%0 Journal Article
%T PROMIS Pain Interference Is Superior vs Numeric Pain Rating Scale for Pain Assessment in Foot and Ankle Patients
%A A. Samuel Flemister
%A Benedict F. DiGiovanni
%A David N. Bernstein
%A Irvin Oh
%A Jeffrey R. Houck
%A John P. Ketz
%A Judith F. Baumhauer
%A Meghan Kelly
%J Foot & Ankle International
%@ 1944-7876
%D 2019
%R 10.1177/1071100718803314
%X The Numeric Pain Rating Scale (NPRS) is a popular method to assess pain. Recently, the Patient-Reported Outcomes Measurement Information System (PROMIS) has been suggested to be more accurate in measuring pain. This study aimed to compare NPRS and PROMIS Pain Interference (PI) scores in a population of foot and ankle patients to determine which method demonstrated a stronger correlation with preoperative and postoperative function, as measured by PROMIS Physical Function (PF). Prospective PROMIS PF and PI and NPRS data were obtained for 8 common elective foot and ankle surgical procedures. Data were collected preoperatively and postoperatively at a follow-up visit at least 6 months after surgery. Spearman correlation coefficients were calculated to determine the relationship among NPRS (0-10) and PROMIS domains (PI, PF) pre- and postoperatively. A total of 500 patients fit our inclusion criteria. PROMIS PF demonstrated a stronger correlation to PROMIS PI in both the pre- and postoperative settings (preoperative: ¦Ñ = £¿0.66; postoperative: ¦Ñ = £¿0.69) compared with the NPRS (preoperative: ¦Ñ = £¿0.32; postoperative:¦Ñ = £¿0.33). Similar results were found when data were grouped by Current Procedural Terminology (CPT) code. PROMIS PI was a superior tool to gauge a patient¡¯s preoperative level of pain and functional ability. This information may assist surgeons and patients in setting postoperative functional expectations and pain management. Level II, prognostic
%K patient-reported outcomes
%K PROMIS
%K pain
%K surgical expectations
%K value-based healthcare
%U https://journals.sagepub.com/doi/full/10.1177/1071100718803314