate both high and low functioning patients. All of these findings indicate that the PROMIS PFUE CAT is an adequate tool for the evaluation of patients with shoulder pain and should be used in these patients going forward.
LEVEL OF EVIDENCE
Level II, diagnostic study.
目的
评估患者报告的结局测量信息系统（PROMIS）物理功能上肢计算机自适应测试（PFUE CAT）测量工具与已验证的美国肩肘外科医生（ASES）肩关节评估量表和简易肩部测试（SST）在肩部疼痛患者中的相关性，并确定这 3 种量表各自的应答者负担。
方法
90 名肩部疼痛患者被要求填写 ASES、SST 和 PROMIS PFUE CAT。通过测量完成每项调查所需的时间来确定应答者负担，并定义这 3 种工具之间的 Pearson 相关性为优秀（r＞0.7）、优秀-良好（0.61≤r≤0.7）、良好（0.31≤r≤0.6）和较差（0.2≤r≤0.3）。
结果
PROMIS PFUE CAT 与 SST（r=0.82，P＜0.001）和 ASES（r=0.72，P＜0.001）具有极好的相关性。完成 SST、ASES 和 PROMIS PFUE CAT 的平均时间分别为 92.8±35.8、142.3±60.1 和 61.3±28.8 秒。完成 PROMIS PFUE CAT 的时间明显短于 SST（P＜0.001）和 ASES（P＜0.001）。
结论
PROMIS PFUE CAT 在肩部疼痛患者中与之前验证的 ASES 和 SST 具有极好的相关性。与 ASES 和 SST 相比，PROMIS PFUE CAT 可节省时间，但这表明，从现在开始，使用 PROMIS PFUE CAT 不会给填写调查的患者带来任何额外负担。PROMIS PFUE CAT 没有天花板或地板效应，表明其能够区分高功能和低功能患者。所有这些发现表明，PROMIS PFUE CAT 是评估肩部疼痛患者的有效工具，应在这些患者中继续使用。
证据水平
Ⅱ级，诊断研究。
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