Journal article
A High-Sensitivity International Knee Documentation Committee Survey Index From the PROMIS System: The Next-Generation Patient-Reported Outcome for a Knee Injury Population
The American journal of sports medicine, Vol.49(13), pp.3561-3568
11/01/2021
DOI: 10.1177/03635465211041593
PMID: 34612705
Abstract
Background: Patient-reported outcomes (PROs) measure progression and quality of care. While legacy PROs such as the International Knee Documentation Committee (IKDC) survey are well-validated, a lengthy PRO creates a time burden on patients, decreasing adherence. In recent years, PROs such as the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function and Pain Interference surveys were developed as computer adaptive tests, reducing time to completion. Previous studies have examined correlation between legacy PROs and PROMIS; however, no studies have developed effective prediction models utilizing PROMIS to create an IKDC index. While the IKDC is the standard knee PRO, computer adaptive PROs offer numerous practical advantages. Purpose: To develop a nonlinear predictive model utilizing PROMIS Physical Function and Pain Interference to estimate IKDC survey scores and examine algorithm sensitivity and validity. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: The MOTION (Military Orthopaedics Tracking Injuries and Outcomes Network) database is a prospectively collected repository of PROs and intraoperative variables. Patients undergoing knee surgery completed the IKDC and PROMIS surveys at varying time points. Nonlinear multivariable predictive models using Gaussian and beta distributions were created to establish an IKDC index score, which was then validated using leave-one-out techniques and minimal clinically important difference analysis. Results: A total of 1011 patients completed the IKDC and PROMIS Physical Function and Pain Interference, providing 1618 complete observations. The algorithms for the Gaussian and beta distribution were validated to predict the IKDC (Pearson = 0.84-0.86; R-2 = 0.71-0.74; root mean square error = 9.3-10.0). Conclusion: The publicly available predictive models can approximate the IKDC score. The results can be used to compare PROMIS Physical Function and Pain Interference against historical IKDC scores by creating an IKDC index score. Serial use of the IKDC index allows for a lower minimal clinically important difference than the conventional IKDC. PROMIS can be substituted to reduce patient burden, increase completion rates, and produce orthopaedic-specific survey analogs.
Details
- Title: Subtitle
- A High-Sensitivity International Knee Documentation Committee Survey Index From the PROMIS System: The Next-Generation Patient-Reported Outcome for a Knee Injury Population
- Creators
- Matthew S. Tenan - Defense SystemsRichard J. Robins - United States Air Force AcademyAndrew J. Sheean - San Antonio Military Medical CenterTravis J. Dekker - Eglin Air Force BaseJonathan F. Dickens - Uniformed Serv Univ Hlth Sci, Dept Surg, Bethesda, MD 20814 USAMOTION CollaborativeJoseph W Galvin (Contributor) - Orthopedics and Rehabilitation
- Resource Type
- Journal article
- Publication Details
- The American journal of sports medicine, Vol.49(13), pp.3561-3568
- Publisher
- Sage
- DOI
- 10.1177/03635465211041593
- PMID
- 34612705
- ISSN
- 0363-5465
- eISSN
- 1552-3365
- Number of pages
- 8
- Grant note
- HU00011920011 / Uniformed Services University, Department of Physical Medicine and Rehabilitation, Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR) Medinc of Texas Supreme Orthopedic Systems CGG Medical Inc. Arthrex MidAtlantic Surgical Systems Zimmer Biomet Holdings Gemini Mountain Medical Smith Nephew DJO Medical Device Business Services
- Language
- English
- Date published
- 11/01/2021
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984618634502771
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