Use of the PROMIS Mobility score in assessing function in adolescents and adults previously affected by childhood hip disease

Luo, W, Ali, MS, Limb, R, Cornforth, C ORCID: 0000-0002-6047-8634 and Perry, DC ORCID: 0000-0001-8420-8252 (2021) Use of the PROMIS Mobility score in assessing function in adolescents and adults previously affected by childhood hip disease BONE & JOINT OPEN, 2 (12). pp. 1089-1095. ISSN 2633-1462, 2633-1462

Access the full-text of this item by clicking on the Open Access link.

Abstract

Aims The Patient-Reported Outcomes Measurement Information System (PROMIS) has demonstrated faster administration, lower burden of data capture and reduced floor and ceiling effects compared to traditional Patient Reported Outcomes Measurements (PROMs). We investigated the suitability of PROMIS Mobility score in assessing physical function in the sequelae of childhood hip disease. Methods In all, 266 adolscents (aged ≥ 12 years) and adults were identified with a prior diagnosis of childhood hip disease (either Perthes' disease (n = 232 (87.2%)) or Slipped Capital Femoral Epiphysis (n = 34 (12.8%)) with a mean age of 27.73 years (SD 12.24). Participants completed the PROMIS Mobility Computer Adaptive Test, the Non-Arthritic Hip Score (NAHS), EuroQol five-dimension five-level questionnaire, and the Numeric Pain Rating Scale. We investigated the correlation between the PROMIS Mobility and other tools to assess use in this population and any clustering of outcome scores. Results There was a strong correlation between the PROMIS Mobility and other established PROMs; NAHS (r<inf>s</inf> = 0.79; p < 0.001). There was notable clustering in PROMIS at the upper end of the distribution score (42.5%), with less seen in the NAHS (20.3%). However, the clustering was broadly similar between PROMIS Mobility and the comparable domains of the NAHS; function (53.6%), and activity (35.0%). Conclusion PROMIS Mobility strongly correlated with other tools demonstrating convergent construct validity. There was clustering of physical function scores at the upper end of the distributions, which may reflect truncation of the data caused by participants having excellent outcomes. There were elements of disease not captured within PROMIS Mobility alone, and difficulties in differentiating those with the highest levels of function.

Item Type:	Article
Uncontrolled Keywords:	PROMIS, Perthes' disease, Capital Femoral Epiphysis, Functional Outcome, Core Outcome set
Divisions:	Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Population Health
Depositing User:	Symplectic Admin
Date Deposited:	26 Jan 2022 10:41
Last Modified:	16 Jun 2026 09:14
DOI:	10.1302/2633-1462.212.BJO-2021.0154.R1
Open Access URL:	https://doi.org/10.1302/2633-1462.212.BJO-2021-015...
Related Websites:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3147618
Disclaimer:	The University of Liverpool is not responsible for content contained on other websites from links within repository metadata. Please contact us if you notice anything that appears incorrect or inappropriate.