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Erschienen in: Quality of Life Research 10/2019

08.06.2019

Measurement properties of PROMIS short forms for pain and function in orthopedic foot and ankle surgery patients

verfasst von: Anika Stephan, Jens Mainzer, Danica Kümmel, Franco M. Impellizzeri

Erschienen in: Quality of Life Research | Ausgabe 10/2019

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Abstract

Purpose

To examine the measurement properties of the German PROMIS short forms for pain intensity (PAIN), pain interference (PI) and physical function (PF) in orthopedic foot and ankle surgery patients.

Methods

Patient-rated outcomes were collected from consecutive patients of our foot and ankle registry before and 6 months after surgery. Measurement properties were tested according to the COnsensus-based Standards for the selection of health status Measurement Instruments (COSMIN). The German Foot Function Index (FFI-D) served as a legacy measure.

Results

748 patients were included in our cross-sectional sample. Longitudinal and test–retest data were available for 202 and 65 patients, respectively. Construct validity of all short forms was good. All Cronbach’s α and intraclass correlation coefficients were > 0.7. The smallest detectable change (SDC) was highest for PF (8.9) and lowest for PI (6.5). Minimal important change was 4 to 5 points and thus smaller than SDC for all instruments. We observed a baseline ceiling effect for PF. PI showed insufficiently correlated change scores with FFI-D disability change scores, and therefore failed the responsiveness testing.

Conclusion

Our study showed some adequate psychometric properties, but also certain aspects regarding interpretability and responsiveness that researchers must be aware of when using PROMIS short forms of pain and function in foot and ankle surgery patients.

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Metadaten
Titel
Measurement properties of PROMIS short forms for pain and function in orthopedic foot and ankle surgery patients
verfasst von
Anika Stephan
Jens Mainzer
Danica Kümmel
Franco M. Impellizzeri
Publikationsdatum
08.06.2019
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 10/2019
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02221-w

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