Preoperative Patient-Reported Outcome Measures Relationship With Postoperative Outcomes in Flexible Adult-Acquired Flatfoot Deformity.
PROMIS
adult-acquired flatfoot deformity
flatfoot reconstruction
patient-reported outcomes
progressive collapsing foot deformity
Journal
Foot & ankle international
ISSN: 1944-7876
Titre abrégé: Foot Ankle Int
Pays: United States
ID NLM: 9433869
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
pubmed:
6
11
2020
medline:
21
10
2021
entrez:
5
11
2020
Statut:
ppublish
Résumé
Previous studies have demonstrated that procedure-specific thresholds using preoperative patient-reported outcome scores may be used to predict postoperative outcomes. The primary purpose of this study was to determine if preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) thresholds could be used to predict which patients would clinically improve at 2 years postoperatively following reconstruction of their flexible adult-acquired flatfoot deformity (AAFD). PROMIS physical function, pain interference, and depression scores were prospectively collected preoperatively and at a minimum of 2 years postoperatively for 75 feet with flexible AAFD. Minimal clinically important differences (MCIDs) were calculated to establish significant postoperative improvement. Receiver operating characteristic curves and area under the curve analyses were employed to determine whether preoperative PROMIS scores could be used to predict postoperative outcomes. The PROMIS physical function receiver operating characteristic curve analysis (area under the curve = 0.913, Preoperative PROMIS physical function and pain interference scores could be used to predict postoperative improvement in patients with flexible AAFD. These results may help surgeons counsel patients regarding the anticipated benefit of surgery. Level III, retrospective comparative series.
Sections du résumé
BACKGROUND
BACKGROUND
Previous studies have demonstrated that procedure-specific thresholds using preoperative patient-reported outcome scores may be used to predict postoperative outcomes. The primary purpose of this study was to determine if preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) thresholds could be used to predict which patients would clinically improve at 2 years postoperatively following reconstruction of their flexible adult-acquired flatfoot deformity (AAFD).
METHODS
METHODS
PROMIS physical function, pain interference, and depression scores were prospectively collected preoperatively and at a minimum of 2 years postoperatively for 75 feet with flexible AAFD. Minimal clinically important differences (MCIDs) were calculated to establish significant postoperative improvement. Receiver operating characteristic curves and area under the curve analyses were employed to determine whether preoperative PROMIS scores could be used to predict postoperative outcomes.
RESULTS
RESULTS
The PROMIS physical function receiver operating characteristic curve analysis (area under the curve = 0.913,
CONCLUSIONS
CONCLUSIONS
Preoperative PROMIS physical function and pain interference scores could be used to predict postoperative improvement in patients with flexible AAFD. These results may help surgeons counsel patients regarding the anticipated benefit of surgery.
LEVEL OF EVIDENCE
METHODS
Level III, retrospective comparative series.
Identifiants
pubmed: 33148056
doi: 10.1177/1071100720963077
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM