Patient-Reported Outcomes Measurement Information System Validation in Hip Arthroscopy: A Shift Towards Reducing Survey Burden

Erik Gerlach, Ryan Selley, Daniel Johnson, Richard Nicolay, Gregory Versteeg, Mark Plantz, Vehniah Tjong, Michael Terry, Erik Gerlach, Ryan Selley, Daniel Johnson, Richard Nicolay, Gregory Versteeg, Mark Plantz, Vehniah Tjong, Michael Terry

Abstract

Background The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to provide measures of patient-reported symptoms and healthcare outcomes across a variety of conditions in an easily accessible manner. The purpose of this study was to validate PROMIS against traditional legacy measures in patients undergoing hip arthroscopy for femoral acetabular impingement (FAI). Methodology Outcome measures collected pre- and post-operatively included PROMIS Pain Interference (PI) and Physical Function (PF), modified Harris Hip Score (mHHS), Hip Outcome Score-Activities of Daily Living and Sport (HOS-ADL and HOS-Sport), Nonarthritic Hip Score (NAHS), and Visual Analog Scale (VAS). Pearson's correlation coefficients were calculated between each outcome measure. Results Strong correlations were observed between the PROMIS PF T-Score and the mHHS (r = 0.64-0.83, p < 0.0001), HOS-ADL (r = 0.54-0.81, p < 0.0001), HOS-Sport (r = 0.55-0.74, p < 0.0001), and NAHS (r = 0.61-0.78, p < 0.0001) measurement tools. PROMIS Computer Adaptive Testing PI T-Score and VAS also demonstrated a strong correlation (r = 0.64-0.80, p < 0.0001). Conclusions PROMIS PF scores correlate strongly with mHHS, HOS-ADL, HOS-Sport, and NAHS scores at all time points. Likewise, PROMIS PI scores correlate strongly with VAS pain scores. On average, patients completing PROMIS need to fill out only four or five questions. This study supports the use of PROMIS as an efficient, valid outcome tool for patients with FAI undergoing hip arthroscopy.

Keywords: computer adaptive testing; femoral acetabular impingement; hip arthroscopy; promis; validation.

Conflict of interest statement

The authors have declared that no competing interests exist.

Copyright © 2021, Gerlach et al.

References

    1. What is value in health care? Porter ME. N Engl J Med. 2010;363:2477–2481.
    1. Patient reported outcome measures could help transform healthcare. Black N. BMJ. 2013;346:167.
    1. Multicenter Arthroscopy of the Hip Outcomes Research N: a short version of the International Hip Outcome Tool (iHOT-12) for use in routine clinical practice. Griffin DR, Parsons N, Mohtadi NG, Safran MR. Arthroscopy. 2012;28:611–616.
    1. Measurement properties of patient-reported outcome measures used in patients undergoing total hip arthroplasty: a systematic review. Gagnier JJ, Huang H, Mullins M, et al. JBJS Rev. 2018;6:2.
    1. Patient-reported outcome measures for hip preservation surgery-a systematic review of the literature. Ramisetty N, Kwon Y, Mohtadi N. J Hip Preserv Surg. 2015;2:15–27.
    1. The development and validation of a self-administered quality-of-life outcome measure for young, active patients with symptomatic hip disease: the International Hip Outcome Tool (iHOT-33) Mohtadi NG, Griffin DR, Pedersen ME, et al. Arthroscopy. 2012;28:595–605.
    1. High degree of variability in reporting of clinical and patient-reported outcomes after hip arthroscopy. Stone AV, Jacobs CA, Luo TD, et al. Am J Sports Med. 2018;46:3040–3046.
    1. Patient-Reported Outcome (PRO) questionnaires for young to middle-aged adults with hip and groin disability: a systematic review of the clinimetric evidence. Thorborg K, Tijssen M, Habets B, et al. Br J Sports Med. 2015;49:812.
    1. Advances in Patient-Reported Outcomes: The NIH PROMIS(®) Measures. Broderick JE, DeWitt EM, Rothrock N, Crane PK, Forrest CB. EGEMS (Wash DC) 2013;1:1015.
    1. Evaluation of the Patient-Reported Outcomes Measurement Information System Upper Extremity Computer Adaptive Test. Beckmann JT, Hung M, Voss MW, Crum AB, Bounsanga J, Tyser AR. J Hand Surg Am. 2016;41:739–744.
    1. Psychometric evaluation of the lower extremity Computerized Adaptive Test, the Modified Harris Hip Score, and the Hip Outcome Score. Hung M, Hon SD, Cheng C, et al. Orthop J Sports Med. 2014;2:2325967114562191.
    1. Assessment of disability related to femoroacetabular impingement syndrome by use of the Patient-Reported Outcome Measure Information System (PROMIS) and objective measures of physical performance. Sheean AJ, Schmitz MR, Ward CL, et al. Am J Sports Med. 2017;45:2476–2482.
    1. Correlation of PROMIS CAT with validated hip outcome scores in patients undergoing hip arthroscopy. Childs S CC, Kenney RJ, Silas DR, Adler K, Giordano BD. Orthop J Sports Med. 2017;5:2325967117.
    1. Preoperative performance of the PROMIS in patients undergoing hip arthroscopic surgery for femoroacetabular impingement syndrome. Nwachukwu BU, Beck EC, Chapman R, Chahla J, Okoroha K, Nho SJ. Orthop J Sports Med. 2019;7:2325967119860079.
    1. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. J Biomed Inform. 2009;42:377–381.
    1. Relationship between PROMIS Computer Adaptive Tests and legacy hip measures among patients presenting to a tertiary care hip preservation center. Kollmorgen RC, Hutyra CA, Green C, Lewis B, Olson SA, Mather RC, 3rd 3rd. Am J Sports Med. 2019;47:876–884.
    1. Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Norman GR, Sloan JA, Wyrwich KW. Med Care. 2003;41:582–592.
    1. The promise of PROMIS: using item response theory to improve assessment of patient-reported outcomes. Fries JF, Bruce B, Cella D. Clin Exp Rheumatol. 2005;23:53–57.
    1. Does length of questionnaire matter? A randomised trial of response rates to a mailed questionnaire. Iglesias C, Torgerson D. J Health Serv Res Policy. 2000;5:219–221.
    1. Validation of Patient-Reported Outcomes Measurement Information System Computer Adaptive Tests in lumbar disk herniation surgery. Bhatt S, Boody BS, Savage JW, Hsu WK, Rothrock NE, Patel AA. J Am Acad Orthop Surg. 2019;27:95–103.
    1. Validation of Patient-Reported Outcomes Measurement Information System (PROMIS) computerized adaptive tests in cervical spine surgery. Boody BS, Bhatt S, Mazmudar AS, Hsu WK, Rothrock NE, Patel AA. J Neurosurg Spine. 2018;28:268–279.
    1. Psychometric properties of patient-reported outcome measures for hip arthroscopic surgery. Kemp JL, Collins NJ, Roos EM, Crossley KM. Am J Sports Med. 2013;41:2065–2073.
    1. Can preoperative patient-reported outcome measures be used to predict meaningful improvement in function after TKA? Berliner JL, Brodke DJ, Chan V, SooHoo NF, Bozic KJ. Clin Orthop Relat Res. 2017;475:149–157.
    1. John Charnley Award: preoperative patient-reported outcome measures predict clinically meaningful improvement in function after THA. Berliner JL, Brodke DJ, Chan V, SooHoo NF, Bozic KJ. Clin Orthop Relat Res. 2016;474:321–329.

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