Patient-Reported Outcome Measurement Information System (PROMIS) has favorable psychometric and administrative properties in orthopaedic clinical research. It facilitates clinically meaningful data collection while minimizing administration time and survey fatigue and improving compliance. PROMIS is a critical component of patient-centered care and shared decision making, as it provides enhanced communication and engagement between patients and providers. As a validated instrument, it may also aid in measuring value-based health care quality. The goal of the current work is to provide an overview of PROMIS metrics used in orthopaedic foot and ankle, including advantages and disadvantages compared to legacy scales and PROMIS’s applicability in specific foot and ankle conditions based on psychometric properties. We provide a review of the literature regarding the utilization of PROMIS as an outcome measure for specific foot and ankle procedures and conditions.
AndrewsNADibATorrezTW, et al. Impact of patient resilience on outcomes of open brostrom-gould lateral ligament repair. J Am Acad Orthop Surg Glob Res Rev. 2021;5(11):1-9. doi:10.5435/JAAOSGlobal-D-21-00103
2.
BernsteinDNKellyMHouckJR, et al. PROMIS pain interference is superior vs numeric pain rating scale for pain assessment in foot and ankle patients. Foot Ankle Int. 2019;40(2):139-144. doi:10.1177/1071100718803314
3.
BlackN. Patient reported outcome measures could help transform healthcare. BMJ. 2013;346(7896):1-5. doi:10.1136/bmj.f167
4.
BrazierJEHarperRJonesNMB, et al. Validating the SF-36 Health Survey questionnaire: new outcome measure for primary care. Br Med J. 1992;305(6846):160-164. doi:10.1136/bmj.305.6846.160
5.
Budiman-MakEConradKRoachK. The Foot Function Index: a measure of foot pain and disability. J Clin Epidemiol. 1991;44(6):561-570. doi:10.1007/978-94-007-0753-5_1074
6.
CaoloKCEbleSKRiderC, et al. Clinical outcomes and complications with open vs minimally invasive Achilles tendon repair. Foot Ankle Orthop. 2021;6(4):24730114211060063. doi:10.1177/24730114211060063
7.
CellaDChoiSWCondonDM, et al. PROMIS® adult health profiles: efficient short-form measures of seven health domains. Value Health. 2019;22(5):537-544. doi:10.1016/j.jval.2019.02.004
8.
ChanSWWChienCWWongAYLPangMYC. Translation and psychometric validation of the traditional Chinese version of Patient-Reported Outcomes Measurement Information System Pediatric-25 profile version 2.0 (PROMIS-25) in Chinese children with cancer in Hong Kong. Qual Life Res. 2021;30(6):1779-1791. doi:10.1007/s11136-021-02759-8
9.
ChreaBEbleSKDayJ, et al. Clinical and patient-reported outcomes following peroneus brevis reconstruction with hamstring tendon autograft. Foot Ankle Int. 2021;42(11):1391-1398. doi:10.1177/10711007211015186
10.
ContiMSCaoloKCCororatonADDelandJTDemetracopoulosCAEllisSJ. Preoperative PROMIS physical function scores predict postoperative outcomes following total ankle replacement. Foot Ankle Orthop. 2021;6(3):1-8. doi:10.1177/24730114211020335
11.
ContiMSCaoloKCEllisSJCodyEA. Radiographic and clinical outcomes of hallux valgus and metatarsus adductus treated with a modified Lapidus procedure. Foot Ankle Int. 2021;42(1):38-45. doi:10.1177/1071100720952079
12.
ContiMSCaoloKCNguyenJTDelandJTEllisSJ. Preoperative patient-reported outcome measures relationship with postoperative outcomes in flexible adult-acquired flatfoot deformity. Foot Ankle Int. 2021;42(3):268-277. doi:10.1177/1071100720963077
13.
ContiMSPatelTJZhuJElliottAJContiSFEllisSJ. Association of first metatarsal pronation correction with patient-reported outcomes and recurrence rates in hallux valgus. Foot Ankle Int. 2022;43(3):309-320. doi:10.1177/10711007211046938
14.
CookKFChoiSWCranePKDeyoRAJohnsonKLAmtmannD. Letting the cat out of the bag: comparing computer adaptive tests and an 11-item short form of the Roland-Morris Disability Questionnaire. Spine (Phila Pa 1976). 2008;33(12):1378-1383. doi:10.1097/BRS.0b013e3181732acb
DevjiTCarrasco-LabraAQasimA, et al. Evaluating the credibility of anchor based estimate of minimal important differences for patient reported outcomes: instrument development and reliability study. BMJ. 2020;369:m1714. doi:10.1136/bmj.m1714
17.
EechauteCVaesPVan AerschotLAsmanSDuquetW. The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: a systematic review. BMC Musculoskelet Disord. 2007;8:6. doi:10.1186/1471-2474-8-6
18.
FranklinPDLewallenDBozicKHallstromBJiranekWAyersDC. Implementation of patient-reported outcome measures in U.S. total joint replacement registries: rationale, status, and plans. J Bone Joint Surg Am. 2014;96(suppl 1):104-109. doi:10.2106/JBJS.N.00328
19.
FriesJFBruceBCellaD. The promise of PROMIS: using item response theory to improve assessment of patient-reported outcomes. Clin Exp Rheumatol. 2005;23(5suppl 39):53-57.
20.
GausdenEBLevackANwachukwuBUSinDWellmanDSLorichDG. Computerized adaptive testing for patient reported outcomes in ankle fracture surgery. Foot Ankle Int. 2018;39(10):1192-1198. doi:10.1177/1071100718782487
21.
HaanEJATerweeCBVan WierMF, et al. Translation, cross-cultural and construct validity of the Dutch–Flemish PROMIS® upper extremity item bank v2.0. Qual Life Res. 2020;29(4):1123-1135. doi:10.1007/s11136-019-02388-2
22.
HaysRDWoolleyJM. The concept of clinically meaningful difference in health-related quality-of-life research: how meaningful is it?Pharmacoeconomics. 2000;18(5):419-423. doi:10.2165/00019053-200018050-00001
23.
HoBHouckJRFlemisterAS, et al. Preoperative PROMIS scores predict postoperative success in foot and ankle patients. Foot Ankle Int. 2016;37(9):911-918. doi:10.1177/1071100716665113
24.
HuDANayakROgunkoyaEOPatelMSKadakiaAR. Comparison of patient-reported outcomes for major pathologies of the forefoot, midfoot, hindfoot, and Achilles using PROMIS. Foot Ankle Orthop. 2020;5(4):1-8. doi:10.1177/2473011420959059
25.
HungMBaumhauerJFLattLDSaltzmanCLSoohooNFHuntKJ. Validation of PROMIS® physical function computerized adaptive tests for orthopaedic foot and ankle outcome research. Clin Orthop Relat Res. 2013;471(11):3466-3474. doi:10.1007/s11999-013-3097-1
26.
HungMBaumhauerJLicariFVossMBounsangaJSaltzmanC. PROMIS and FAAM minimal clinically important differences in foot and ankle orthopedics. Foot Ankle Int. 2019;40(1):65-73. doi:10.1177/1071100718800304.PROMIS
27.
HungMFranklinJDHonSDChengCConradJSaltzmanCL. Time for a paradigm shift with computerized adaptive testing of general physical function outcomes measurements. Foot Ankle Int. 2014;35(1):1-7. doi:10.1177/1071100713507905
28.
HungMStuartARHigginsTFSaltzmanCLKubiakEN. Computerized adaptive testing using the PROMIS physical function item bank reduces test burden with less ceiling effects compared with the short musculoskeletal function assessment in orthopaedic trauma patients. J Orthop Trauma. 2014;28(8):439-444. doi:10.1097/BOT.0000000000000059
29.
HuntKJLakeyE. Patient-reported outcomes in foot and ankle surgery. Orthop Clin North Am. 2018;49(2):277-289. doi:10.1016/j.ocl.2017.11.014
30.
JaeschkeRSingerJGuyattGH. Measurement of health status. Ascertaining the minimal clinically important difference. Control Clin Trials. 1989;10(4):407-415. doi:10.1016/0197-2456(89)90005-6
31.
KadriOJildehTRMeldauJE, et al. How long does it take for patients to complete PROMIS scores? An assessment of PROMIS CAT questionnaires administered at an ambulatory sports medicine clinic. Orthop J Sport Med. 2018;6(8):1-5. doi:10.1177/2325967118791180
32.
KearneyRSAchtenJLambSEParsonsNCostaML. The Achilles tendon total rupture score: a study of responsiveness, internal consistency and convergent validity on patients with acute Achilles tendon ruptures. Health Qual Life Outcomes. 2012;10(1):24. doi:10.1186/1477-7525-10-24
33.
KoltsovJCBGreenfieldSTSoukupDDoHTEllisSJ. Validation of Patient-Reported Outcomes Measurement Information System computerized adaptive tests against the Foot and Ankle Outcome Score for 6 common foot and ankle pathologies. Foot Ankle Int. 2017;38(8):870-878. doi:10.1177/1071100717709573
34.
LakeyEHuntKJ. Patient-reported outcomes in foot and ankle orthopedics. Foot Ankle Orthop. 2019;4(3):2473011419852930. doi:10.1177/2473011419852930
35.
LizzioVABlanchettJBorowskyP, et al. Feasibility of PROMIS CAT administration in the ambulatory sports medicine clinic with respect to cost and patient compliance: a single-surgeon experience. Orthop J Sport Med. 2019;7(1):1-6. doi:10.1177/2325967118821875
36.
MacDonaldAHouckJBaumhauerJF. Role of patient-reported outcome measures on predicting outcome of bunion surgery. Foot Ankle Int. 2020;41(2):133-139. doi:10.1177/1071100719886286
37.
MalviyaAMakwanaNLaingP. Correlation of the AOFAS scores with a generic health QUALY score in foot and ankle surgery. Foot Ankle Int. 2007;28(4):494-498. doi:10.3113/FAI.2007.0494
38.
McKeownRParsonsHEllardDRKearneyRS. An evaluation of the measurement properties of the Olerud Molander Ankle Score in adults with an ankle fracture. Physiother (United Kingdom). 2021;112:1-8. doi:10.1016/j.physio.2021.03.015
39.
MyersonMSThordarsonDBJohnsonJE, et al. Classification and nomenclature: progressive collapsing foot deformity. Foot Ankle Int. 2020;41(10):1271-1276. doi:10.1177/1071100720950722
NixonDCMcCormickJJJohnsonJEKleinSE. PROMIS pain interference and physical function scores correlate with the Foot and Ankle Ability Measure (FAAM) in patients with hallux valgus. Clin Orthop Relat Res. 2017;475(11):2775-2780. doi:10.1007/s11999-017-5476-5
42.
NixonDCSchaferKACusworthBMcCormickJJJohnsonJEKleinSE. Preoperative anxiety effect on patient-reported outcomes following foot and ankle surgery. Foot Ankle Int. 2019;40(9):1007-1011. doi:10.1177/1071100719850806
43.
OchenYGussDHouwertRM, et al. Validation of PROMIS physical function for evaluating outcome after acute Achilles tendon rupture. Orthop J Sport Med. 2021;9(10):1-7. doi:10.1177/23259671211022686
44.
PazSHJonesLCalderónJLHaysRD. Readability and comprehension of the geriatric depression scale and PROMIS® physical function items in older African Americans and Latinos. Patient. 2017;10(1):117-131. doi:10.1007/s40271-016-0191-y
45.
PinskerEDanielsTR. AOFAS position statement regarding the future of the AOFAS clinical rating systems. Foot Ankle Int. 2011;32(9):841-842. doi:10.3113/FAI.2011.0841
46.
RevickiDHaysRDCellaDSloanJ. Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. J Clin Epidemiol. 2008;61(2):102-109. doi:10.1016/j.jclinepi.2007.03.012
47.
RoseMBjornerJBBeckerJFriesJFWareJE. Evaluation of a preliminary physical function item bank supported the expected advantages of the Patient-Reported Outcomes Measurement Information System (PROMIS). J Clin Epidemiol. 2008;61(1):17-33. doi:10.1016/j.jclinepi.2006.06.025
48.
RossHMarchandLCardonJ, et al. Patient-reported outcomes after lateral process talus fracture. J Orthop Trauma. 2021;35(12):E470-E474. doi:10.1097/BOT.0000000000002099
49.
RothrockNEKaatAJVrahasMS, et al. Validation of PROMIS physical function instruments in patients with an orthopaedic trauma to a lower extremity. J Orthop Trauma. 2019;33(8):377-383. doi:10.1097/BOT.0000000000001493
Shazadeh SafaviPJanneyCJupiterDKunzlerDBuiRPanchbhaviVK. A systematic review of the outcome evaluation tools for the foot and ankle. Foot Ankle Spec. 2019;12(5):461-470. doi:10.1177/1938640018803747
52.
ShlykovMASavage-ElliottILonerganTM, et al. Does the Canadian Orthopaedic Foot and Ankle Society postoperative COFAS end-stage ankle arthritis classification system correlate with pre- and postoperative promis scores for total ankle arthroplasty?Foot Ankle Orthop. 2022;7(1):24730114221084635. doi:10.1177/24730114221084635
53.
SooHooNFShulerMFlemingLL. Evaluation of the validity of the AOFAS clinical rating systems by correlation to the SF-36. Foot Ankle Int. 2003;24(1):50-55. doi:10.1177/107110070302400108
54.
SperringCPDanfordNCSaltzmanBMConstantMDantzkerNJTrofaDP. Patient-Reported Outcomes Measurement Information System (PROMIS) in orthopaedic trauma research. SICOT J. 2021;7:39. doi:10.1051/sicotj/2021035
55.
van der VlietQMJOchenYMcTagueMF, et al. Long-term outcomes after operative treatment for tibial pilon fractures. OTA Int Open Access J Orthop Trauma. 2019;2(4):e043. doi:10.1097/oi9.0000000000000043
56.
WikstromEASongK. Generic and psychological patient-reported deficits in those with chronic ankle instability: a cross sectional study. Phys Ther Sport. 2019;40:137-142. doi:10.1016/j.ptsp.2019.09.004
57.
ZampelisVOrnsteinEFranzénHAtroshiI. A simple visual analog scale for pain is as responsive as the WOMAC, the SF-36, and the EQ-5D in measuring outcomes of revision hip arthroplasty. Acta Orthop. 2014;85(2):128-132. doi:10.3109/17453674.2014.887951
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