Department of Orthopedic Surgery, University of North Carolina, Chapel Hill, NC.
Department of Health Policy and Management, the Johns Hopkins Bloomberg School of Public Health.
J Pediatr Orthop. 2022 Oct 1;42(9):462-466. doi: 10.1097/BPO.0000000000002245. Epub 2022 Aug 16.
Patient-reported outcome measures are useful tools to quantify patients' pre-treatment and post-treatment symptoms. Historically used "legacy measures", such as the Scoliosis Research Society-22 revised questionnaire (SRS-22r), are often disease-specific and can be time-intensive. Recently developed Patient-Reported Outcomes Measurement Information System (PROMIS) computerized adaptive testing (CAT) measures may reduce administrative burdens and permit more efficient outcome collection within clinic workflows. In an era of medicine where payments are becoming tied to outcomes, we sought to assess the time to completion (TTC) of 8 pediatric PROMIS CAT measures and the SRS-22r in adolescents with idiopathic scoliosis.
Patients presenting to a large, urban tertiary referral hospital were prospectively enrolled into the study. Subjects were first-time survey respondents in various phases and types of treatment for adolescent idiopathic scoliosis. In total, 200 patients ranging from 10 to 17 years old completed 8 Pediatric PROMIS CATs and the SRS-22r. PROMIS CATs administered include Physical Activity, Mobility, Anxiety, Depressive symptoms, Peer Relationships, Physical Stress Experiences, Pain Behavior and Pain Interference. TTC was calculated using start and stop timestamps in the REDCap software.
The mean (±SD) TTC for each PROMIS CAT was 1.1 (±0.9) minutes with physical activity, mobility, anxiety, depressive symptoms, peer relationships, physical stress experiences, pain behavior, and pain interference taking 1.2, 1.4, 1.0, 0.9, 1.2, 1.0, 1.0, and 1.2 minutes on average to complete, respectively. Mean TTC for the SRS-22r was 5.2 (±3.0) minutes.
In this pediatric orthopaedic cohort, completion of 8 PROMIS CATs demonstrated minimal test-taker burden and time required for completion. These findings support rapid and easily integrable PROMIS CATs in clinical practice to aid in increased delivery of efficient, patient-centered care.
III, cross-sectional study.
患者报告的结果测量是量化患者治疗前后症状的有用工具。历史上使用的“传统措施”，如脊柱侧凸研究协会 22 修订问卷（SRS-22r），通常是针对特定疾病的，并且可能需要大量时间。最近开发的患者报告的结果测量信息系统（PROMIS）计算机化自适应测试（CAT）措施可能会减轻行政负担，并允许在临床工作流程中更有效地收集结果。在医疗保健领域，支付方式正在与结果挂钩的时代，我们试图评估 8 种儿科 PROMIS CAT 测量和青少年特发性脊柱侧凸 SRS-22r 的完成时间（TTC）。
患者在一家大型城市三级转诊医院进行前瞻性研究。受试者是首次接受各种阶段和类型的青少年特发性脊柱侧凸治疗的调查对象。共有 200 名年龄在 10 至 17 岁的患者完成了 8 项儿科 PROMIS CAT 和 SRS-22r。所使用的 PROMIS CAT 包括身体活动、移动能力、焦虑、抑郁症状、同伴关系、身体压力体验、疼痛行为和疼痛干扰。TTC 是通过 REDCap 软件中的开始和停止时间戳计算得出的。
每个 PROMIS CAT 的平均（±SD）TTC 为 1.1（±0.9）分钟，其中身体活动、移动能力、焦虑、抑郁症状、同伴关系、身体压力体验、疼痛行为和疼痛干扰分别需要 1.2、1.4、1.0、0.9、1.2、1.0、1.0 和 1.2 分钟。SRS-22r 的平均 TTC 为 5.2（±3.0）分钟。
在这个儿科骨科队列中，完成 8 项 PROMIS CAT 测试所需的测试者负担和完成时间非常少。这些发现支持在临床实践中快速且易于整合 PROMIS CAT，以帮助提供更高效、以患者为中心的护理。
III，横断面研究。
