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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Use of PROMIS for Patients Undergoing Primary Total Shoulder Arthroplasty
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Use of PROMIS for Patients Undergoing Primary Total Shoulder Arthroplasty

机译：PROMIS在接受全肩置换的患者中的使用

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Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) consists of question banks for health domains through computer adaptive testing (CAT). Hypothesis: For patients with glenohumeral arthritis, (1) there would be high correlation between traditional patient-reported outcome (PRO) measures and the PROMIS upper extremity item bank (PROMIS UE) and PROMIS physical function CAT (PROMIS PF CAT), and (2) PROMIS PF CAT would not demonstrate ceiling effects. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: Sixty-one patients with glenohumeral osteoarthritis were included. Each patient completed the American Shoulder and Elbow Surgeons (ASES) assessment form, Marx Shoulder Activity Scale, Short Form–36 physical function scale (SF-36 PF), EuroQol 5 Dimensions (EQ-5D) questionnaire, Western Ontario Osteoarthritis Shoulder (WOOS) index, PROMIS PF CAT, and the PROMIS UE. Correlation was defined as high (>0.7), moderate (0.4-0.6), or weak (0.2-0.3). Significant floor and ceiling effects were present if more than 15% of individuals scored the lowest or highest possible total score on any PRO. Results: The PROMIS PF demonstrated excellent correlation with the SF-36 PF ( r = 0.81, P < .0001) and good correlation with the ASES ( r = 0.62, P < .0001), EQ-5D ( r = 0.64, P < .001), and WOOS index ( r = 0.51, P < .01). The PROMIS PF demonstrated low correlation with the Marx scale ( r = 0.29, P = .02). The PROMIS UE demonstrated good correlation with the ASES ( r = 0.55, P < .0001), SF-36 ( r = 0.53, P < .01), EQ-5D ( r = 0.48, P < .01), and WOOS ( r = 0.34, P <.01), and poor correlation with the Marx scale ( r = 0.06, P = .62). There were no ceiling or floor effects observed. The mean number of items administered by the PROMIS PRO was 4. Conclusion: These data suggest that for a patient population with operative shoulder osteoarthritis, PROMIS UE and PROMIS PF CAT may be valid alternative PROs. Additionally, PROMIS PF CAT offers a decreased question burden with no ceiling effects.
机译：背景：患者报告的结果测量信息系统（PROMIS）由通过计算机自适应测试（CAT）的健康领域问题库组成。假设：对于盂肱型关节炎患者，（1）传统的患者报告结局（PRO）措施与PROMIS上肢项目库（PROMIS UE）和PROMIS身体机能CAT（PROMIS PF CAT）之间将高度相关，并且（ 2）PROMIS PF CAT不会显示天花板效果。研究设计：队列研究（诊断）;证据等级，3。方法：纳入了61例肱肱骨骨关节炎患者。每位患者均填写美国肩肘外科医师（ASES）评估表，马克思肩部活动量表，简短表述-36身体机能量表（SF-36 PF），EuroQol 5维度问卷（EQ-5D）问卷，西安大略省骨关节炎肩关节（WOOS） ），PROMIS PF CAT和PROMIS UE。相关定义为高（> 0.7），中（0.4-0.6）或弱（0.2-0.3）。如果超过15％的个人在任何PRO上获得最低或最高总分，则存在明显的地板和天花板效果。结果：PROMIS PF与SF-36 PF具有良好的相关性（r = 0.81，P <.0001），与ASES具有良好的相关性（r = 0.62，P <.0001），EQ-5D（r = 0.64，P <.001）和WOOS指数（r = 0.51，P <.01）。 PROMIS PF与马克思标度之间的相关性较低（r = 0.29，P = .02）。 PROMIS UE与ASES（r = 0.55，P <.0001），SF-36（r = 0.53，P <.01），EQ-5D（r = 0.48，P <.01）和WOOS表现出良好的相关性（r = 0.34，P <.01），与马克思尺度的相关性很差（r = 0.06，P = .62）。没有观察到天花板或地板的影响。 PROMIS PRO所管理的平均项目数为4。结论：这些数据表明，对于患有手术性肩部骨关节炎的患者人群，PROMIS UE和PROMIS PF CAT可能是有效的替代PRO。此外，PROMIS PF CAT减轻了问题负担，而且没有上限影响。

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