Evidence map›Paper›PMID 34475157›Full record

ArticleBMJ open2021

Use of Patient-Reported Outcomes Measurement Information System (PROMIS) measures to characterise health status for patients seeking care from an orthopaedic provider: a retrospective cohort study.

Maggie E Horn, Emily K Reinke, Xiaofang Yan, Sheng Luo, Michael Bolognesi, Bryce B Reeve, Steven Z George, Comprehensive Outcomes in Orthopaedics and Rehabilitation Data System (COORDS) group

Abstract read
In one paragraph

Article in BMJ open, 2021. 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.

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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

8 authors.

Maggie E HornDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA maggie.horn@duke.edu.ORCID 0000-0002-3963-7389
Emily K ReinkeDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Xiaofang YanDuke Clinical Research Institute, Durham, North Carolina, USA.
Sheng LuoDuke University, Durham, North Carolina, USA.
Michael BolognesiDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Bryce B ReeveDepartment of Population Health Sciences, Duke University, Durham, NC, USA.
Steven Z GeorgeDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Comprehensive Outcomes in Orthopaedics and Rehabilitation Data System (COORDS) group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCharacterise the health status of patients newly consulting an orthopaedic specialist across eight clinical subspecialties.

designRetrospective cohort.

setting18 orthopaedic clinics, including 8 subspecialties (14 ambulatory and 4 hospital based) within an academic health system.

participants14 910 patients consulting an orthopaedic specialist for a new patient consultation who completed baseline Patient-Reported Outcomes Measurement Information System (PROMIS) measures associated with their appointment from 17 November 2017 to 13 May 2019. Patients were aged 55.72±5.8 years old, and 61.3% were female and 79.3% were Caucasian and 13.4% were black or African American. Patients who did not complete PROMIS measures or cancelled their appointment were excluded from the study. PRIMARY OUTCOME: PROMIS domains of physical function, pain interference, pain intensity, depression, anxiety, fatigue, sleep disturbance and the ability to participate in social roles.

resultsMean PROMIS scores for physical function were (38.1±9.2), pain interference (58.9±8.1), pain intensity (4.6±2.5), depression (47.9±8.9), anxiety (49.9±9.5), fatigue (50.5±10.3), sleep disturbance (51.1±9.8) and ability to participate in social roles (49.1±10.3) for the entire cohort. Across the clinical subspecialties, neurosurgery, spine and trauma patients were most profoundly affected across almost all domains and patients consulting with a hand specialist reported the least limitations or symptoms across domains. There was a moderate, negative correlation between pain interference and physical functioning (r=-0.59) and low correlations between pain interference with anxiety (r=0.36), depression (r=0.39) as well as physical function and anxiety (r=-0.32) and depression(r=-0.30) and sleep (r=-0.31).

conclusionsWe directly compared clinically meaningful PROMIS domains across eight orthopaedic subspecialties, which would not have been possible with legacy measures alone. These results support PROMIS's utility as a common metric to assess and compare patient health status across multiple orthopaedic subspecialties.

Indexed as

OrthopedicsDepressionFemaleHealth StatusHumansInformation SystemsMiddle AgedPatient Reported Outcome MeasuresRetrospective Studiesfoot & anklekneemusculoskeletal disordersspine

Identifiers

PMID34475157
PMCPMC8413970

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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.