Purpose
To assess the preoperative and postoperative performance of the Patient-Reported Outcomes
Measurement Information System Upper Extremity (PROMIS-UE, version 2.0) outcome score
in comparison to the American Shoulder and Elbow Surgeons (ASES) and Western Ontario
Rotator Cuff Index (WORC) instruments in patients undergoing rotator cuff repair.
Methods
This prospective longitudinal study included 91 patients undergoing rotator cuff repair.
Patients completed the PROMIS-UE, ASES, and WORC instruments preoperatively and postoperatively
at 2 weeks, 6 weeks, 3 months, and 12 months. The Pearson correlation coefficient
(r) between these tools was calculated at each time point. Correlations were graded
as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), or poor (<0.4). Responsiveness
to change was assessed using the effect size and the standardized response mean. Floor
and ceiling effects for each instrument were also assessed.
Results
The PROMIS-UE instrument showed good to excellent correlation with the legacy instruments
at all time points. There were variations in the measured effect sizes of the various
instruments, with the PROMIS-UE instrument showing responsiveness to change at 3 and
12 months but the ASES and WORC instruments showing responsiveness at 6 weeks, 3 months,
and 12 months. Both PROMIS-UE and ASES scores displayed ceiling effects at 12 months.
Conclusions
The PROMIS-UE instrument shows excellent correlation with the ASES instrument and
a rotator cuff–specific outcome instrument—the WORC instrument—preoperatively and
at 1 year after arthroscopic rotator cuff repair. Variations in the measured effect
sizes at different postoperative time points and high ceiling effects of the PROMIS-UE
instrument at the 1-year time point may limit its utility in the early postoperative
phase and at long-term follow-up after rotator cuff repair.
Clinical Relevance
The performance of the PROMIS-UE outcome measure after arthroscopic rotator cuff repair
was investigated.
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References
- Functional outcomes assessment in shoulder surgery.World J Orthop. 2014; 5: 623-633
- PROMIS for orthopaedic outcomes measurement.J Am Acad Orthop Surg. 2016; 24: 744-749
- Patient Reported Outcomes Measurement Information System (PROMIS) in the upper extremity: The future of outcomes reporting?.J Shoulder Elbow Surg. 2017; 26: 352-357
- Examination of the PROMIS Upper Extremity item bank.J Hand Ther. 2017; 30: 485-490
- Preoperative performance of the Patient-Reported Outcomes Measurement Information System in patients with rotator cuff pathology.Arthroscopy. 2017; 33: 1770-1774.e1
- Performance of PROMIS instruments in patients with shoulder instability.Am J Sports Med. 2017; 45: 449-453
- Measurement of upper extremity disability using the Patient-Reported Outcomes Measurement Information System.J Hand Surg. 2014; 39: 1160-1165
- Use of PROMIS for patients undergoing primary total shoulder arthroplasty.Orthop J Sports Med. 2017; 52325967117726044
- PROMIS Upper Extremity underperforms psychometrically relative to American Shoulder and Elbow Surgeons score in patients undergoing primary rotator cuff repair.J Shoulder Elbow Surg. 2022; 31: 718-725
- Correlation of Patient-Reported Outcome Measurement Information System Physical Function Upper Extremity computer adaptive testing, with the American Shoulder and Elbow Surgeons shoulder assessment form and Simple Shoulder Test in patients with shoulder pain.Arthroscopy. 2018; 34: 1430-1436
- Correlation of PROMIS Physical Function Upper Extremity computer adaptive test with American Shoulder and Elbow Surgeons shoulder assessment form and Simple Shoulder Test in patients with shoulder arthritis.J Shoulder Elbow Surg. 2018; 27: 585-591
- Correlation of Patient-Reported Outcomes Measurement Information System (PROMIS) scores with legacy patient-reported outcome scores in patients undergoing rotator cuff repair.J Shoulder Elbow Surg. 2018; 27 (suppl): S17-S23
- The PROMIS Upper Extremity computer adaptive test correlates with previously validated metrics in patients with carpal tunnel syndrome.Hand (N Y). 2021; 16: 164-169
- Evaluation of the PROMIS Upper Extremity computer adaptive test against validated patient-reported outcomes in patients with basilar thumb arthritis.J Hand Surg. 2019; 44: 564-569
- Performance of the PROMIS in patients undergoing 3 common elbow procedures.Orthop J Sports Med. 2019; 72325967119852595
- Correlation of Patient Reported Outcome Measurement Information System (PROMIS) with American Shoulder and Elbow Surgeon (ASES), and Constant (CS) scores in idiopathic adhesive capsulitis.J Shoulder Elbow Surg. 2021; 30: 554-560
Sabharwal S, Skolasky RL, Souza JM, Potter BK, Forsberg JA. Concurrent validity of PROMIS with DASH and DVPRS in transhumeral amputees [published online January 26, 2022]. Hand (N Y). https://doi.org/10.1177/15589447211073833.
- A comparison of nerve-specific, condition-specific, and upper extremity-specific patient-reported outcome measures in patients with carpal and cubital tunnel syndrome.J Hand Surg Am. 2022; 47: 791.e1-791.e10
- Relationship between the Patient-Reported Outcomes Measurement Information System (PROMIS) computer adaptive testing and legacy instruments in patients undergoing isolated biceps tenodesis.J Shoulder Elbow Surg. 2020; 29: 1214-1222
- Correlation of Patient-Reported Outcomes Measurement Information System questionnaires with the Brief Michigan Hand Questionnaire in patients with 5 common hand conditions.J Hand Surg Am. 2021; 46: 709.e1-709.e11
- Preoperative psychometric properties of Patient-Reported Outcomes Measurement Information System Upper Extremity, Pain Interference, and Depression in Bankart repair and rotator cuff repair.J Shoulder Elbow Surg. 2021; 30: 2225-2230
- Evaluation of the PROMIS Upper Extremity against validated patient-reported outcomes in patients with early carpometacarpal osteoarthritis.J Hand Surg Am. 2022; 47: 621-628
- Performance of Patient-Reported Outcomes Measurement Information System (PROMIS) scores compared with legacy metrics in evaluating outcomes after surgical treatment for osteochondritis dissecans of the humeral capitellum.J Shoulder Elbow Surg. 2021; 30: 1511-1518
- Performance and responsiveness to change of PROMIS UE in patients undergoing total shoulder arthroplasty.J Ortho Res. 2022; 40: 2457-2464
- Performance of the PROMIS after operative interventions for shoulder instability.Orthop J Sports Med. 2019; 72325967119846920
- Construct validity and precision of different patient-reported outcome measures during recovery after upper extremity fractures.Clin Orthop Relat Res. 2019; 477: 2521-2530
- Longitudinal validation of the PROMIS Physical Function item bank in upper extremity trauma.J Orthop Trauma. 2017; 31: e321-e326
- The REDCap consortium: Building an international community of software platform partners.J Biomed Inform. 2019; 95103208
- Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support.J Biomed Inform. 2009; 42: 377-381
- Establishing minimally important differences for the American Shoulder and Elbow Surgeons score and the Western Ontario Rotator Cuff Index in patients with full-thickness rotator cuff tears.J Shoulder Elbow Surg. 2018; 27: e160-e166
- The PROMIS of better outcome assessment: Responsiveness, floor and ceiling effects, and Internet administration.J Rheumatol. 2011; 38: 1759-1764
- Quality criteria were proposed for measurement properties of health status questionnaires.J Clin Epidemiol. 2007; 60: 34-42
- Evaluation of the Patient-Reported Outcomes Measurement Information System Upper Extremity computer adaptive test.J Hand Surg. 2016; 41: 739-744.e4
- Performance of PROMIS Global-10 compared with legacy instruments for rotator cuff disease.Am J Sports Med. 2019; 47: 181-188
- Electronic patient centered outcomes in orthopaedic surgery [PhD thesis].Imperial College London, London2017
Article info
Publication history
Published online: February 06, 2023
Accepted:
November 11,
2022
Received:
June 2,
2022
Footnotes
The authors report the following potential conflicts of interest or sources of funding: This study was funded by NYU Langone Health; no outside funding was received. The authors certify that they have no affiliations with or involvement in any organization or entity with any financial or nonfinancial interests in the subject matter or materials discussed in this article. Y.W.K. is a paid consultant for DJO Surgical. J.D.Z. receives publishing royalties from SLACK, Wolters Kluwer Health, and Thieme; is a design surgeon for Exactech; receives royalties from Exactech; is a board member of Musculoskeletal Transplant Foundation; and owns stock in Apos Therapy and Hip Innovation Technology. M.S.V. is a paid consultant for Exactech. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
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