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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Performance of the PROMIS After Operative Interventions for Shoulder Instability
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Performance of the PROMIS After Operative Interventions for Shoulder Instability

机译：进行肩膀不稳手术干预后PROMIS的性能

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Background: The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed to capture patient-reported outcomes (PROs) in an efficient manner. Few studies have assessed this instrument postoperatively. Purpose: To compare the PROMIS Physical Function computer adaptive test (PROMIS PF CAT) and Upper Extremity (PROMIS UE) item bank to other previously validated PRO instruments and to evaluate ceiling and floor effects and construct validity responsiveness in patients who underwent operative interventions for shoulder instability. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A total of 72 patients who underwent operative interventions for shoulder instability completed the American Shoulder and Elbow Surgeons (ASES) assessment form, Marx shoulder activity scale (Marx), 36-Item Short Form Health Survey physical function (SF-36 PF) and general health (SF-36 GH), Western Ontario Shoulder Instability Index (WOSI), PROMIS PF CAT, and PROMIS UE before surgery and then at 6 weeks and 6 months postoperatively. Correlation coefficients were calculated among these tools. The effect size of change was also calculated for each tool at each time point. A total of 91 patients who had also undergone surgery for shoulder instability completed these PRO instruments 2 years postoperatively. The percentage of patients hitting the ceiling and floor effects of each of the PRO instruments was calculated at all time points. Results: The PROMIS PF CAT demonstrated excellent-good correlation with the SF-36 PF at all postoperative time points (0.61 at 6 weeks, 0.68 at 6 months, and 0.64 at 2 years; P & .01 for all). The PROMIS UE showed excellent correlation with the ASES at 6 weeks postoperatively (0.73, P & .01). Both the PROMIS PF CAT and PROMIS UE demonstrated the ability to detect change after surgical interventions with a medium to large effect size. The PROMIS UE demonstrated a ceiling effect at 6 months (68.1%) and 2 years (67.0%) postoperatively. The PROMIS PF CAT demonstrated no ceiling effect at any time point. Conclusion: The PROMIS PF CAT demonstrated good to excellent correlation with other previously validated PRO instruments that assess physical function in patients with shoulder instability postoperatively. The PROMIS UE demonstrated good correlation with other PRO tools but had a significant ceiling effect and is not recommended for this patient population. Both tools demonstrated an ability to detect change after surgical interventions with a good effect size.
机译：背景：开发了患者报告结果测量信息系统（PROMIS），以有效地捕获患者报告的结果（PRO）。很少有研究在术后评估该仪器。目的：将PROMIS身体机能计算机适应性测试（PROMIS PF CAT）和上肢（PROMIS UE）项目库与其他先前已验证的PRO仪器进行比较，并评估接受肩部手术干预的患者的天花板和地板效果并构建有效性反应性不稳定。研究设计：队列研究（诊断）;证据级别，2级。方法：总共72例因肩膀不稳而接受手术干预的患者完成了美国肩肘外科医师（ASES）评估表，马克思肩膀活动量表（Marx），36项简短健康调查身体功能（SF-36 PF）和全身健康（SF-36 GH），西安大略省肩膀不稳定性指数（WOSI），PROMIS PF CAT和PROMIS UE，在手术前以及术后6周和6个月。在这些工具中计算了相关系数。还计算了每个工具在每个时间点的更改效果大小。总共91例因肩关节不稳而接受手术的患者在术后2年内完成了这些PRO器械。在所有时间点计算每种PRO仪器达到最高和最低限值的患者百分比。结果：PROMIS PF CAT在所有术后时间点（6周为0.61，6个月为0.68，2年为0.64;所有P均为0.01）均与SF-36 PF具有极好的相关性。术后6周PROMIS UE与ASES表现出极好的相关性（0.73，P <.01）。 PROMIS PF CAT和PROMIS UE均具有在手术干预后检测变化的能力，效果中等至较大。 PROMIS UE术后6个月（68.1％）和2年（67.0％）表现出最高效果。 PROMIS PF CAT在任何时间都没有显示出天花板效应。结论：PROMIS PF CAT与其他先前验证过的PRO仪器具有良好的相关性，这些仪器可以评估肩部不稳定患者术后的身体机能。 PROMIS UE与其他PRO工具显示出良好的相关性，但是具有显着的上限效应，因此不建议该患者群使用。两种工具均具有在手术干预后检测变化的功能，效果良好。

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