Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty
Background: Physical function and pain outcomes vary after arthroplasty. We investigated differences in postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF) and pain interference (PI) scores for patients undergoing total knee arthroplasty (TKA) and t...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344123001139 |
| _version_ | 1797653949829873664 |
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| author | Colin T. Penrose, MD Steven Z. George, PT, PhD, FAPTA Michael P. Bolognesi, MD Nrupen A. Bhavsar, PhD Maggie E. Horn, DPT, MPH, PhD |
| author_facet | Colin T. Penrose, MD Steven Z. George, PT, PhD, FAPTA Michael P. Bolognesi, MD Nrupen A. Bhavsar, PhD Maggie E. Horn, DPT, MPH, PhD |
| author_sort | Colin T. Penrose, MD |
| collection | DOAJ |
| description | Background: Physical function and pain outcomes vary after arthroplasty. We investigated differences in postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF) and pain interference (PI) scores for patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA). We aimed to identify preoperative factors that predict postoperative PROMIS scores. Methods: Patients who underwent TKA and THA from 2014-2020 were eligible. Preoperative variables including demographics, comorbidities, and pain scores were obtained from the medical record. Patients completed surveys measuring postoperative PF and PI. Descriptive statistics and separate linear regression models for each anatomical location were performed to examine factors predicting postoperative PROMIS PF and PI scores. Results: Surveys were completed by 2411 patients (19.5% response rate). Unadjusted mean PF postoperative scores were 47.2 for TKA and 48.8 for THA. Preoperative predictors of lower PF included female sex; body mass index and comorbidities for TKA and THA; and age, tobacco use, and non-White race for THA. Mean PI scores were 47.9 for THA and 49.0 for TKA. Preoperative predictors of increased PI included non-White race and increased body mass index for TKA and THA; higher preoperative pain for TKA; and female sex and increased comorbidity for THA. Conclusions: Postoperative PROMIS scores were similar for TKA and THA, with THA having slightly higher PF and lower PI scores. Regression models using preoperative variables showed similar performance for TKA compared with THA. These findings suggest areas for future development of clinical decision support tools. |
| first_indexed | 2024-03-11T16:52:16Z |
| format | Article |
| id | doaj.art-465f9cf97b8444ec986e54ef37c3be5c |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-03-11T16:52:16Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-465f9cf97b8444ec986e54ef37c3be5c2023-10-21T04:22:49ZengElsevierArthroplasty Today2352-34412023-10-0123101208Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip ArthroplastyColin T. Penrose, MD0Steven Z. George, PT, PhD, FAPTA1Michael P. Bolognesi, MD2Nrupen A. Bhavsar, PhD3Maggie E. Horn, DPT, MPH, PhD4Division of Adult Reconstruction, Department of Orthopaedic Surgery, Duke University, Durham, NC, USADepartment of Orthopaedic Surgery and Duke Clinical Research Institute, Duke University, Durham, NC, USADivision of Adult Reconstruction, Department of Orthopaedic Surgery, Duke University, Durham, NC, USADepartment of General Internal Medicine, Duke University, Durham, NC, USADivision of Physical Therapy, Department of Orthopaedic Surgery, Duke University, Durham, NC, USA; Corresponding author. Duke University School of Medicine, Box 10042, Durham, NC 27712, USA. Tel.: +1 919 684 1365.Background: Physical function and pain outcomes vary after arthroplasty. We investigated differences in postoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function (PF) and pain interference (PI) scores for patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA). We aimed to identify preoperative factors that predict postoperative PROMIS scores. Methods: Patients who underwent TKA and THA from 2014-2020 were eligible. Preoperative variables including demographics, comorbidities, and pain scores were obtained from the medical record. Patients completed surveys measuring postoperative PF and PI. Descriptive statistics and separate linear regression models for each anatomical location were performed to examine factors predicting postoperative PROMIS PF and PI scores. Results: Surveys were completed by 2411 patients (19.5% response rate). Unadjusted mean PF postoperative scores were 47.2 for TKA and 48.8 for THA. Preoperative predictors of lower PF included female sex; body mass index and comorbidities for TKA and THA; and age, tobacco use, and non-White race for THA. Mean PI scores were 47.9 for THA and 49.0 for TKA. Preoperative predictors of increased PI included non-White race and increased body mass index for TKA and THA; higher preoperative pain for TKA; and female sex and increased comorbidity for THA. Conclusions: Postoperative PROMIS scores were similar for TKA and THA, with THA having slightly higher PF and lower PI scores. Regression models using preoperative variables showed similar performance for TKA compared with THA. These findings suggest areas for future development of clinical decision support tools.http://www.sciencedirect.com/science/article/pii/S2352344123001139PROMISPain interferencePhysical functionTotal hip arthroplastyTotal knee arthroplasty |
| spellingShingle | Colin T. Penrose, MD Steven Z. George, PT, PhD, FAPTA Michael P. Bolognesi, MD Nrupen A. Bhavsar, PhD Maggie E. Horn, DPT, MPH, PhD Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty Arthroplasty Today PROMIS Pain interference Physical function Total hip arthroplasty Total knee arthroplasty |
| title | Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty |
| title_full | Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty |
| title_fullStr | Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty |
| title_full_unstemmed | Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty |
| title_short | Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty |
| title_sort | do you promis patient reported outcomes measurement information system physical function and pain interference scores after total knee and hip arthroplasty |
| topic | PROMIS Pain interference Physical function Total hip arthroplasty Total knee arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2352344123001139 |
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