Background:Minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds have been previously defined for the Patient-Reported Outcomes Measurement Information System (PROMIS) at 1-year follow-up in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome; however, the MCID and PASS thresholds are yet to be defined for the PROMIS at 2-year follow-up.Purpose:(1) To establish MCID and PASS thresholds for the PROMIS Pain Interference (PROMIS-PI) and PROMIS Physical Function (PROMIS-PF) at 2-year follow-up and (2) to correlate PROMIS scores with hip-specific patient-reported outcome measure (PROM) scores.Study Design:Cohort study (diagnosis); Level of evidence, 3.Methods:Patients undergoing primary hip arthroscopy for femoroacetabular impingement syndrome between August and November 2020 with preoperative and minimum 2-year postoperative data were identified. Collected scores included those for the PROMIS-PI, PROMIS-PF, Hip Outcome Score–Activities of Daily Living (HOS-ADL), Hip Outcome Score–Sports Subscale (HOS-SS), International Hip Outcome Tool–12 (iHOT-12), and visual analog scale (VAS) for pain. MCID thresholds were calculated using the distribution-based method and PASS thresholds using the anchor-based method. Pearson correlation coefficients were used to compare scores between PROMs.Results:A total of 65 patients met the criteria for inclusion (72.3% female; mean age, 36.9 ± 13.5 years; mean body mass index, 26.2 ± 6.0). The mean follow-up was 25.3 ± 3.3 months. Significant preoperative to postoperative improvements were observed for all PROMs ( P < .001). MCID thresholds and achievement rates were as follows: HOS-ADL, 10.1 and 75%, respectively; HOS-SS, 13.8 and 79%, respectively; iHOT-12, 14.0 and 67%, respectively; VAS pain, –13.8 and 78%, respectively; PROMIS-PI, –4.7 and 65%, respectively; and PROMIS-PF, 5.8 and 60%, respectively. PASS thresholds and achievement rates were as follows: HOS-ADL, 78.7 and 67%, respectively; HOS-SS, 76.4 and 62%, respectively; iHOT-12, 67.4 and 60%, respectively; VAS pain, 25.5 and 61%, respectively; PROMIS-PI, 57.0 and 65%, respectively; and PROMIS-PF, 45.6 and 58%, respectively. PROMIS-PI scores correlated most strongly with HOS-ADL ( r = −0.836), HOS-SS ( r = −0.767), and iHOT-12 ( r = −0.719) scores and exhibited at least moderate correlations ( r≥−0.595) with the other PROM scores. PROMIS-PF demonstrated moderate correlations with all the other PROM scores ( r≥−0.586). Strong correlations were seen between the hip-specific PROM scores ( r≥−0.745).Conclusion:This study defined 2-year MCID and PASS thresholds for the PROMIS-PI and PROMIS-PF and demonstrated moderate to strong correlations between PROMIS scores and hip-specific PROM scores.

中文翻译：

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患者报告的结果测量信息系统在股骨髋臼撞击综合征初次髋关节镜检查中的两年表现令人鼓舞

背景：先前已为因股骨髋臼撞击综合征接受髋关节镜检查的患者一年随访时的患者报告结果测量信息系统 (PROMIS) 定义了最小临床重要差异 (MCID) 和患者可接受的症状状态 (PASS) 阈值; 然而，2 年随访时，PROMIS 的 MCID 和 PASS 阈值尚未确定。 目的：(1) 建立 PROMIS 疼痛干扰 (PROMIS-PI) 和 PROMIS 物理功能 (PROMIS) 的 MCID 和 PASS 阈值-PF) 在 2 年随访时以及 (2) 将 PROMIS 评分与髋关节特异性患者报告的结果测量 (PROM) 评分相关联。 研究设计：队列研究（诊断）；证据级别，3。方法：确定了 2020 年 8 月至 11 月期间因股骨髋臼撞击综合征接受初次髋关节镜检查的患者的术前和术后至少 2 年数据。收集的分数包括 PROMIS-PI、PROMIS-PF、髋关节结果评分 - 日常生活活动 (HOS-ADL)、髋关节结果评分 - 运动子量表 (HOS-SS)、国际髋关节结果工具 - 12 (iHOT-12) ）和疼痛视觉模拟量表（VAS）。MCID 阈值使用基于分布的方法计算，PASS 阈值使用基于锚的方法计算。使用 Pearson 相关系数比较 PROM 之间的评分。结果：共有 65 名患者符合纳入标准（72.3% 女性；平均年龄，36.9 ± 13.5 岁；平均体重指数，26.2 ± 6.0）。平均随访时间为 25.3 ± 3.3 个月。所有 PROM 的术前至术后均观察到显着改善 (P < .001)。MCID 阈值和实现率如下： HOS-ADL 分别为 10.1 和 75%；居屋-SS分别为13.8%和79%；iHOT-12 分别为 14.0 和 67%；VAS 疼痛，分别为 –13.8 和 78%；PROMIS-PI，分别为 –4.7 和 65%；和 PROMIS-PF 分别为 5.8 和 60%。PASS 门槛和达标率如下：HOS-ADL 分别为 78.7 和 67%；居屋-SS分别为76.4%和62%；iHOT-12 分别为 67.4 和 60%；VAS 疼痛分别为 25.5% 和 61%；PROMIS-PI 分别为 57.0 和 65%；和 PROMIS-PF 分别为 45.6 和 58%。PROMIS-PI 分数与 HOS-ADL ( r = -0.836)、HOS-SS ( r = -0.767) 和 iHOT-12 ( r = -0.719) 分数相关性最强，并且至少表现出中等相关性 ( r≥-0.595 ) 与其他 PROM 分数。PROMIS-PF 与所有其他 PROM 评分具有中等相关性 (r≥−0.586)。髋关节特异性 PROM 评分之间存在很强的相关性 ( r≥−0.745)。结论：本研究为 PROMIS-PI 和 PROMIS-PF 定义了 2 年 MCID 和 PASS 阈值，并证明了 PROMIS 评分与髋关节之间存在中度至强相关性-特定的 PROM 分数。