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首页> 外文期刊>Hand >The PROMIS Upper Extremity Computer Adaptive Test Correlates With Previously Validated Metrics in Patients With Carpal Tunnel Syndrome
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The PROMIS Upper Extremity Computer Adaptive Test Correlates With Previously Validated Metrics in Patients With Carpal Tunnel Syndrome

机译：PROMIS上肢计算机适应性测试与腕管综合征患者的先前验证的指标相关联

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Background: The Patient-Reported Outcomes Measurement Information System Upper Extremity (PROMIS UE) computer adaptive test was developed to improve precision and reduce question burden. We hypothesized that in patients with carpal tunnel syndrome (CTS): (1) PROMIS UE would correlate with established patient-reported outcome measures (PROs); (2) the time and number of questions required would be lower than current metrics; (3) there would be no floor or ceiling effects; and (4) PROMIS UE would not correlate with disease severity. Methods: Patients undergoing electrodiagnostic evaluation found to have a primary diagnosis of unilateral CTS prospectively completed PROMIS UE, Quick Disabilities of the Arm, Shoulder and Hand (qDASH), and Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). Electrophysiologic and clinical severity was recorded. The relationships among PROs were described with Spearman coefficients. A floor or ceiling effect was confirmed if >15% of patients achieved the lowest or highest possible score, respectively. Results: Fifty-one patients (average, 53.9 years) were enrolled. An excellent correlation was identified between PROMIS UE and qDASH ( R = ?0.76, P < .001). There was a good correlation between PROMIS UE and BCTQ ( R = ?0.58, P < 0.001). The PROMIS UE required less time and fewer questions than qDASH and BCTQ ( P = .02 and P < .001). There were no floor or ceiling effects. Neither neurophysiologic nor clinical severity correlated with PROMIS UE ( R = 0.24, P > .05 and R = ?0.18, P > .05). Conclusions: The PROMIS UE has an excellent correlation with qDASH and a good correlation with BCTQ in patients with CTS. Furthermore, PROMIS UE required less time and fewer questions than established PROs. Used as a single PRO, PROMIS UE represents a practical alternative to current metrics in patients with CTS.
机译：背景：患者报告的结果测量信息系统上肢（PROMIS UE）计算机自适应测试是开发的，以提高精确度，减少问题负担。我们假设腕管综合征患者（CTS）：（1）PROMIS UE将与已建立的患者报告的结果措施（专业人士）相关联; （2）所需的问题的时间和数量低于当前指标; （3）没有地板或天花板效果; （4）Promis UE不会与疾病严重程度相关。方法：接受电渗诊评价的患者发现，初步诊断单侧CTS前瞻性地完成PROMIS UE，手臂，肩部和手（QDASH）的快速残疾，以及波士顿腕管综合征问卷调查表（BCTQ）。记录了电生理和临床严重程度。使用Spearman系数描述了专业人士的关系。如果> 15％的患者分别达到最低或最高的分数，确认了地板或天花板效果。结果：已注册五十一名患者（平均，53.9岁）。在PROMIS UE和QDASH之间识别出优异的相关性（r = 0.76，p <.001）。 PROMIS UE和BCTQ之间存在良好的相关性（r = 0.58，p <0.001）。 PROMIS UE需要比QDASH和BCTQ更少的时间和更少的问题（p = .02和p <.001）。没有地板或天花板效果。既不与PROMIS UE相关的神经生理学也不是临床严重程度（r = 0.24，p> .05和r = 0.18，p> .05）。结论：PROMIS UE与CTS患者的QDASH具有出色的与QDASH相关的相关性和良好的相关性。此外，Promis UE需要比既定优势更少的时间和更少的问题。用作单个Pro，ProMIS UE代表CTS患者当前度量的实际替代方案。

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