orthostatsblog

[orthostatsblog]

Assignment 1

I have decided that I will use my own dataset from my own research in functional clinical outcomes after knee surgery. I am particularly interested in preoperative factors associated with depression or anxiety. I am not sure which variables I will use, so for now I will include all of the relevant variables in my personal codebook.

Research question: what is the relationship between a self-reported diagnosis of depression or anxiety and Patient-Reported Outcomes Measurement Information System (PROMIS) domains?

Hypothesis: Patients with depression or anxiety would have worse preoperative pain, function, and general health status.

Literature review: 

The Patient-Reported Outcomes Measurement Information System (PROMIS) domains have been created by the National Institutes of Health (NIH) to provide an assessment of patient-reported outcomes that is cost effective, time effective, and generalizable over a wide variety of clinical patients. However, the data collected through PROMIS in orthopedic patients is currently limited to foot, ankle, upper extremity, and spine injuries, with a lack of data regarding the use of PROMIS for patients undergoing knee surgery.

Collected data includes patient-reported demographics, treatment expectations, 6 PROMIS domains (Physical Function, Pain Interference, Fatigue, Social Satisfaction, Anxiety, Depression), Tegner Activity Scale, Marx Knee Activity Rating Scale (ARS), Visual Analog Scale (VAS) for pain, International Physical Activity ratings (IPAQ), International Knee Documentation Committee (IKDC) Subjective Knee Evaluation form, as well as information extracted from medical record. 

References

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