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Linking Hip Disability and Osteoarthritis Outcome Score-Physical Function Short Form and PROMIS Physical Function
Marilyn Heng1, Brocha Z Stern, Xiaodan Tang
1From the Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA (Heng and Collins), Harvard Medical School, Boston, MA (Heng, Chen, Bedair, O'Brien, and Sisodia), Massachusetts General Physicians Organization, Boston, MA (Heng and Sisodia), Center for Education in Health Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL (Stern), the Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine (Tang, Schalet, Franklin, and Cella), the Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA (Chen), the Department of Orthopaedic Surgery, Newton-Wellesley Hospital, Boston, MA (Bedair), the Department of Orthopaedic Surgery, MGB Salem Hospital, Salem, MA (O'Brien), and the Division of Gynecologic Oncology, Vincent Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA (Sisodia).
Linking Hip Disability and Osteoarthritis Outcome Score-Physical Function Short Form (HOOS-PS) and Patient-reported Outcomes Measurement Information System Physical Function (PROMIS PF) scores enables data aggregation. Crosswalks are validated for group-level conversions, not individual patient data.
Area of Science:
- Orthopedics
- Health Outcomes Research
- Biostatistics
Background:
- Patient-reported outcome measures (PROMs) are crucial for research and clinical care.
- Linking different PROMs facilitates data aggregation and comparative analysis.
- Hip osteoarthritis management benefits from standardized outcome assessment.
Purpose of the Study:
- To develop and validate methods for linking scores between the Hip Disability and Osteoarthritis Outcome Score-Physical Function Short Form (HOOS-PS) and the Patient-reported Outcomes Measurement Information System Physical Function (PROMIS PF).
- To enable data aggregation across studies using these different physical function measures.
Main Methods:
- A retrospective study analyzed 7,369 HOOS-PS and PROMIS PF measure pairs from 3,382 hip osteoarthritis patients (2017-2020).
- Four linking methods, including equipercentile and item response theory (IRT)-based approaches, were compared.
- The Stocking-Lord IRT method was selected as the optimal crosswalk, with HOOS-PS item parameters estimated on the PROMIS metric.
Main Results:
- HOOS-PS and PROMIS PF scores demonstrated strong correlations (r ≈ 0.82).
- Assumptions for equipercentile and IRT linking methods were met.
- Sensitivity analysis confirmed the robustness of crosswalk estimates across nonsurgical, preoperative, and postoperative patient groups.
Conclusions:
- Validated crosswalks allow for group-level score conversion between HOOS-PS and PROMIS PF metrics, aiding data aggregation.
- Individual patient-level score conversion is not recommended due to potential for increased error.
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