The responsiveness of the PROMIS instruments and the qDASH in an upper extremity population.

Journal of Patient-reported Outcomes
Man HungAndrew R Tyser

Abstract

This study evaluated the responsiveness of several PROMIS patient-reported outcome measures in patients with hand and upper extremity disorders and provided comparisons with the qDASH instrument. The PROMIS Upper Extremity computer adaptive test (UE CAT) v1.2, the PROMIS Physical Function (PF) CAT v1.2, the PROMIS Pain Interference (PI) CAT v1.1 and the qDASH were administered to patients presenting to an orthopaedic hand clinic during the years 2014-2016, along with anchor questions. The responsiveness of these instruments was assessed using anchor based methods. Changes in functional outcomes were evaluated by paired-sample t-test, effect size, and standardized response mean. There were a total of 255 patients (131 females and 124 males) with an average age of 50.75 years (SD = 15.84) included in our study. Based on the change and no change scores, there were three instances (PI at 3 months, PI >3 months, and qDASH >3 months follow-ups) where scores differed between those experiencing clinically meaningful change versus no clinically meaningful change. Effect sizes for the responsiveness of all instruments were large and ranged from 0.80-1.48. All four instruments demonstrated high responsiveness, with a standardized response...Continue Reading

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Citations

Feb 12, 2019·Disability and Rehabilitation·Mark J W van der OestRuud W Selles
May 23, 2020·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Abhiram R BhashyamMarilyn Heng
Apr 25, 2021·Hand Clinics·Matthew J HallTamara D Rozental
Aug 24, 2021·Plastic and Reconstructive Surgery. Global Open·Nikhil R YedullaCharles S Day

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Software Mentioned

qDASH
R Foundation for Statistical Computing
SPSS
R Development Core
R

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