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• W4285606819 abstract "Multiple outcome measure surveys are available to assess preoperative and postoperative outcomes for a variety of orthopedic procedures such as shoulder arthroplasty. Although legacy instruments such as American Shoulder and Elbow Surgeons (ASES) remain popular, there remains no singular gold standard survey instrument for shoulder arthroplasty patients, and alternative instruments have been developed to better capture clinical outcomes. The goal of this study is to compare the efficacy of Patient-Reported Outcome Measurement Information System-Upper Extremity (PROMIS-UE) using computer adaptive technology with ASES scores both preoperatively and postoperatively in shoulder arthroplasty patients. Our hypothesis is that there would be a strong correlation between PROMIS-UE and ASES scores both preoperatively and postoperatively in total shoulder arthroplasty patients. Patients who underwent total shoulder arthroplasty and agreed to complete baseline and 1-year follow-up of ASES and PROMIS-UE scores were included. Patients also completed PROMIS-Physical Function (PROMIS-PF) as a third point comparison. Responses to these instruments were statistically analyzed and compared using Pearson correlation coefficients. Floor and ceiling effects were then calculated. Ninety patients were included in this study, all of whom completed the PROMIS-UE, PROMIS-PF, and ASES surveys both preoperatively and 12 months postoperatively. The mean age in this cohort was 68.9 years (standard deviation [SD] 8.4 years, range 39-89). The mean preoperative and postoperative PROMIS-UE scores were 26.6 (SD 6.7, range 14.7-44.6) and 41.8 (SD 10.3, range 20.2-56.4) respectively. Mean preoperative and postoperative PROMIS-PF computer adaptive technology scores were 35.7 (SD 9.54, range 34.2-64) and 44.3 (SD 9.22, range 23.5-73.3) respectively. The mean ASES score was 37.5 preoperatively (SD 18.0, range 5-99.5) and 77.5 postoperatively (SD 20.5, range 25.0-100.0). PROMIS-UE demonstrated a moderate correlation with ASES preoperatively and a strong correlation postoperatively (r = 0.52, confidence interval 0.27-0.60; r = 0.70, confidence interval 0.55-0.78, respectively). PROMIS-UE demonstrated a minor floor effect preoperatively (7.8%) but significant ceiling effect postoperatively (24.4%) and ASES demonstrated a mild ceiling effect at final follow-up (8.9%). There were otherwise no other floor or ceiling effects at all other time points across each survey. PROMIS-UE correlates well with ASES at both baseline and 1-year postoperation for patients undergoing total shoulder replacement. In addition, the change seen between both baseline and 1 year outcome scores for both scoring systems also correlates strongly, suggesting that PROMIS-UE may be a suitable alternative to ASES for this patient population." @default.
• W4285606819 created "2022-07-16" @default.
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• W4285606819 date "2022-12-01" @default.
• W4285606819 modified "2023-09-30" @default.
• W4285606819 title "Correlation of patient-reported outcome measurement information system-upper extremity with American Shoulder and Elbow Surgeons scores in shoulder arthroplasty" @default.
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• W4285606819 doi "https://doi.org/10.1053/j.sart.2022.06.003" @default.
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