@article{6169389a3077490282134dc2c41cf831,
title = "A High-Sensitivity International Knee Documentation Committee Survey Index From the PROMIS System: The Next-Generation Patient-Reported Outcome for a Knee Injury Population",
abstract = "Background: Patient-reported outcomes (PROs) measure progression and quality of care. While legacy PROs such as the International Knee Documentation Committee (IKDC) survey are well-validated, a lengthy PRO creates a time burden on patients, decreasing adherence. In recent years, PROs such as the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function and Pain Interference surveys were developed as computer adaptive tests, reducing time to completion. Previous studies have examined correlation between legacy PROs and PROMIS; however, no studies have developed effective prediction models utilizing PROMIS to create an IKDC index. While the IKDC is the standard knee PRO, computer adaptive PROs offer numerous practical advantages. Purpose: To develop a nonlinear predictive model utilizing PROMIS Physical Function and Pain Interference to estimate IKDC survey scores and examine algorithm sensitivity and validity. Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: The MOTION (Military Orthopaedics Tracking Injuries and Outcomes Network) database is a prospectively collected repository of PROs and intraoperative variables. Patients undergoing knee surgery completed the IKDC and PROMIS surveys at varying time points. Nonlinear multivariable predictive models using Gaussian and beta distributions were created to establish an IKDC index score, which was then validated using leave-one-out techniques and minimal clinically important difference analysis. Results: A total of 1011 patients completed the IKDC and PROMIS Physical Function and Pain Interference, providing 1618 complete observations. The algorithms for the Gaussian and beta distribution were validated to predict the IKDC (Pearson = 0.84-0.86; R2 = 0.71-0.74; root mean square error = 9.3-10.0). Conclusion: The publicly available predictive models can approximate the IKDC score. The results can be used to compare PROMIS Physical Function and Pain Interference against historical IKDC scores by creating an IKDC index score. Serial use of the IKDC index allows for a lower minimal clinically important difference than the conventional IKDC. PROMIS can be substituted to reduce patient burden, increase completion rates, and produce orthopaedic-specific survey analogs.",
keywords = "IKDC, PROMIS, knee, patient-reported outcomes, prediction",
author = "{MOTION Collaborative} and Tenan, {Matthew S.} and Robins, {Richard J.} and Sheean, {Andrew J.} and Dekker, {Travis J.} and Bailey, {James R.} and Bharmal, {Husain M.} and Bradley, {Matthew W.} and Cameron, {Kenneth L.} and Burns, {Travis C.} and Freedman, {Brett A.} and Galvin, {Joseph W.} and Grenier, {Eric S.} and Haley, {Chad A.} and Hurvitz, {Andrew P.} and LeClere, {Lance E.} and Ian Lee and Timothy Mauntel and McDonald, {Lucas S.} and Nesti, {Leon J.} and Owens, {Brett D.} and Posner, {Matthew A.} and Potter, {Benjamin K.} and Provencher, {Matthew T.} and Rhon, {Daniel I.} and Roach, {Christopher J.} and Ryan, {Paul M.} and Schmitz, {Matthew R.} and Slabaugh, {Mark A.} and Tucker, {Christopher J.} and Volk, {William R.} and Dickens, {Jonathan F.}",
note = "Funding Information: One or more of the authors has declared the following potential conflict of interest or source of funding: This work was supported in part by the Uniformed Services University, Department of Physical Medicine and Rehabilitation, Musculoskeletal Injury Rehabilitation Research for Operational Readiness (MIRROR; HU00011920011). R.J.R. has received education support from Zimmer Biomet Holdings, Gemini Mountain Medical, and Arthrex and hospitality payments from Smith & Nephew, Stryker Corp, Spineguard Inc, Medical Device Business Services, Mallinckrodt, Gemini Medical, St Jude Medical, Ferring Pharmaceuticals, DePuy Synthes Sales, and Bioventus. A.J.S. has received education support from Arthrex, Medinc of Texas, Smith & Nephew, and Mid-Atlantic Surgical Systems and hospitality payments from Stryker Corp, Wright Medical Technology, Vericel Corp, Flexion Therapeutics, Arthrosurface Inc, Zimmer Biomet Holdings, Spinesmith Holdings, Acell Inc, Osteomed, and Orthofix International. T.D. has received education support from Smith & Nephew, CGG Medical Inc, and Medical Device Business Services; a grant from DJO; and hospitality payments from Zimmer Biomet Holdings and Ferring Pharmaceuticals Inc. J.F.D. has received education support from Supreme Orthopedic Systems, speaking fees from Arthrex, and hospitality payments from Smith & Nephew. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. Publisher Copyright: {\textcopyright} 2021 The Author(s).",
year = "2021",
month = nov,
doi = "10.1177/03635465211041593",
language = "English",
volume = "49",
pages = "3561--3568",
journal = "American Journal of Sports Medicine",
issn = "0363-5465",
number = "13",
}