Bido Jennifer, Sullivan Spencer W, Dooley Matthew S, Nawabi Danyal H, Ranawat Anil S, Kelly Bryan T, Nwachukwu Benedict U
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
J Hip Preserv Surg. 2021 May 11;8(1):67-74. doi: 10.1093/jhps/hnab033. eCollection 2021 Jan.
The Patient-Reported Outcomes Measurement Information System (PROMIS) Global-10 assesses generic-related quality of life, but has not been well studied in the orthopaedic literature. The purpose was to compare PROMIS Global-10 and legacy hip-specific patient-reported outcome measures (PROMs) in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). This study included patients who underwent primary hip arthroscopy with complete preoperative and 6-month post-operative follow-up. PROMIS Global-10 Physical (PROMIS-P) and Mental (PROMIS-M) components, as well as the modified Harris hip score (mHHS) and International Hip Outcome Tool-33 (iHOT-33) were assessed. PROM analysis included: post-operative changes, correlations, floor and ceiling effects and responsiveness. Final analysis included 112 patients. Average age and body mass index were 36.1±11.7 years and 24.8±3.9 kg/m, respectively. All 6-month PROMs, except PROMIS-M, were significantly improved compared to preoperative level (<0.02). Preoperatively, PROMIS-P was poorly correlated with mHHS and iHOT-33 ( <0.4) whereas PROMIS-M was only poorly correlated with iHOT-33 ( <0.4, 95% CI of 0.02-0.37). Post-operatively, the iHOT-33 was poorly correlated with both PROMIS measures ( <0.4). The mHHS was fairly correlated with both PROMIS measures ( <0.6) post-operatively. The effect sizes for mHHS and iHOT-33 were high (=1.2 and 1.40, respectively), whereas the effect sizes for PROMIS Global-10 were small (<0.3). PROMIS Global-10 demonstrated lower effect sizes and poor to fair correlation with legacy hip-specific PROMs, and appears to have a limited role in the assessment of patients undergoing hip arthroscopy for FAIS. Therefore, the PROMIS Global-10 may have a limited role in assessing patients with FAIS.
患者报告结局测量信息系统（PROMIS）全球10项量表用于评估一般相关生活质量，但在骨科文献中尚未得到充分研究。本研究旨在比较PROMIS全球10项量表与传统的髋关节特异性患者报告结局指标（PROMs）在因股骨髋臼撞击综合征（FAIS）接受髋关节镜手术的患者中的情况。本研究纳入了接受初次髋关节镜手术且术前和术后6个月随访完整的患者。评估了PROMIS全球10项量表的身体（PROMIS-P）和心理（PROMIS-M）分量表，以及改良Harris髋关节评分（mHHS）和国际髋关节结局工具-33（iHOT-33）。PROM分析包括：术后变化、相关性、地板效应和天花板效应以及反应性。最终分析纳入了112例患者。平均年龄和体重指数分别为36.1±11.7岁和24.8±3.9kg/m²。与术前水平相比，除PROMIS-M外，所有6个月时的PROMs均有显著改善（<0.02）。术前，PROMIS-P与mHHS和iHOT-33的相关性较差（<0.4），而PROMIS-M仅与iHOT-33的相关性较差（<0.4，95%CI为0.02-0.37）。术后，iHOT-33与两种PROMIS量表的相关性均较差（<0.4）。术后mHHS与两种PROMIS量表的相关性中等（<0.6）。mHHS和iHOT-33的效应量较高（分别为1.2和1.40），而PROMIS全球10项量表的效应量较小（<0.3）。PROMIS全球10项量表显示出较低的效应量，与传统的髋关节特异性PROMs的相关性较差至中等，在评估因FAIS接受髋关节镜手术的患者中似乎作用有限。因此，PROMIS全球10项量表在评估FAIS患者时可能作用有限。
