ArticleFoot & ankle international2018
Computerized Adaptive Testing for Patient Reported Outcomes in Ankle Fracture Surgery.
Article in Foot & ankle international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Pearls and pitfalls of PROMIS clinically significant outcomes in orthopaedic surgery.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Ankle fractures: a systematic review of patient-reported outcome measures and their measurement properties.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Pooled it
- Minimal important change (MIC): a conceptual clarification and systematic review of MIC estimates of PROMIS measures.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Pooled it
- Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.Journal of orthopaedic surgery and research · 2020Pooled it
- Injury-related variation in patient-reported outcome after musculoskeletal trauma: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Pooled it
- The Minimal Clinically Important Difference of the American Orthopaedic Foot and Ankle Society Ankle Hindfoot Scale in Patients with Unstable Ankle Fracture.Clinics in orthopedic surgery · 2026Trial
- Operative vs Nonoperative Management of Unstable Medial Malleolus Fractures: A Randomized Clinical Trial.JAMA network open · 2024Trial
- The minimal clinically important difference (MCID) of the Olerud Molander Ankle Score (OMAS) in patients with unstable ankle fracture.Archives of orthopaedic and trauma surgery · 2023Trial
- Fear of Reinjury Is Associated With Worse Physical Function Measured by PROMIS Following Minimally Invasive Achilles Rupture Repair.Foot & ankle orthopaedics · 2026Article
- Patient-Reported Outcomes of Concomitant Deltoid and/or Syndesmotic Reconstruction With Broström for Global Chronic Ankle Instability: The Role of Deltoid Stability.Foot & ankle orthopaedics · 2026Article
- Weber Classification Does Not Correlate with PROMIS Outcome Measures.Foot & ankle orthopaedics · 2026Article
- Article
- PROMIS Computerized Adaptive Testing Demonstrates Strong Convergent Validity and Lower Patient Burden Compared With Legacy Instruments in Foot and Ankle Fracture Care.Foot & ankle orthopaedics · 2026Article
- Association of Insurance Type and PROMIS Scores Following Ankle Fracture Surgery: A Retrospective Comparative Study.Foot & ankle orthopaedics · 2026Article
- Does syndesmotic fixation technique impact complication rates and functional outcomes measured by PROMIS scores following operative repair of ankle fractures?Journal of orthopaedic surgery and research · 2025Article
- Functional outcomes following minimally invasive Achilles rupture repair: a retrospective comparative study of PARS and midsubstance speedbridge techniques.Journal of orthopaedic surgery and research · 2025Article
- Does Deltoid Ligament Repair Reduce Complications and Improve Functional Outcomes Measured by PROMIS Scores Following Ankle Fracture Surgery?Foot & ankle orthopaedics · 2025Article
- The Forgotten Joint Score Is a Valid Outcome Measure for Total Ankle Arthroplasty: A Prospective Study.Clinical orthopaedics and related research · 2024Observational
- Patient reported outcomes after revision ankle fixation.Journal of clinical orthopaedics and trauma · 2024Article
- The MCID of the PROMIS physical function instrument for operatively treated tibial plateau fractures.Injury · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAdvantages of using computerized adaptive testing (CAT) include decreased survey-burden, diminished floor and ceiling effect, and improved ability to detect the minimal clinical significant difference (MCID) among patients. The goal of this study was to compare the legacy patient-reported outcome measures (PROMs) to the Patient-Reported Outcomes Measurement Information System (PROMIS) scores in terms of ability to detect clinically significant changes in patients who have undergone surgery for ankle fractures.
methodsPatients who underwent osteosynthesis for an unstable ankle fracture between 2013-2016 and completed legacy outcome scores (Foot and Ankle Outcome Score [FAOS], Olerud and Molander Ankle Score [OMAS], and Weber Score) along with the PROMIS Physical Function (PF) and PROMIS Lower Extremity (LE) CATs postoperatively were included. Correlation between the scores at 3-month, 6-month, and 1-year intervals, as well as floor and ceiling effects, in addition to MCIDs were calculated for each instrument. A total of 132 patients were included in the study.
resultsThere was no observed floor or ceiling effect in either the PROMIS PF or the PROMIS LE scores. Clinically significant changes in the PROMIS LE score were detected in patients between 6-month and 12-month postoperative visits ( P = .0006), whereas the reported OMAS score and Weber scores did not identify a clinically significant difference between patients at their 6-month and 12-month visit.
conclusionThe results of this study indicate that the PROMIS LE was superior for evaluating patients following ankle fracture surgery in terms of lower floor and ceiling effects and greater ability to distinguish clinically significant changes in patients between time points following surgery. LEVEL OF EVIDENCE: Level III, comparative study.
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Registered trials
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