A High-Sensitivity International Knee Documentation Committee Survey Index From the PROMIS System: The Next-Generation Patient-Reported Outcome for a Knee Injury Population.

Autor: Tenan MS; Defense Healthcare Management Systems, Virginia, USA.; Optimum Performance Analytics Associates, North Carolina, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Robins RJ; United States Air Force Academy, Colorado, USA.; Department of Surgery, Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Sheean AJ; San Antonio Military Medical Center, Texas, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Dekker TJ; Eglin Air Force Base, Department of Orthopaedics, Eglin AFB, Florida, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Bailey JR; Naval Medical Center San Diego, California, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Bharmal HM; Brooke Army Medical Center, Texas, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Bradley MW; Walter Reed National Military Medical Center, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Cameron KL; Keller Army Hospital, New York, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Burns TC; Ortho San Antonio, Texas, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Freedman BA; Mayo Clinic, Rochester, Minnesota, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Galvin JW; Madigan Army Medical Center, Tacoma, Washington, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Grenier ES; Fort Belvoir Community Hospital, Fort Belvoir, Virginia, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Haley CA; Keller Army Hospital, New York, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Hurvitz AP; Naval Medical Center San Diego, California, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., LeClere LE; US Naval Academy, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Lee I; Defense Healthcare Management Systems, Virginia, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Mauntel T; Uniformed Services University of the Health Sciences, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., McDonald LS; Naval Medical Center San Diego, California, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Nesti LJ; Walter Reed National Military Medical Center, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Owens BD; Brown University, Providence, Rhode Island, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Posner MA; Keller Army Hospital, New York, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Potter BK; Walter Reed National Military Medical Center, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Provencher MT; The Steadman Clinic, Vail, Colorado, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Rhon DI; Brooke Army Medical Center, Texas, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Roach CJ; South Texas Veterans Health Care System, Texas, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Ryan PM; Tripler Army Medical Center, Hawaii, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Schmitz MR; San Antonio Medical Center, Texas, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Slabaugh MA; US Air Force Academy, Colorado, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Tucker CJ; Walter Reed National Military Medical Center, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Volk WR; Centers for Advanced Orthopaedics, Maryland, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System., Dickens JF; Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.; Department of Surgery, Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.; John A. Feagin Jr Sports Medicine Fellowship, Keller Army Hospital, United States Military Academy, West Point, New York, USA.; The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or US government.; Investigation performed across the Military Health System.
Jazyk: angličtina
Zdroj: The American journal of sports medicine [Am J Sports Med] 2021 Nov; Vol. 49 (13), pp. 3561-3568. Date of Electronic Publication: 2021 Oct 06.
DOI: 10.1177/03635465211041593
Abstrakt: Background: Patient-reported outcomes (PROs) measure progression and quality of care. While legacy PROs such as the International Knee Documentation Committee (IKDC) survey are well-validated, a lengthy PRO creates a time burden on patients, decreasing adherence. In recent years, PROs such as the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function and Pain Interference surveys were developed as computer adaptive tests, reducing time to completion. Previous studies have examined correlation between legacy PROs and PROMIS; however, no studies have developed effective prediction models utilizing PROMIS to create an IKDC index. While the IKDC is the standard knee PRO, computer adaptive PROs offer numerous practical advantages.
Purpose: To develop a nonlinear predictive model utilizing PROMIS Physical Function and Pain Interference to estimate IKDC survey scores and examine algorithm sensitivity and validity.
Study Design: Cohort study (diagnosis); Level of evidence, 3.
Methods: The MOTION (Military Orthopaedics Tracking Injuries and Outcomes Network) database is a prospectively collected repository of PROs and intraoperative variables. Patients undergoing knee surgery completed the IKDC and PROMIS surveys at varying time points. Nonlinear multivariable predictive models using Gaussian and beta distributions were created to establish an IKDC index score, which was then validated using leave-one-out techniques and minimal clinically important difference analysis.
Results: A total of 1011 patients completed the IKDC and PROMIS Physical Function and Pain Interference, providing 1618 complete observations. The algorithms for the Gaussian and beta distribution were validated to predict the IKDC (Pearson = 0.84-0.86; R 2 = 0.71-0.74; root mean square error = 9.3-10.0).
Conclusion: The publicly available predictive models can approximate the IKDC score. The results can be used to compare PROMIS Physical Function and Pain Interference against historical IKDC scores by creating an IKDC index score. Serial use of the IKDC index allows for a lower minimal clinically important difference than the conventional IKDC. PROMIS can be substituted to reduce patient burden, increase completion rates, and produce orthopaedic-specific survey analogs.
Databáze: MEDLINE