A SANE Approach to Outcome Collection? Comparing the Performance of Single- Versus Multiple-Question Patient-Reported Outcome Measures After Total Hip Arthroplasty

被引：14
作者：
Torchia, Michael T. [1 ]
Austin, Daniel C. [1 ]
Werth, Paul M. [1 ]
Lucas, Adriana P. [1 ]
Moschetti, Wayne E. [1 ,2 ]
Jevsevar, David S. [1 ,2 ]
机构：
[1] Dartmouth Hitchcock Med Ctr, Dept Orthopaed, Lebanon, NH 03766 USA
[2] Dartmouth Coll, Geisel Sch Med, Dept Orthopaed, Hanover, NH 03755 USA
来源：
JOURNAL OF ARTHROPLASTY | 2020年 / 35卷 / 06期
关键词：
total hip arthroplasty; outcomes; patient-reported outcome measures; single assessment numeric evaluation; value; ASSESSMENT NUMERIC EVALUATION; HEALTH-CARE; SHOULDER; RESPONSIVENESS; SYSTEM; SCORE;
D O I：
10.1016/j.arth.2020.01.015
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Background: Several patient-reported outcome measures (PROMs) exist to measure outcomes after total hip arthroplasty (THA) but can be limited by patient-perceived burden and completion rates. We analyzed whether the modified single assessment numerical evaluation (M-SANE), a one-question PROM, would perform similarly to multiple-question PROMs among patients undergoing primary THA. Methods: Patients undergoing THA completed the Patient-Reported Outcomes Measurement Information System-10 (PROMIS-10), the Hip Disability and Osteoarthritis Outcomes Score Junior (HOOS-Jr), and M-SANE questionnaires both preoperatively and postoperatively. The M-SANE assessment asked patients to assess their hip on a scale from 0 to 10, with 10 being the best possible score. Validity of M-SANE compared with other PROMs was determined by Spearman's correlation and floor and ceiling effects. Responsiveness was analyzed using standardized response mean (SRM). Results: One hundred and thirty six patients with at least 1-year follow-up were reviewed. The average M-SANE score improved from 3.3 preoperatively to 7.1 at one year postoperatively. There was moderate to strong correlation at one-year follow-up between the M-SANE and HOOS-Jr (rho = 0.75, P < .001) and PROMIS-10 physical component summary (rho = 0.63, P < .001). Floor and ceiling effects of the M-SANE (floor 2.0%, ceiling 21.3%) were comparable to the HOOS-Jr (floor 0.0%, ceiling 20.8%). The responsiveness of the M-SANE after THA (SRM = 1.06, 95% CI: 0.79-1.33) was comparable to HOOS-Jr (SRM = 1.33, 95% CI: 1.08-1.59) and superior to PROMIS-10 physical component summary (SRM = 0.65, 95% CI: 0.55-0.74). Conclusion: The M-SANE has performed similarly across multiple psychometric properties compared with more burdensome PROMs in assessing longitudinal patient-reported outcomes after THA. (C) 2020 Elsevier Inc. All rights reserved.
引用
收藏
页码：S207 / S213
页数：7
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