Defining the patient acceptable symptom state using PROMIS following reconstruction of the progressive collapsing foot deformity
Foot and Ankle Surgery(2024)
摘要
Background
The patient acceptable symptom state (PASS) represents the threshold beyond which patients are satisfied with their outcome. This study aimed to define PASS thresholds for progressive collapsing foot deformity (PCFD) reconstruction using Patient-Reported Outcomes Measurement Information System (PROMIS) scores and anchor question responses.
Methods
This retrospective study consisted of 109 patients who underwent flexible PCFD reconstruction, had preoperative and 2-year postoperative PROMIS scores, and 2-year postoperative anchor question responses. ROC curve analyses were performed to quantify PASS thresholds.
Results
PASS thresholds for the PROMIS Physical Function (PF) and Pain Interference (PI) domains were found to be lower and higher, respectively, than population norms. Furthermore, patients with higher preoperative PROMIS PF scores or lower preoperative PROMIS PI scores had a significantly higher likelihood of achieving the PASS thresholds.
Conclusion
In addition to guiding future outcomes research, these results may help surgeons optimize treatment for PCFD and better manage patient expectations.
Level of Evidence
III, retrospective cohort study
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关键词
Progressive collapsing foot deformity,Patient-reported outcomes,PROMIS,PASS
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