ArticleThe Journal of hand surgery2024
Establishing the Patient Acceptable Symptom State in a Nonshoulder Hand and Upper Extremity Population for the QuickDASH and PROMIS UE Computer Adaptive Tests.
Article in The Journal of hand surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- MCID, SCB, and PASS Thresholds After Percutaneous Trigger Finger Release With or Without Corticosteroid Injection.Journal of clinical medicine · 2026Article
- Clinical outcomes for acute grade III and V acromioclavicular dislocations using hook plates and double-button fixation with a two-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Osteochondral autograft transfer for capitellar osteochondritis dissecans in high-level adolescent athletes.JSES international · 2026Article
- Long-term outcomes and resource Utilization related to upper extremity off-roading vehicle injuries.Journal of hand and microsurgery · 2025Article
- Are PROMIS and Legacy Patient-Reported Outcome Measures Correlated for Patients Undergoing Carpal Tunnel Release?Journal of hand surgery global online · 2025Article
- Establishing the Patient-Acceptable Symptom State for the Numeric Rating Scale-Pain Score in a Postoperative Non-Shoulder Hand and Upper-Extremity Population.The Journal of hand surgery · 2025Article
- Article
- Making the invisible audible: a real-world connected speech study in myasthenia gravis.Frontiers in neurologyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
purposeIt is unclear what score thresholds on patient-reported outcomes instruments reflect an acceptable level of upper extremity (UE) function from the perspective of patients undergoing hand surgery. The purpose of this study was to calculate the patient acceptable symptom state (PASS) for the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and Patient-Reported Outcomes Measurement Information System (PROMIS) UE Computer Adaptive Test (CAT), version 2.0, in a population who underwent hand surgery.
methodsAdult patients who underwent hand surgery between February 2019 and December 2019 at a single academic tertiary institution were identified. QuickDASH and PROMIS UE CAT version 2.0 scores were collected 1 year after surgery, as were separate symptom- and function-specific anchor questions that queried the acceptability of patients' current state. Threshold values predictive of a patient reporting an acceptable symptom state (PASS[+]) were calculated for both instruments using the 75th percentile score for patients in the PASS(+) group and the Youden Index as determined by receiver operating curve (ROC) analysis.
resultsA total of 222 patients were included. QuickDASH and PROMIS UE CAT scores differed significantly between the PASS(+) and PASS(-) groups. The 75th percentile method yielded PASS values of <16 for the QuickDASH and >43 for the PROMIS UE CAT for both anchor questions. The ROC analysis yielded PASS estimates of <15.9 to <20.5 for the QuickDASH and >38.1 to >46.2 for the PROMIS UE CAT, with ranges calculated from differing threshold values for each of the 2 anchor questions. The ROC-based estimates demonstrated high levels of model discrimination (area under the curve ≥ 0.80).
conclusionsWe propose PASS estimates obtained using the 75th percentile and ROC methods. CLINICAL RELEVANCE: Specifically, PASS values in the range of 15.9-20.5 for the QuickDASH and 38.1-46.2 for the PROMIS UE CAT version 2.0 should be used when interpreting outcomes at a population level.
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