A comparison of PROMIS Global Health-Mental and legacy orthopedic outcome measures for evaluating preoperative mental health status.

Palsgrove, Andrew; Patton, Chad; King, Paul; Gelfand, Jeffrey; Turcotte, Justin · J Orthop · 2020

cross_sectional · Level IV

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Abstract

The influence of mental health on postoperative outcomes necessitates comparison of the mental health constructs captured by patient reported outcome measures (PROMs). 1,026 patients completed preoperative PROMs including the PROMIS Physical Function (PF), PROMIS Global Health (GH), and a subspecialty-specific PROM. Across specialties, PROMIS GH-Physical, PF-CAT, and PF-SF scores correlated more strongly with all legacy PROMs than the GH-Mental score. Moderate to strong correlation between the PF-SF, PF-CAT, and GH-Physical questionnaires and subspecialty-specific PROMs across specialties suggest they assess similar concepts. Lower correlation between the GH-Mental and subspecialty-specific PROMs suggest that the GH-Mental questionnaire captures distinct patient-reported mental health.