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..
Arthroscopy. 2021 Apr;37(4):1301-1309.e1. doi: 10.1016/j.arthro.2020.11.039. Epub 2020 Nov 27.
To evaluate the current literature regarding Patient-Reported Outcomes Measurement Information System (PROMIS) and its correlation to legacy patient-reported outcomes measures (PROMs) in 5 domains: (1) rotator cuff disease, (2) shoulder instability, (3) shoulder arthroplasty, (4) proximal humerus fractures, and (5) glenohumeral arthritis. The secondary purpose is to evaluate the floor and ceiling effects, the number of questions, and time needed to complete PROMIS and legacy PROMs in shoulder care.
A systematic review of the available literature on PROMIS scores in shoulder care was performed. This review was accomplished per PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines.
A total of 11 studies that reported data on 1485 patients met inclusion criteria. There was a strong correlation between general function PROMs and the PROMIS PF for patients with rotator cuff disease, shoulder instability, shoulder arthroplasty, and proximal humerus fractures. In addition, there was a strong correlation between PROMIS UE and legacy PROMs in patients with rotator cuff injury and shoulder instability. PROMIS instruments asked fewer questions than legacy PROMs (9.46 vs 12.99, respectively), took less time to complete (88.21 vs 96.53 seconds, respectively), had less floor effects in both PROMIS PF and UE (0.17% and 0.62% vs 2.89%, respectively), and had lower ceiling effects for PROMIS PF but not PROMIS UE assessments (0.17% and 6.37% vs 1.89%, respectively).
This systematic review demonstrated PROMIS instruments have varying correlations with legacy PROMs measures for patients with rotator cuff disease, shoulder instability, shoulder arthroplasty, and glenohumeral arthritis. PROMIS instruments do measure clinical outcomes faster and with fewer questions. Other than PROMIS UE v1.2 ceiling effects, PROMIS instruments have lower rates of floor and ceiling effects.
Level IV, systematic review of Level II-IV studies.
评估当前有关患者报告结局测量信息系统（PROMIS）的文献，并评估其在以下 5 个领域与传统患者报告结局测量（PROM）的相关性：（1）肩袖疾病，（2）肩不稳，（3）肩关节炎，（4）肱骨近端骨折，（5）肩关节炎。次要目的是评估在肩部护理中，PROMIS 和传统 PROM 的地板和天花板效应、问题数量以及完成所需的时间。
对肩部护理中 PROMIS 评分的现有文献进行了系统回顾。该综述符合 PRISMA（系统评价和荟萃分析的首选报告项目）指南的要求。
共有 11 项研究报告了 1485 名患者的数据，符合纳入标准。肩袖疾病、肩不稳、肩关节炎和肱骨近端骨折患者的一般功能 PROM 与 PROMIS PF 之间存在很强的相关性。此外，肩袖损伤和肩不稳患者的 PROMIS UE 与传统 PROM 之间也存在很强的相关性。PROMIS 仪器的问题数量比传统 PROM 少（分别为 9.46 和 12.99），完成时间更短（分别为 88.21 和 96.53 秒），PF 和 UE 的地板效应也更小（分别为 0.17%和 0.62%），PF 的天花板效应也更低，但 UE 的天花板效应没有变化（分别为 0.17%和 6.37%）。
本系统综述表明，PROMIS 仪器与肩袖疾病、肩不稳、肩关节炎和肩关节炎患者的传统 PROM 有不同的相关性。PROMIS 仪器在测量临床结果时速度更快，问题也更少。除了 PROMIS UE v1.2 的天花板效应外，PROMIS 仪器的地板和天花板效应发生率较低。
IV 级，对 II-IV 级研究的系统评价。
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