Foot & Ankle International - 2017 FAI Supplement - 7S

Foot & Ankle International, 38(S1)
DOI: 10.1177/1071100717S00003
©The Author(s) 2017

When Are the Patients Satisfied
With Their Outcome? Correlation
of PROMIS Values With Patient
Acceptable Symptom State (PASS)
Scores in Foot and Ankle Patients
Michael Anderson, DO, Judith Baumhauer, MD,
MPH, MS, Adolph Flemister, MD, John Ketz, MD,
Irvin Oh, MD, Benedict DiGiovanni, MD,
Jeff Houck, PhD, PT
Category: Outcomes
Keywords: PASS, PROMIS
Introduction/Purpose: PROMIS values are being adopted
due to ease of use and influence on clinical decision making.
Studies support the use of PROMIS physical function (PF),
pain interference (PI), and Depression (D) for pre-surgical
AOFAS Annual Meeting 2017

decision making. Patient Acceptable Symptom State (PASS) is
a validated outcome measure commonly used in other areas of
medicine and surgery that captures when patient's symptoms
reach a daily acceptable level. Knowing what PROMIS scores
are associated with a patient's PASS(Yes)/(No) rating would
further enhance the use of PROMIS scales. The purpose of this
study: 1) association of PROMIS scales with a PASS rating, 2)
threshold values of PROMIS PF, PI, D associated with PASS
rating, and 3) whether PROMIS, and patient demographics are
predictive of a PASS rating.
Methods: 464 consecutive foot and ankle patients (variety of
foot and ankle conditions) over a 4 week interval prospectively completed PROMIS PF, PI and D as well as the PASS
question: "Taking into account all of the activities that you do
during your daily life, your level of pain, and also your function, do you consider that the current state of your foot and
ankle is satisfactory?" PROMIS assessments are used as the
standard of care however, the point patients feel they have
improved to an acceptable degree (PASS) is not known. The
analysis included 1) a two-way ANOVA to compare PROMIS
scores (PF, PI, D) between patients grouped as PASS(Yes)
and PASS(No); 2) ROC analysis to determine AUC, cut offs,
and 95% sensitivity/specificity for PASS(Yes), PASS
Ambiguous, and PASS(No); 3) Logistic regression analysis
7S



Table of Contents for the Digital Edition of Foot & Ankle International - 2017 FAI Supplement

TOC 1
TOC 2
TOC 3
TOC Page 4 + Verso
Editorial Board
President's Introduction
AOFAS Annual Meeting Abstracts 2017
AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - CT1
Foot & Ankle International - 2017 FAI Supplement - CT2
Foot & Ankle International - 2017 FAI Supplement - Cover1
Foot & Ankle International - 2017 FAI Supplement - Cover2
Foot & Ankle International - 2017 FAI Supplement - i
Foot & Ankle International - 2017 FAI Supplement - TOC 1
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Foot & Ankle International - 2017 FAI Supplement - TOC 2
Foot & Ankle International - 2017 FAI Supplement - 1A
Foot & Ankle International - 2017 FAI Supplement - 1B
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Foot & Ankle International - 2017 FAI Supplement - TOC 3
Foot & Ankle International - 2017 FAI Supplement - vii
Foot & Ankle International - 2017 FAI Supplement - TOC Page 4 + Verso
Foot & Ankle International - 2017 FAI Supplement - Editorial Board
Foot & Ankle International - 2017 FAI Supplement - x
Foot & Ankle International - 2017 FAI Supplement - President's Introduction
Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
Foot & Ankle International - 2017 FAI Supplement - 3S
Foot & Ankle International - 2017 FAI Supplement - 4S
Foot & Ankle International - 2017 FAI Supplement - 5S
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Foot & Ankle International - 2017 FAI Supplement - AOFAS Annual Meeting Abstracts 2017
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Foot & Ankle International - 2017 FAI Supplement - Cover3
Foot & Ankle International - 2017 FAI Supplement - Cover4
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