对于接受腕管松解术的患者，患者报告结果测量信息系统（PROMIS）与传统患者报告结局指标是否相关？
Are PROMIS and Legacy Patient-Reported Outcome Measures Correlated for Patients Undergoing Carpal Tunnel Release?
作者信息
Demetri Leah, Blazar Philip, Earp Brandon E, Zhang Dafang
机构信息
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA.
Harvard Medical School, Boston, MA.
出版信息
J Hand Surg Glob Online. 2025 Jan 17;7(2):196-202. doi: 10.1016/j.jhsg.2024.12.002. eCollection 2025 Mar.
PURPOSE
Long-established patient-reported outcome measures (PROMs), such as the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) and the DASH, have been used traditionally to measure baseline symptoms and treatment effects before and after carpal tunnel release (CTR), but more recently, the Patient-Reported Outcomes Measurement Information System (PROMIS) has been used increasingly in the CTR patient population. We aimed to measure the correlation between legacy and PROMIS PROMs for baseline pain and function in a cohort of patients undergoing CTR for idiopathic carpal tunnel syndrome (CTS).
METHODS
Baseline PROMs were collected prospectively in 86 patients with electrodiagnostically confirmed CTS treated with CTR at a single tertiary referral center. The legacy PROMs used were the BCTQ and the DASH. The PROMIS instruments used were computer adaptive test versions of the PROMIS Pain Interference (PI), Upper Extremity (UE), and Physical Function (PF). Given normal distributions, correlation between PROMs was assessed using the Pearson correlation coefficient.
RESULTS
The mean age of the cohort was 59.7 years, and 56% were women. When assessing pain, the BCTQ - Symptom Severity Scale (SSS) was correlated moderately with PROMIS - PI (ρ = 0.59). When assessing function, the BCTQ - Functional Status Scale (FSS) was strongly inversely correlated with PROMIS - UE (ρ = -0.71) and moderately inversely correlated with PROMIS - PF (ρ = -0.58). The DASH was strongly inversely correlated with PROMIS - UE (ρ = -0.75) and moderately inversely correlated with PROMIS - PF (ρ = -0.62). Finally, when comparing the two legacy PROMs for function, the BCTQ - FSS was strongly correlated with DASH (ρ = 0.88).
CONCLUSIONS
We demonstrated at least moderate correlation between legacy and PROMIS outcome measures of baseline pain and function in CTS patients.
CLINICAL RELEVANCE
Our findings support the use of either legacy or PROMIS outcome measures for this patient population.
目的
长期以来，患者报告结局测量指标（PROMs），如波士顿腕管综合征问卷（BCTQ）和上肢功能障碍评分（DASH），传统上一直用于测量腕管松解术（CTR）前后的基线症状和治疗效果，但最近，患者报告结局测量信息系统（PROMIS）在CTR患者群体中的使用越来越多。我们旨在测量在接受特发性腕管综合征（CTS）的CTR治疗的患者队列中，传统PROMs与PROMIS PROMs在基线疼痛和功能方面的相关性。
方法
前瞻性收集了86例在单一三级转诊中心接受CTR治疗且经电诊断确诊为CTS的患者的基线PROMs。使用的传统PROMs为BCTQ和DASH。使用的PROMIS工具是PROMIS疼痛干扰（PI）、上肢（UE）和身体功能（PF）的计算机自适应测试版本。鉴于数据呈正态分布，使用Pearson相关系数评估PROMs之间的相关性。
结果
该队列的平均年龄为59.7岁，56%为女性。在评估疼痛时，BCTQ症状严重程度量表（SSS）与PROMIS - PI中度相关（ρ = 0.59）。在评估功能时，BCTQ功能状态量表（FSS）与PROMIS - UE呈强负相关（ρ = -0.71），与PROMIS - PF呈中度负相关（ρ = -0.58）。DASH与PROMIS - UE呈强负相关（ρ = -0.75），与PROMIS - PF呈中度负相关（ρ = -0.62）。最后，在比较两种传统功能PROMs时，BCTQ - FSS与DASH高度相关（ρ = 0.88）。
结论
我们证明了CTS患者中传统PROMs与PROMIS基线疼痛和功能结局测量指标之间至少存在中度相关性。
临床意义
我们的研究结果支持对该患者群体使用传统或PROMIS结局测量指标。
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