Determining the Generalizability of the PROMIS Depression Domain's Floor Effect and Completion Time in Patients Undergoing Orthopaedic Surgery

Clinical Orthopaedics and Related Research
David N BernsteinWarren C Hammert

Abstract

Depression is common and can decrease the likelihood that a patient undergoing an orthopaedic procedure will improve after that intervention. Research at a single institution using the Patient-reported Outcomes Measurement Information System (PROMIS) showed that the PROMIS Depression domain had a substantial floor effect (lowest depressive symptoms measurable) in patients with orthopaedic conditions, although the instrument is designed to follow a population-based normal distribution. Patients with the lowest scores (floor) completed the questionnaire more quickly than those who did not have the lowest scores, which suggests that patients may not want to report or discuss depressive symptoms with their orthopaedic surgeon. (1) Do the scores of a large population of patients with orthopaedic conditions completing the PROMIS Physical Function (PF), Pain Interference (PI), and Depression questionnaires follow the normal population distribution used to calibrate the PROMIS instrument? (2) Do the scores of a large population of patients with foot and ankle, spine, upper extremity, multiple orthopaedic subspecialty, or other orthopaedic conditions completing the PROMIS Depression questionnaire follow the normal population distributio...Continue Reading

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Citations

Aug 31, 2020·The Bone & Joint Journal·Laura E BrownDavid Ring
Oct 23, 2020·Arthritis Care & Research·Karen L Smarr, Autumn L Keefer
Jan 12, 2021·The Journal of Hand Surgery·David N BernsteinWarren C Hammert
Apr 21, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·David N BernsteinEric C Makhni
Jun 9, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Nicolas S Piuzzi, David Ring
Jun 12, 2021·Clinical Orthopaedics and Related Research·Koen van MarenAmirreza Fatehi
Aug 7, 2021·The Journal of Bone and Joint Surgery. American Volume·Harrison MinerAmirreza Fatehi
Aug 17, 2021·The Journal of Bone and Joint Surgery. American Volume·Aresh Al SalmanTom J Crijns
Oct 16, 2021·Clinical Orthopaedics and Related Research·Teun TeunisAmirreza Fatehi

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