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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2009

Differential item functioning was negligible in an adaptive test of functional status for patients with knee impairments who spoke English or Hebrew.

Dennis L Hart, Daniel Deutscher, Paul K Crane, Ying-Chih Wang

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Psychometric evaluation of separate anxiety and depression item banks - potential supplements to the EORTC CAT Core.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  2. Article
  3. Psychometric evaluation of an item bank for computerized adaptive testing of the EORTC QLQ-C30 cognitive functioning dimension in cancer patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Article
  4. Article
  5. Article
  6. Development of an item bank for computerized adaptive test (CAT) measurement of pain.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016
    Article
  7. Article
  8. Psychometric evaluation of the EORTC computerized adaptive test (CAT) fatigue item pool.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013
    Article
  9. Single-item screens identified patients with elevated levels of depressive and somatization symptoms in outpatient physical therapy.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2012
    Article
  10. Article
  11. Development of computerized adaptive testing (CAT) for the EORTC QLQ-C30 physical functioning dimension.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2011
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Dennis L HartFocus On Therapeutic Outcomes, Inc., P.O. Box 11444, Knoxville, TN 37939, USA. hart@fotoinc.com
Daniel Deutscher
Paul K Crane
Ying-Chih Wang

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe examined the presence and impact of differential item functioning (DIF) in a set of knee-specific functional status (FS) items administered using computerized adaptive testing (CAT) among English (United States) and Hebrew (Israel) speaking patients receiving therapy for knee impairments. DIF occurs in an item if probabilities of endorsing responses differ across groups after controlling for the FS measured.

methodsWe analyzed data from 28,320 patients (14,160 U.S., 14,160 Israel) who completed the knee-specific CAT. Items were assessed for DIF by gender, age, symptom acuity, surgical history, exercise history, and language spoken using a hybrid technique that combines multiple ordinal logistic regression and item response theory FS estimates.

resultsSeveral items had non-uniform DIF for covariates including language, but unadjusted and DIF-adjusted functional status estimates were in strong concordance [ICC(2,1) values >/=0.97], and differences between unadjusted and adjusted FS scores represented <0.4% of the unadjusted FS standard deviation.

conclusionsStatistically significant DIF was identified in some items but represented negligible clinical impact. Results suggested no need to adjust items for DIF when assessing FS outcomes across groups of patients with knee impairments who answer the knee CAT items in English in the United States or Hebrew in Israel. These findings suggest negligible differences in cultural perceptions between English and Hebrew wording of these knee-specific CAT FS items.

Indexed as

Activities of Daily LivingDisability EvaluationKneeAdaptation, PsychologicalAdolescentAdultAgedAged, 80 and overConfidence IntervalsCultureDiagnosis, Computer-AssistedFactor Analysis, StatisticalFemaleHealth Status IndicatorsHumansInternationality

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.