Evidence map›Paper›PMID 30282469›Full record

ArticleFoot & ankle international2019

PROMIS and FAAM Minimal Clinically Important Differences in Foot and Ankle Orthopedics.

Man Hung, Judith F Baumhauer, Frank W Licari, Maren W Voss, Jerry Bounsanga, Charles L Saltzman

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Foot & ankle international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 5 pooled it
8.7field-weighted citation impact, top 1% of its field
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.

NCT05445960 narecruitingnot on this mapstarted 2021, after this paper: background citation

Correlation Between Intraoperative Tourniquet Use and Limb pH, Functional Measures and Patient-reported Outcomes After Ankle Fracture Surgery

TypeinterventionalSponsorOregon Health and Science UniversityRan2021 to 2027Enrolled390ConditionsAnkle Fractures, Ankle Fracture - Lateral Malleolus, Ankle Fracture, Bimalleolar, Ankle Fracture, TrimalleolarArmsTourniquet
NCT07055373 narecruitingnot on this mapstarted 2026, after this paper: background citation

The Safety and Feasibility of Transauricular Vagus Nerve Stimulation Therapy in Chronic Whiplash-Associated Disorders: A Randomized Pilot Trial

TypeinterventionalSponsorUniversity of CalgaryRan2026 to 2027Enrolled40ConditionsWhiplash Associated Disorder (WAD)ArmsTransauricular Vagal Nerve Stimulation
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 5 syntheses or guidelines pooled it, 137 citations in OpenAlex.

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  3. Gastrocnemius release is an effective management option for Achilles tendinopathy: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  4. 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 · 2021
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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

6 authors at 3 institutions in 1 country.

Man Hung1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake City, UT, USA.ORCID https://orcid.org/0000-0003-2827-3740
Judith F Baumhauer4 Department of Orthopaedic Surgery, University of Rochester, Rochester, NY, USA.
Frank W Licari5 College of Dental Medicine, Roseman University of Health Sciences, South Jordan, UT, USA.
Maren W Voss1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake City, UT, USA.
Jerry Bounsanga1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake City, UT, USA.
Charles L Saltzman1 Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake City, UT, USA.
University of Utah · USRoseman University of Health Sciences · USUniversity of Rochester · US

Funding

Improving Patient-Reported Outcome Measures for Orthopaedic Research and PracticeU01AR067138 · NIAMS · UNIVERSITY OF UTAH · PI HUNG, MAN · 2014 to 2016
$590k
NIAMS NIH HHS U01 AR067138
6 · The paper itself

Abstract

background: Establishing score points that reflect meaningful change from the patient perspective is important for interpreting patient-reported outcomes. This study estimated the minimum clinically important difference (MCID) values of 2 Patient-Reported Outcomes Measurement Information System (PROMIS) instruments and the Foot and Ankle Ability Measure (FAAM) Sports subscale within a foot and ankle orthopedic population.

methods: Patients seen for foot and ankle conditions at an orthopedic clinic were administered the PROMIS Physical Function (PF) v1.2, the PROMIS Pain Interference (PI) v1.1, and the FAAM Sports at baseline and all follow-up visits. MCID estimation was conducted using anchor-based and distribution-based methods.

results: A total of 3069 patients, mean age of 51 years (range = 18-94), were included. The MCIDs for the PROMIS PF ranged from approximately 3 to 30 points (median = 11.3) depending on the methods being used. The MCIDs ranged from 3 to 25 points (median = 8.9) for the PROMIS PI, and from 9 to 77 points (median = 32.5) for the FAAM Sports.

conclusions: This study established a range of MCIDs in the PROMIS PF, PROMIS PI, and FAAM Sports indicating meaningful change in patient condition. MCID values were consistent across follow-up periods, but were different across methods. Values below the 25th percentile of MCIDs may be useful for low-risk clinical decisions. Midrange values (eg, near the median) should be used for high stakes decisions in clinical practice (ie, surgery referrals). The MCID values within the interquartile range should be utilized for most decision making. LEVEL OF EVIDENCE:: Level I, diagnostic study, testing of previously developed diagnostic measure on consecutive patients with reference standard applied.

Indexed as

Patient Reported Outcome MeasuresAdolescentAdultAgedAged, 80 and overAnkleAnkle JointFemaleFootHumansMaleMiddle AgedOrthopedic ProceduresOutcome Assessment, Health CarePain MeasurementProspective StudiesFAAMMCIDorthopedicspainpatient-reported outcomesphysical functionPROMIS

Identifiers

PMID30282469
PMCPMC6698160
OpenAlexW2894634236

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.