半月板手术患者中PROMIS身体功能、疼痛干扰和抑郁计算机自适应测试工具的性能
Performance of PROMIS Physical Function, Pain Interference, and Depression Computer Adaptive Tests Instruments in Patients Undergoing Meniscal Surgery.
作者信息
Lu Yining, Beletsky Alexander, Nwachukwu Benedict U, Patel Bhavik H, Okoroha Kelechi R, Verma Nikhil, Cole Brian, Forsythe Brian
机构信息
Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Division of Sports Medicine, Midwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.
出版信息
Arthrosc Sports Med Rehabil. 2020 Oct 24;2(5):e451-e459. doi: 10.1016/j.asmr.2020.04.012. eCollection 2020 Oct.
PURPOSE
To compare the performance of the Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF), pain interference (PIF), and depression computer adaptive tests (CAT) relative to legacy instruments in patients undergoing meniscal surgery.
METHODS
Patients scheduled to undergo meniscal surgery completed legacy knee function PROMs (International Knee Documentation Committee [IKDC], Knee Injury and Osteoarthritis Outcome Score [KOOS] subscores), Marx Activity Rating Scale (MARS), Veterans-Rand 12 (VR12), Short Form 12 (SF12), and the Brief Resilience Scale (BRS) alongside PROMIS PF, PIF, and Depression preoperatively. Spearman rank correlations were calculated, and score distributions were examined for floor and ceiling effects.
RESULTS
152 patients (46.6 ± 14.9 years, 67.1% male) completed PROMs for appropriate inclusion. PROMIS PF yielded high-moderate to high correlations with the IKDC and KOOS subscales ( = 0.61 to 0.73), demonstrating similar performance to the IKDC. PROMIS PIF demonstrated moderately high-moderate to high correlations with the IKDC, KOOS subscales, VR-12 Physical Component Score (PCS), and SF12 PCS ( = 0.62 to 0.71), performing comparably to KOOS Pain ( = 0.55 to 0.92). PROMIS Depression demonstrated moderate to high-moderate correlations with the mental health legacies ( = 0.46 to 0.66). Significant ceiling effects were observed for MARS (n = 29, 18.8%), and significant floor effects were exhibited by PROMIS Depression (n = 38, 25%) and MARS (n = 27, 17.6%).
CONCLUSION
The PROMIS PF, PIF CAT, and Depression instruments exhibit comparable performance profiles relative to legacy knee PROMs. PROMIS PF and PIF demonstrated no floor and ceiling effects, whereas PROMIS Depression exhibited a significant relative floor effect. PROMIS PF and PIF may be appropriately used to establish functional baselines preoperatively.
LEVEL OF EVIDENCE
IV, diagnostic case series.
目的
比较患者报告结局测量信息系统（PROMIS）的身体功能（PF）、疼痛干扰（PIF）和抑郁计算机自适应测试（CAT）与传统工具在接受半月板手术患者中的表现。
方法
计划接受半月板手术的患者在术前完成了传统的膝关节功能患者报告结局量表（国际膝关节文献委员会[IKDC]、膝关节损伤和骨关节炎结局评分[KOOS]子量表）、马克思活动评分量表（MARS）、退伍军人兰德12项健康调查（VR12）、简短健康调查12项量表（SF12）以及简短复原力量表（BRS），同时完成PROMIS PF、PIF和抑郁量表。计算Spearman等级相关性，并检查分数分布的地板效应和天花板效应。
结果
152例患者（46.6±14.9岁，67.1%为男性）完成了符合纳入标准的患者报告结局量表评估。PROMIS PF与IKDC和KOOS子量表具有中高度至高相关性（r=0.61至0.73），表现与IKDC相似。PROMIS PIF与IKDC、KOOS子量表、VR-12身体成分评分（PCS）和SF12 PCS具有中高度至高相关性（r=0.62至0.71），表现与KOOS疼痛量表相当（r=0.55至0.92）。PROMIS抑郁量表与心理健康传统量表具有中度至高相关性（r=0.46至0.66）。MARS观察到显著的天花板效应（n=29，18.8%），PROMIS抑郁量表（n=38，25%）和MARS（n=27，17.6%）表现出显著的地板效应。
结论
PROMIS PF、PIF CAT和抑郁量表相对于传统膝关节患者报告结局量表表现出可比的性能特征。PROMIS PF和PIF未显示地板效应和天花板效应，而PROMIS抑郁量表表现出显著的相对地板效应。PROMIS PF和PIF可适用于术前建立功能基线。
证据水平
IV，诊断性病例系列。
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