Defining the patient acceptable symptom state using PROMIS following reconstruction of the progressive collapsing foot deformity

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-08-01 DOI:10.1016/j.fas.2024.04.002

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Abstract

Background

The patient acceptable symptom state (PASS) represents the threshold beyond which patients are satisfied with their outcome. This study aimed to define PASS thresholds for progressive collapsing foot deformity (PCFD) reconstruction using Patient-Reported Outcomes Measurement Information System (PROMIS) scores and anchor question responses.

Methods

This retrospective study consisted of 109 patients who underwent flexible PCFD reconstruction, had preoperative and 2-year postoperative PROMIS scores, and 2-year postoperative anchor question responses. ROC curve analyses were performed to quantify PASS thresholds.

Results

PASS thresholds for the PROMIS Physical Function (PF) and Pain Interference (PI) domains were found to be lower and higher, respectively, than population norms. Furthermore, patients with higher preoperative PROMIS PF scores or lower preoperative PROMIS PI scores had a significantly higher likelihood of achieving the PASS thresholds.

Conclusion

In addition to guiding future outcomes research, these results may help surgeons optimize treatment for PCFD and better manage patient expectations.

Level of evidence

III, retrospective cohort study

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使用 PROMIS 界定患者在进行性塌足畸形重建后可接受的症状状态

患者可接受的症状状态（PASS）代表患者对治疗结果满意的阈值。本研究旨在利用患者报告结果测量信息系统（PROMIS）的评分和锚点问题的回答来确定进行性塌足畸形（PCFD）重建的 PASS 临界值。这项回顾性研究包括109名接受了柔性PCFD重建术的患者，他们术前和术后两年的PROMIS评分以及术后两年的锚定问题回答。研究人员进行了 ROC 曲线分析，以量化 PASS 临界值。结果发现，PROMIS 身体功能（PF）和疼痛干扰（PI）领域的 PASS 临界值分别低于和高于人群标准。此外，术前 PROMIS PF 评分较高或术前 PROMIS PI 评分较低的患者达到 PASS 临界值的可能性明显更高。除了指导未来的结果研究外，这些结果还可以帮助外科医生优化 PCFD 的治疗并更好地管理患者的期望值。三、回顾性队列研究

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.