Evidence map›Paper›PMID 32900386›Full record

ArticleBMC musculoskeletal disorders2020

Comparison of patient-reported outcomes measurement information system and legacy instruments in multiple domains among older veterans with chronic back pain.

Rabih Nayfe, Matthieu Chansard, Linda S Hynan, Eric M Mortensen, Thiru Annaswamy, Liana Fraenkel, Una E Makris

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Translation and linguistic validation of 24 PROMIS item banks into French.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
    Article
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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

7 authors at 4 institutions in 1 country.

Rabih NayfeDepartment of Internal Medicine, UT Southwestern (UTSW) Medical Center, Dallas, TX, USA.
Matthieu ChansardDepartment of Population and Data Sciences, UTSW, Dallas, TX, USA.
Linda S HynanDepartment of Population and Data Sciences, UTSW, Dallas, TX, USA.
Eric M MortensenDepartment of Population and Data Sciences, UTSW, Dallas, TX, USA.
Thiru AnnaswamyDepartment of Physical Medicine & Rehabilitation, VA North Texas Health Care System, Dallas, TX, USA.
Liana FraenkelDepartment of Medicine, VA Connecticut Healthcare System, West Haven, CT, USA.
Una E MakrisDepartment of Internal Medicine, UT Southwestern (UTSW) Medical Center, Dallas, TX, USA. una.makris@utsouthwestern.edu.
The University of Texas at Dallas · USVA North Texas Health Care System · USThe University of Texas Southwestern Medical Center · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
UT Southwestern Center of Patient-Centered Outcomes Research (PCOR)R24HS022418 · AHRQ · UT SOUTHWESTERN MEDICAL CENTER · PI HALM, ETHAN A · 2013 to 2017
$5.0M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1KL2TR001103 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$4.0M
Improving Decision Making in Patients with Rheumatic DiseaseK24AR060231 · NIAMS · YALE UNIVERSITY · PI FRAENKEL, LIANA · 2011 to 2018
$1.2M
Improving Outcomes for Older Veterans with Chronic Back Pain and DepressionIK2HX001916 · VA · VA NORTH TEXAS HEALTH CARE SYSTEM · PI MAKRIS, UNA E. · 2020 to 2021
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AHRQ HHS R24 HS022418HSRD VA IK2 HX001916NCATS NIH HHS KL2 TR001103NCATS NIH HHS UL1 TR001863NIAMS NIH HHS AR060231-06NIAMS NIH HHS K24 AR060231
6 · The paper itself

Abstract

backgroundChronic low back pain (cLBP) results in significant physical, psycho-social and socioeconomic burden. Identifying efficient and reliable patient reported outcome measures is critical for research and clinical purposes. The NIH's Patient Reported Outcomes Measurement Information System (PROMIS) instruments have not been compared to validated "legacy" instruments in older adults with cLBP. This study evaluates construct (convergent and discriminant) validity and time to complete (TTC) PROMIS as compared to legacy instruments.

methodsWe enrolled older Veterans (age 60+) with cLBP with/without leg pain scheduled for lumbar epidural steroid injections. Subjects completed PROMIS computer adaptive test item banks and corresponding legacy instruments in the following domains: pain intensity, interference, and behavior; functional status; depression and anxiety; fatigue; sleep and social functioning. Convergent and discriminant validity between PROMIS and legacy instruments was evaluated using Spearman rank order correlations; Mann-Whitney U tests compared TTC.

resultsOf the 71 Veterans recruited, the median (IQR) age was 67 (63-71) years old, 94% were men, 76% were White, 17% Black, and 96% were Non-Hispanic. Spearman correlations between PROMIS and legacy instruments showed moderate to very strong convergent validity in all domains (r = 0.4-1.0), except for social functioning and pain behavior (PROMIS Pain Behavior with Fear Avoidance Belief Questionnaire). The total median TTC for all PROMIS items was significantly shorter than legacy items, 8 min 50 s vs 29 min 14 s respectively, p < 0.001.

conclusionsGiven time efficiency of using PROMIS, along with strong construct validity, PROMIS instruments are a practical choice for measuring multidimensional PROs in older Veterans with cLBP for both research and clinical purposes.

Indexed as

VeteransAgedAnxietyFemaleHumansInformation SystemsMaleMiddle AgedPatient Reported Outcome MeasuresReproducibility of ResultsSurveys and QuestionnairesChronic back painConstruct validityMeasurementOlder adultsPatient reported outcomes

Identifiers

PMID32900386
PMCPMC7487821
OpenAlexW3083932265

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.