Thresholds in PROMIS Scores Anchored to Subsequent Unscheduled Health Service Use Among People Diagnosed With Cancer
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View abstract on PubMed
Summary
This summary is machine-generated.Establishing Patient-Reported Outcomes Measurement Information System (PROMIS) score thresholds for pain interference and physical function can help predict and prevent emergency department (ED) or urgent care visits in cancer patients.
Area Of Science
- Oncology
- Health Services Research
- Patient-Reported Outcomes
Background
- Emergency department (ED) and urgent care utilization among cancer patients can indicate unmet needs and potentially preventable complications.
- Patient-reported outcomes (PROs) like pain, function, fatigue, and depression are crucial indicators of a cancer patient's health status.
Purpose Of The Study
- To establish specific thresholds for PROMIS pain interference and physical function scores.
- To determine the association between these PROMIS scores and subsequent ED or urgent care visits in cancer patients.
Main Methods
- A retrospective analysis of 952 cancer patients' data was conducted.
- Generalized linear mixed-effects models were used to assess the relationship between PROMIS scores and ED/urgent care use within 14 or 30 days.
- Analyses adjusted for comorbidity, sociodemographic, and tumor characteristics.
Main Results
- Pain interference and physical function scores were significantly associated with subsequent ED or urgent care visits; fatigue and depression were not.
- Thresholds varied by cancer stage. For advanced cancer, pain interference ≥60 and physical function <40 predicted visits.
- For nonadvanced cancer, pain interference ≥65 and physical function <35 predicted visits.
Conclusions
- Anchor-based thresholds in PROMIS scores for pain interference and physical function can be established.
- These thresholds can serve as clinical decision support tools to proactively manage cancer patients and potentially prevent ED or urgent care visits.
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