Use of PROMIS in Assessment of Children With Ponseti-treated Idiopathic Clubfoot: Better Scores With Greater Than 3 Years of Brace Use
| Autor: | Nancy Abarca, Nina Q. Cung, Ahsan Khan, Joel A. Lerman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Clubfoot medicine.medical_specialty Adolescent Social Interaction Pain 03 medical and health sciences symbols.namesake 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Reference population Patient Reported Outcome Measures Mobility Limitation Child Retrospective Studies 030222 orthopedics Braces business.industry Idiopathic clubfoot Retrospective cohort study Patient Preference General Medicine medicine.disease Brace Bonferroni correction Pediatrics Perinatology and Child Health Laterality Physical therapy symbols Quality of Life Female Analysis of variance business |
| Zdroj: | Journal of pediatric orthopedics. 40(9) |
| ISSN: | 1539-2570 |
| Popis: | Background Patient-Reported Outcomes Measurement Information System (PROMIS) is a well-validated tool used to measure health-related quality of life for children and adolescents with chronic medical conditions. The current study evaluates PROMIS scores in 3 domains for children with Ponseti-treated idiopathic clubfoot. Methods This is a retrospective cohort study of 77 children, ages 5 to 16 years, treated by Ponseti protocol for idiopathic clubfoot. Three pediatric PROMIS domains (Mobility, Pain Interference, and Peer Relationships) were administered between April 2017 and June 2018. One-way analysis of variance with Bonferroni post hoc and independent sample t tests were performed to explore differences across PROMIS domain scores by sex, age, initial Dimeglio score, laterality, bracing duration, and whether the child underwent tibialis anterior transfer. Results In the self-reported group (ages 8 to 16), mean T-scores for all 3 domains in both unilaterally and bilaterally affected groups were within the normal range, with respect to the general reference pediatric population. However, children with unilateral clubfoot had a significantly higher mean Mobility T-score (54.77) than children with bilateral clubfoot (47.81, P=0.005). Children with unilateral clubfoot also had significantly lower mean pain scores (39.16) than their bilateral counterparts (46.56, P=0.005). Children who had braced >36 months had a significantly higher mean Mobility T-score (53.68) than children who braced ≤36 months (46.28, P=0.004).In the proxy group (ages 5 to 7), mean T-scores for all 3 domains in both laterality groups were within the normal range, with respect to the reference population. Children who had braced >36 months had a significantly higher mean Mobility T-score (52.75 vs. 49.15, P=0.014) and lower Pain Interference score (43.04 vs. 49.15, P=0.020) than children who braced ≤36 months. Conclusions Children treated by Ponseti protocol for idiopathic clubfoot yielded PROMIS scores for Mobility, Pain Interference, and Peer Relationships domains similar to the reference population. Bracing duration >36 months and unilaterality were associated with less mobility impairment than their counterparts. These findings may help guide parent recommendations. Level of evidence Level III. |
| Databáze: | OpenAIRE |
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