Abstract：
OBJECTIVE: Assessment of patient-reported outcome measures (PROMs) for hand and upper-extremity surgery patients using measures such as the Quick Disabilities of the Arm, Shoulder, and Hand (qDASH), as well as general measures including the Patient-Reported Outcomes Measurement Information System Upper Extremity Physical Function domain via a Computer-Adaptive Test (PROMIS UE CAT), has become commonplace. The aim of this study was to link, for crosswalking, the qDASH measure to both versions of the PROMIS UE CAT (v1.2 and v2.0).
METHODS: We included 18,944 hand and upper-extremity patients who completed both versions of the PROMIS UE CAT and the qDASH at the same clinical encounter. Shoulder pathology was excluded. Score linkage was performed using the R package equate, and multiple equating models (linear regression, identity, mean, linear, equipercentile, and circle-arc models) were used to establish crosswalk tables.
RESULTS: Mean qDASH and PROMIS UE CAT v1.2 scores were 38.2 (SD = 23.1) and 36.6 (SD = 9.8), respectively. Mean qDASH and PROMIS UE CAT v2.0 scores were 37.3 (SD = 21.8) and 38.3 (SD = 10.4), respectively. Pearson correlations had very strong linear relationships between the qDASH and the PROMIS UE CAT v1.2 and PROMIS UE CAT v2.0 (r = -0.83 [-0.84, -0.92] and r = -0.80 [-0.81, -0.80], respectively). For the equipercentile equating models, the intraclass correlation coefficient (ICC) had very strong positive relationships to linking measures with ICC = 0.85 (0.84, 0.86) for the qDASH-UE CAT v1.2 crosswalk and ICC = 0.83 (0.82, 0.84) for the qDASH-UE CAT v2.0 crosswalk.
CONCLUSIONS: The linkages establish crosswalk tables using equipercentile equating models to convert the PROMIS UE CAT v1.2 and v2.0 scores to the qDASH and vice versa.
CONCLUSIONS: This study provides crosswalk tables for commonly collected PROMs in hand surgery, increasing the comparability of results between centers using different PROMs to study the same conditions or treatments.
METHODS: We included 18,944 hand and upper-extremity patients who completed both versions of the PROMIS UE CAT and the qDASH at the same clinical encounter. Shoulder pathology was excluded. Score linkage was performed using the R package equate, and multiple equating models (linear regression, identity, mean, linear, equipercentile, and circle-arc models) were used to establish crosswalk tables.
RESULTS: Mean qDASH and PROMIS UE CAT v1.2 scores were 38.2 (SD = 23.1) and 36.6 (SD = 9.8), respectively. Mean qDASH and PROMIS UE CAT v2.0 scores were 37.3 (SD = 21.8) and 38.3 (SD = 10.4), respectively. Pearson correlations had very strong linear relationships between the qDASH and the PROMIS UE CAT v1.2 and PROMIS UE CAT v2.0 (r = -0.83 [-0.84, -0.92] and r = -0.80 [-0.81, -0.80], respectively). For the equipercentile equating models, the intraclass correlation coefficient (ICC) had very strong positive relationships to linking measures with ICC = 0.85 (0.84, 0.86) for the qDASH-UE CAT v1.2 crosswalk and ICC = 0.83 (0.82, 0.84) for the qDASH-UE CAT v2.0 crosswalk.
CONCLUSIONS: The linkages establish crosswalk tables using equipercentile equating models to convert the PROMIS UE CAT v1.2 and v2.0 scores to the qDASH and vice versa.
CONCLUSIONS: This study provides crosswalk tables for commonly collected PROMs in hand surgery, increasing the comparability of results between centers using different PROMs to study the same conditions or treatments.
摘要：
目的：使用诸如手臂快速残疾之类的措施，评估手和上肢手术患者的患者报告结局指标（PROM）。肩膀,和手（qDASH），以及一般措施，包括通过计算机自适应测试（PROMISUECAT）的患者报告结果测量信息系统上肢物理功能域，已经变得司空见惯。这项研究的目的是联系，横行,对两个版本的PROMISUECAT（v1.2和v2.0）的qDASH度量。
方法：我们纳入了18,944名手部和上肢患者，他们在相同的临床检查中完成了两种版本的PROMISUECAT和qDASH。排除肩关节病理。使用R包等同物进行评分链接，和多个等式模型(线性回归，身份，意思是，线性,等百分位,和圆弧模型)用于建立人行横道表。
结果：平均qDASH和PROMISUECATv1.2得分分别为38.2（SD=23.1）和36.6（SD=9.8），分别。平均qDASH和PROMISUECATv2.0评分分别为37.3(SD=21.8)和38.3(SD=10.4)，分别。皮尔逊相关性在qDASH与PROMISUECATv1.2和PROMISUECATv2.0之间具有很强的线性关系（r=-0.83[-0.84，-0.92]和r=-0.80[-0.81，-0.80]，分别)。对于等百分位数相等模型，类内相关系数（ICC）与qDASH-UECATv1.2人行横道的ICC=0.85（0.84，0.86）和qDASH-UECATv2.0人行横道的ICC=0.83（0.82，0.84）的联系措施具有非常强的正相关关系。
结论：链接使用等百分位数模型建立人行横道表，将PROMISUECATv1.2和v2.0分数转换为qDASH，反之亦然。
结论：这项研究提供了手外科中常用的PROM的人行横道表，增加使用不同PROM研究相同条件或治疗的中心之间结果的可比性。
方法：我们纳入了18,944名手部和上肢患者，他们在相同的临床检查中完成了两种版本的PROMISUECAT和qDASH。排除肩关节病理。使用R包等同物进行评分链接，和多个等式模型(线性回归，身份，意思是，线性,等百分位,和圆弧模型)用于建立人行横道表。
结果：平均qDASH和PROMISUECATv1.2得分分别为38.2（SD=23.1）和36.6（SD=9.8），分别。平均qDASH和PROMISUECATv2.0评分分别为37.3(SD=21.8)和38.3(SD=10.4)，分别。皮尔逊相关性在qDASH与PROMISUECATv1.2和PROMISUECATv2.0之间具有很强的线性关系（r=-0.83[-0.84，-0.92]和r=-0.80[-0.81，-0.80]，分别)。对于等百分位数相等模型，类内相关系数（ICC）与qDASH-UECATv1.2人行横道的ICC=0.85（0.84，0.86）和qDASH-UECATv2.0人行横道的ICC=0.83（0.82，0.84）的联系措施具有非常强的正相关关系。
结论：链接使用等百分位数模型建立人行横道表，将PROMISUECATv1.2和v2.0分数转换为qDASH，反之亦然。
结论：这项研究提供了手外科中常用的PROM的人行横道表，增加使用不同PROM研究相同条件或治疗的中心之间结果的可比性。
