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Patient-reported
outcomes, PROMIS PI and numerical pain score found to be significantly linked
with PF. However, PT was related considerably to PF compared to numerical pain
scores.
The
National Institutes of Health developed the Patient Reported Outcome
Measurement Information System (PROMIS) which uses a health domain related to
Pain Interference (PI). Matthew J. et al. and his colleagues conducted this
research to assess the health domain and its relationship with physical
function (as determined by PROMIS Physical Function [PF]). It was administered
as a computer adaptive test (CAT), and secondarily its association to a
numerical 0 to 10 pain score. The null hypothesis used in statistical theory
was PI, measured by CAT. The PI value does not correlate with PF, and therefore
no differences were observed between comparisons of PROMIS PF and numerical
pain scores.
The adult patients were presented to an upper extremity clinic from February to
December 2015, and those who completed PROMIS PF, PI, and numerical 0 to 10
pain score questionnaires were enrolled in the study. The PROMIS modules were
completed in computer adaptive form electronically. Mean population scoring on
each module is described at 50. The rating of pain scale was on a 0 to 10
level. These datasets were collected as routine clinical care and were
extracted from the electronic health record for cross-sectional evaluation. The
association between the promise modules and the numerical pain scores was
defined by bivariate Pearson coefficient, and correlations between PF and PI
were compared with correlations between PF and pain scores.
The data were recorded from patients' at 10,574 first, 5,210 second, 2,633
third, 1,382 fourth, and 722 fifth visits. A negative correlation was found
between PROMIS PI & PROMIS PF and numerical pain scores & PROMIS PF.
Numerical pain scores were less correlated than PROMIS PI through time relative
to PF.
The study inferred that both PROMIS PI and numerical pain scores exhibit
significant correlations with PF for each office visit. The patient-reported
pain using a 0 to 10 pain score can be used as a predictor of patients' level
of function. Pain scores can't replace patient-reported outcomes, but they can
be used as a source of useful information in the absence of patient-reported
outcomes.
The Journal of Hand Surgery
Efficacy of PROMIS Pain Interference and Likert Pain Scores to Assess Physical Function
Matthew J. et al.
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