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The PROMIS physical function correlates with the QuickDASH in patients with upper extremity illness
Celeste L Overbeek1, Sjoerd P F T Nota, Prakash Jayakumar
1The Hand and Upper Extremity Service, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Clinical Orthopaedics and Related Research
|August 8, 2014
Summary
The Patient Reported Outcomes Measurement Information System (PROMIS) Physical Function CAT effectively measures upper extremity disability, correlating moderately with the Quick Disability of Arm, Shoulder and Hand (QuickDASH) questionnaire. Both instruments are significantly influenced by pain interference.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Health Outcomes
Background:
- The National Institutes of Health developed the PROMIS Physical Function CAT for efficient disability assessment.
- Initial PROMIS Physical Function instrument did not differentiate between upper and lower extremity function.
- This study investigated the PROMIS Physical Function CAT's utility for upper extremity disability.
Purpose of the Study:
- To determine the correlation between the PROMIS Physical Function and QuickDASH questionnaires in patients with upper extremity conditions.
- To examine the correlation of these measures with PROMIS Depression and Pain Interference CAT instruments.
- To identify factors associated with QuickDASH and PROMIS Physical Function scores through multivariable analysis.
Main Methods:
- 93 outpatients with upper extremity illnesses completed the QuickDASH and three PROMIS CAT questionnaires (Physical Function, Pain Interference, Depression).
- Pain intensity was measured using a 0-10 numeric rating scale.
- Correlation and multivariable regression analyses were performed to assess relationships between measures and influencing factors.
Main Results:
- A moderate correlation (r=-0.55, p<0.001) was found between PROMIS Physical Function and QuickDASH.
- Both disability measures correlated strongly with PROMIS Pain Interference (r=-0.51 and r=0.74, respectively) and PROMIS Depression (r=-0.35 and r=0.34, respectively).
- PROMIS Physical Function was influenced by other pain conditions, unlike the QuickDASH.
Conclusions:
- The PROMIS Physical Function instrument is a viable tool for assessing upper extremity disability due to its correlation with the QuickDASH.
- Both PROMIS Physical Function and QuickDASH are significantly impacted by pain interference.
- Pain interference is a key factor influencing upper extremity disability as measured by both questionnaires.
