New Publications

In the June issue of PHO eNews, we are really excited to highlight three new articles from the PHO journal - Advances in Patient-Reported Outcomes.

van Meijeren-Pont W, Arwert H, Vliet Vlieland TPM , Westerbeek-Couwenberg MM, Jellema K, Terwee CB, Oosterveer DM. Comparison of PROMIS® CAT Profile scores of stroke patients in a hospital and rehabilitation setting. Advances in Patient-Reported Outcomes. 2025:100189. doi: 10.1016/j.apro.2025.100189. Epub ahead of print.

The researchers examined PROMIS-29 scores (administered via computer adaptive tests or on paper) in two stroke populations in the Netherlands: an inpatient hospital sample and a combined inpatient/outpatient rehabilitation sample. Both T-scores were compared as well as dichotomous indicators for whether the domain was at least mildly affected. The hospital sample had worse scores for physical function and social participation but better pain interference, fatigue, anxiety, and depression. In the hospital sample, the majority of patients had affected physical function and social participation while, in the rehabilitation sample, the majority of patients had affected physical function. As a secondary aim, some sex-specific differences in PROMIS scores were also observed.

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Holeman TA, Brooke BS, Hales JB, Wei Y, Zhang Y, Steinberg BA, Cizik AM. Establishing minimal clinically important difference for PROMIS Physical Function improvement after revascularization for peripheral artery disease. Advances in Patient-Reported Outcomes. 2025:100188. doi: 10.1016/j.apro.2025.100188. Epub ahead of print.

The researchers aimed to identify a threshold for meaningful improvement in PROMIS physical function scores (administered via computer adaptive test) after lower extremity revascularization and identify factors associated with improvement. Both anchor-based and distribution-based approaches were used to identify the MCID value, estimated at ≥ 5 points. 25 of 62 patients met that MCID threshold. Only baseline scores were associated with reaching that threshold, with higher starting scores decreasing the odds of reaching the threshold. There was not great alignment between technical success (measured by an ankle brachial index change) and reaching the MCID threshold.

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Qureshi N, Siconolfi D, Rodriguez A, Hays RD, Coulter ID, Herman PM. Comparing three measures of sleep disturbance in persons with chronic low back and neck pain. Advances in Patient-Reported Outcomes. 2025:100187. doi: 10.1016/j.apro.2025.100187. Epub ahead of print.

The researchers examined associations between multiple sleep items (1 item from the Oswestry Disability Index, 1 item from the Neck Disability Index, 4-item PROMIS-29 Sleep Disturbance, and the PROMIS-29 Sleep20 item) in a subsample of patients with both chronic low back and neck pain from chiropractic practices across the United States. There are multiple differences between these items, including related to the exact sleep problem and the recall period. Responses were collected at baseline and at a 3-month follow-up. There were strong correlations between the ODI and NDI, potentially suggesting difficulty with specific attribution of problems to a body region. There were moderate to strong correlations between the ODI or NDI and PROMIS sleep items. However, participants generally endorsed greater levels of sleep disturbance for PROMIS items versus the ODI and NDI.