Purpose
This study aimed to determine whether Patient-Reported Outcome Measurement Information
System (PROMIS) Physical Function and Pain Interference scores varied at presentation
for specialty care by nontrauma hand condition. The secondary aim was to compare PROMIS
scores with a reference standard, the Quick–Disabilities of the Arm, Shoulder, and Hand (QuickDASH), regarding the magnitude and direction of score differentials among diagnoses.
Methods
PROMIS Physical Function and Pain Interference scores were analyzed from 1,471 consecutive
new adult patient clinic visits at a tertiary orthopedic hand clinic presenting with
1 of 5 nontrauma hand conditions. A 5-point difference on PROMIS assessments was presumed
to be clinically relevant. A random sample of 30 QuickDASH scores from each diagnostic group was evaluated for score differentials among
groups. We also measured the correlation between PROMIS and QuickDASH scores.
Results
Patients with carpal tunnel syndrome and thumb basal joint arthritis reported worse
physical function and more pain interference, whereas those with Dupuytren contractures
and ganglion cysts reported less pain and better function. For both domains, patients
with trigger fingers averaged PROMIS scores among the other groups. Similar differences
were observed in QuickDASH scores because patients with carpal tunnel syndrome and thumb arthritis reported
clinically worse upper-extremity function than did patients with ganglion cysts and
Dupuytren contracture. A strong correlation was seen between QuickDASH scores with both PROMIS Physical Function scores and Pain Interference scores.
Conclusions
The PROMIS system is sufficiently able to capture differences in self-reported function
and pain interference among patients with different hand conditions. Moreover, PROMIS
Physical Function demonstrates construct validity when evaluated against a reference
of the QuickDASH across nontrauma hand conditions.
Clinical relevance
The use of PROMIS is expanding, but because PROMIS is not disease-specific, assessment
of its construct validity is necessary for hand conditions.
Key words
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Article info
Publication history
Published online: December 18, 2018
Accepted:
October 30,
2018
Received:
April 20,
2018
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2019 by the American Society for Surgery of the Hand. All rights reserved.
