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Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain

OBJECTIVES: Compare a disease specific questionnaire (American Shoulder and Elbow Surgeons [ASES]) and a multidimensional global health scale (Patient reported outcome measurement system [PROMIS]) across a variety of shoulder conditions. METHODS: The ASES (Pain subscore, Function subscore, and total...

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Autores principales: Strong, Benjamin, Kenney, Raymond James, Schaffer, Joseph Christopher, Hedgecock, Jon, Houck, Jeff, Maloney, Michael D., Voloshin, Ilya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564953/
http://dx.doi.org/10.1177/2325967117S00450
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author Strong, Benjamin
Kenney, Raymond James
Schaffer, Joseph Christopher
Hedgecock, Jon
Houck, Jeff
Maloney, Michael D.
Voloshin, Ilya
author_facet Strong, Benjamin
Kenney, Raymond James
Schaffer, Joseph Christopher
Hedgecock, Jon
Houck, Jeff
Maloney, Michael D.
Voloshin, Ilya
author_sort Strong, Benjamin
collection PubMed
description OBJECTIVES: Compare a disease specific questionnaire (American Shoulder and Elbow Surgeons [ASES]) and a multidimensional global health scale (Patient reported outcome measurement system [PROMIS]) across a variety of shoulder conditions. METHODS: The ASES (Pain subscore, Function subscore, and total score) and PROMIS Physical Function (PF), Pain Interference (PI), and Depression Computer Adaptive Tests (CATs) were collected on all clinic visits for two high volume shoulder surgeons over a 12-week period between 1/26/16 and 4/20/16. Data included all (n=123) records for new patient visits of patients over 18 years old for shoulder diagnoses of Impingement (M75.41, n=50), Pain (M25.11, n=30), Rotator Cuff Tear (M75.10, M75.12; n=12), Arthropathy (M12.9, n=12), Instability (M75.02, n=6), Adhesive Capsulitis (M75.02, n=4), and miscellaneous (n=9). Excluding diagnoses with small samples (n<10) Two way ANOVA’s (Diagnosis by Outcome Measure Domains) with age and gender as covariates were used to determine if specific diagnoses presented with different initial severity of pain, function, or depression. This was followed by univariate analysis to determine the associations between the disease specific ASES scores and non disease specific PROMIS domains. Correlations of r>0.7 were considered strong correlation, r>0.5 moderate, and <0.5 poor. All analyses were carried out using SPSS® version 22 (copyright 2013). RESULTS: Two way ANOVA’s demonstrated no significant differences of ASES or PROMIS scores across diagnoses, suggesting similar levels of pain, function and depression across diagnoses. PROMIS PF was moderately associated with ASES Function (r=0.61, p<0.01), and ASES Total (r=0.59, p<0.01). PROMIS PI was strongly correlated to ASES Function (r=-0.71, p<0.01) and ASES Total (r=-0.74, p<0.01) as well as moderately correlated to ASES Pain (r=-0.56, P<0.01). ASES Pain had poor correlation to ASES Function (r=0.45, p<0.01). PROMIS Depression had poor correlation to all ASES domains. CONCLUSION: The non-disease specific PROMIS PF and PI demonstrated the ability to determine disease severity across shoulder diagnosis equal to an accepted disease specific scale (ASES). Furthermore, PROMIS PI had a stronger correlation to ASES Function than either PROMIS PF or the ASES Pain subscore and may more accurately describe the true affect of pain on a patient’s daily life. This data shows the potential for the universally available and emerging PROMIS instrument to track shoulder problems similar to a prior established disease specific instrument.
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spelling pubmed-55649532017-08-24 Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain Strong, Benjamin Kenney, Raymond James Schaffer, Joseph Christopher Hedgecock, Jon Houck, Jeff Maloney, Michael D. Voloshin, Ilya Orthop J Sports Med Article OBJECTIVES: Compare a disease specific questionnaire (American Shoulder and Elbow Surgeons [ASES]) and a multidimensional global health scale (Patient reported outcome measurement system [PROMIS]) across a variety of shoulder conditions. METHODS: The ASES (Pain subscore, Function subscore, and total score) and PROMIS Physical Function (PF), Pain Interference (PI), and Depression Computer Adaptive Tests (CATs) were collected on all clinic visits for two high volume shoulder surgeons over a 12-week period between 1/26/16 and 4/20/16. Data included all (n=123) records for new patient visits of patients over 18 years old for shoulder diagnoses of Impingement (M75.41, n=50), Pain (M25.11, n=30), Rotator Cuff Tear (M75.10, M75.12; n=12), Arthropathy (M12.9, n=12), Instability (M75.02, n=6), Adhesive Capsulitis (M75.02, n=4), and miscellaneous (n=9). Excluding diagnoses with small samples (n<10) Two way ANOVA’s (Diagnosis by Outcome Measure Domains) with age and gender as covariates were used to determine if specific diagnoses presented with different initial severity of pain, function, or depression. This was followed by univariate analysis to determine the associations between the disease specific ASES scores and non disease specific PROMIS domains. Correlations of r>0.7 were considered strong correlation, r>0.5 moderate, and <0.5 poor. All analyses were carried out using SPSS® version 22 (copyright 2013). RESULTS: Two way ANOVA’s demonstrated no significant differences of ASES or PROMIS scores across diagnoses, suggesting similar levels of pain, function and depression across diagnoses. PROMIS PF was moderately associated with ASES Function (r=0.61, p<0.01), and ASES Total (r=0.59, p<0.01). PROMIS PI was strongly correlated to ASES Function (r=-0.71, p<0.01) and ASES Total (r=-0.74, p<0.01) as well as moderately correlated to ASES Pain (r=-0.56, P<0.01). ASES Pain had poor correlation to ASES Function (r=0.45, p<0.01). PROMIS Depression had poor correlation to all ASES domains. CONCLUSION: The non-disease specific PROMIS PF and PI demonstrated the ability to determine disease severity across shoulder diagnosis equal to an accepted disease specific scale (ASES). Furthermore, PROMIS PI had a stronger correlation to ASES Function than either PROMIS PF or the ASES Pain subscore and may more accurately describe the true affect of pain on a patient’s daily life. This data shows the potential for the universally available and emerging PROMIS instrument to track shoulder problems similar to a prior established disease specific instrument. SAGE Publications 2017-07-31 /pmc/articles/PMC5564953/ http://dx.doi.org/10.1177/2325967117S00450 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc-nd/3.0/ This open-access article is published and distributed under the Creative Commons Attribution - NonCommercial - No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article without the permission of the Author(s). For reprints and permission queries, please visit SAGE’s Web site at http://www.sagepub.com/journalsPermissions.nav.
spellingShingle Article
Strong, Benjamin
Kenney, Raymond James
Schaffer, Joseph Christopher
Hedgecock, Jon
Houck, Jeff
Maloney, Michael D.
Voloshin, Ilya
Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain
title Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain
title_full Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain
title_fullStr Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain
title_full_unstemmed Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain
title_short Comparison of Patient Reported Outcomes using PROMIS in Patients with Shoulder Pain
title_sort comparison of patient reported outcomes using promis in patients with shoulder pain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564953/
http://dx.doi.org/10.1177/2325967117S00450
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