Are PROMIS and Legacy Patient-Reported Outcome Measures Correlated for Patients Undergoing Carpal Tunnel Release?

Q3 Medicine

Journal of Hand Surgery Global Online Pub Date : 2025-03-01 DOI:10.1016/j.jhsg.2024.12.002

Leah Demetri MD , Philip Blazar MD , Brandon E. Earp MD , Dafang Zhang MD

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引用次数: 0

Abstract

Purpose

Long-established patient-reported outcome measures (PROMs), such as the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) and the QuickDASH, have been used traditionally to measure baseline symptoms and treatment effects before and after carpal tunnel release (CTR), but more recently, the Patient-Reported Outcomes Measurement Information System (PROMIS) has been used increasingly in the CTR patient population. We aimed to measure the correlation between legacy and PROMIS PROMs for baseline pain and function in a cohort of patients undergoing CTR for idiopathic carpal tunnel syndrome (CTS).

Methods

Baseline PROMs were collected prospectively in 86 patients with electrodiagnostically confirmed CTS treated with CTR at a single tertiary referral center. The legacy PROMs used were the BCTQ and the QuickDASH. The PROMIS instruments used were computer adaptive test versions of the PROMIS Pain Interference (PI), Upper Extremity (UE), and Physical Function (PF). Given normal distributions, correlation between PROMs was assessed using the Pearson correlation coefficient.

Results

The mean age of the cohort was 59.7 years, and 56% were women. When assessing pain, the BCTQ – Symptom Severity Scale (SSS) was correlated moderately with PROMIS – PI (ρ = 0.59). When assessing function, the BCTQ – Functional Status Scale (FSS) was strongly inversely correlated with PROMIS – UE (ρ = −0.71) and moderately inversely correlated with PROMIS – PF (ρ = −0.58). The QuickDASH was strongly inversely correlated with PROMIS – UE (ρ = −0.75) and moderately inversely correlated with PROMIS – PF (ρ = −0.62). Finally, when comparing the two legacy PROMs for function, the BCTQ – FSS was strongly correlated with QuickDASH (ρ = 0.88).

Conclusions

We demonstrated at least moderate correlation between legacy and PROMIS outcome measures of baseline pain and function in CTS patients.

Clinical Relevance

Our findings support the use of either legacy or PROMIS outcome measures for this patient population.

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在接受腕管松解术的患者中，预后指标和遗留患者报告的预后指标是否相关？

长期建立的患者报告结果测量（PROMs），如波士顿腕管综合征问卷（BCTQ）和QuickDASH，传统上用于测量腕管释放（CTR）前后的基线症状和治疗效果，但最近，患者报告结果测量信息系统（PROMIS）在CTR患者群体中越来越多地使用。我们的目的是在特发性腕管综合征（CTS）患者接受CTR的队列中测量遗留和PROMIS PROMs对基线疼痛和功能的相关性。方法前瞻性收集86例在同一三级转诊中心接受CTR治疗的经电诊断为CTS的患者的基线PROMs。使用的传统prom是BCTQ和QuickDASH。使用的PROMIS仪器是计算机自适应测试版本的PROMIS疼痛干扰（PI）、上肢（UE）和身体功能（PF）。给定正态分布，使用Pearson相关系数评估PROMs之间的相关性。结果本组患者平均年龄59.7岁，女性占56%。在评估疼痛时，BCTQ -症状严重程度量表（SSS）与PROMIS - PI有中度相关（ρ = 0.59）。在评估功能时，BCTQ -功能状态量表（FSS）与PROMIS - UE呈强负相关（ρ = - 0.71），与PROMIS - PF呈中度负相关（ρ = - 0.58）。QuickDASH与PROMIS - UE呈显著负相关（ρ = - 0.75），与PROMIS - PF呈中度负相关（ρ = - 0.62）。最后，当比较两个遗留prom的功能时，BCTQ - FSS与QuickDASH密切相关（ρ = 0.88）。结论：我们证明了CTS患者基线疼痛和功能的遗留和PROMIS结果测量之间至少存在中度相关性。临床相关性我们的研究结果支持在这一患者群体中使用遗留或预后指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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