Department of Orthopaedic Surgery, Washington University Medical Center, St Louis, MO, USA.
Department of Orthopaedic Surgery, Washington University Medical Center, St Louis, MO, USA.
J Shoulder Elbow Surg. 2018 Jun;27(6S):S17-S23. doi: 10.1016/j.jse.2018.03.023.
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.
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.
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.
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.
尽管缺乏验证，患者报告的结果测量信息系统（PROMIS）仍被用于评估许多患者群体的结果。本研究的目的是研究美国肩肘外科医师协会（ASES）和简单肩部测试（SST）评分与术前接受肩袖修复的患者的 PROMIS 物理功能（PF）和上肢（UE）功能评分之间的关系。
这项横断面研究分析了 164 例连续接受关节镜下肩袖修复的患者。研究纳入标准要求患者术前完成 ASES 和 SST 评估，以及 PROMIS PF、UE 和疼痛干扰计算机自适应测试。进行了描述性统计分析，并计算了每个结果测量之间的 Pearson 相关系数。
平均 PROMIS UE 评分表明比 PROMIS PF 评分更严重的损伤（34 比 44）。有 3%的患者达到了 PROMIS UE 的 56 分满分。PROMIS PF 评分与 ASES 评分呈弱相关（r=0.43，P<0.001），与 SST 评分呈中度相关（r=0.51，P<0.001）。PROMIS UE 评分与 ASES 评分（r=0.59，P<0.001）和 SST 评分（r=0.62，P<0.001）呈中度相关。PROMIS 疼痛干扰评分与 ASES 评分（r=-0.43，P<0.001）和 SST 评分（r=-0.41，P<0.001）呈弱负相关。与 ASES 和 SST 量表相比，患者在回答 PROMIS PF 和 UE 量表的问题时，平均回答的问题较少。
与 PROMIS PF 评分相比，患有症状性肩袖撕裂的患者的 PROMIS UE 评分表明损伤更严重，与传统肩部评分的相关性更强。与传统的结果评分相比，PROMIS 计算机自适应测试允许更有效地收集患者报告的结果数据。
