2023
Clinical Improvement Following Operative Management of Ankle Fractures Among Patients With and Without Moderate to High Depressive Symptoms: An Analysis Using PROMIS
Bernstein D, Ramirez G, Thirukumaran C, Flemister A, Oh I, Ketz J, Baumhauer J. Clinical Improvement Following Operative Management of Ankle Fractures Among Patients With and Without Moderate to High Depressive Symptoms: An Analysis Using PROMIS. Foot & Ankle Orthopaedics 2023, 8: 24730114221151077. PMID: 36741681, PMCID: PMC9893091, DOI: 10.1177/24730114221151077.Peer-Reviewed Original ResearchHigher depressive symptomsPROMIS Physical FunctionPreoperative time pointAnkle fracturesPhysical functionDepressive symptomsPain interferenceOperative managementTime pointsOutcomes Measurement Information System Physical FunctionPatient recovery patternsAnkle fracture surgeryCase-control studyLinear mixed-effects regression modelsLower depressive symptomsMixed effects regression modelsPaucity of literatureClinical improvementRoutine careFracture surgeryDepression QuestionnaireInclusion criteriaPatient expectationsPatientsDepression symptoms
2022
Is There a Difference in PROMIS Outcomes Between Patients Who Received K-Wire or Intramedullary Implant PIP Joint Arthrodesis for Hammertoe Deformity?
Holleran A, Homeier D, Baumhauer J, Flemister A, Oh I, DiGiovanni B, Ramirez G, Thirukumaran C, Ketz J. Is There a Difference in PROMIS Outcomes Between Patients Who Received K-Wire or Intramedullary Implant PIP Joint Arthrodesis for Hammertoe Deformity? Foot & Ankle Orthopaedics 2022, 7: 2473011421s00033. PMCID: PMC8792637, DOI: 10.1177/2473011421s00033.Peer-Reviewed Original ResearchPROMIS Physical FunctionK-wire fixationK-wire groupPain interferenceK-wiresPhysical functionIntramedullary fixationKW groupIM groupIntramedullary implantsRecurrence rateRevision surgeryInclusion criteriaWire fixationHammertoe deformityPF scoresPROMIS PFMedicare/Medicaid insuranceNew intramedullary implantPain interference scoresPIP joint arthrodesisPositive smoking statusPROMIS Pain InterferencePost-operative scoresNumber of reoperations
2020
Is there a Difference in Outcomes between Patients who Received a Double or Triple Arthrodesis for Hindfoot Arthritis?
Holleran A, Baumhauer J, Houck J, Homeier D, Flemister A, Ketz J, DiGiovanni B, Oh I. Is there a Difference in Outcomes between Patients who Received a Double or Triple Arthrodesis for Hindfoot Arthritis? Foot & Ankle Orthopaedics 2020, 5: 2473011420s00251. PMCID: PMC8705489, DOI: 10.1177/2473011420s00251.Peer-Reviewed Original ResearchPain interferencePhysical functionDouble arthrodesisTriple arthrodesisOutcomes Measurement Information System Physical FunctionRetrospective medical record reviewPROMIS Pain InterferencePROMIS Physical FunctionProportion of patientsMedical record reviewWound healing problemsStandard of treatmentLess patient morbidityTerms of ageNerve injuryClinical outcomesRecord reviewFoot deformityPatient morbidityLower painMedical recordsHealing problemsHindfoot deformityChi-square analysisComplicationsPattern of recovery and outcomes of patient reported physical function and pain interference after ankle fusion: a retrospective cohort study
Kohring JM, Houck JR, Oh I, Flemister AS, Ketz JP, Baumhauer JF. Pattern of recovery and outcomes of patient reported physical function and pain interference after ankle fusion: a retrospective cohort study. Journal Of Patient-Reported Outcomes 2020, 4: 40. PMID: 32462241, PMCID: PMC7253567, DOI: 10.1186/s41687-020-00203-y.Peer-Reviewed Original ResearchPROMIS Physical FunctionPhysical functionAnkle fusionT-scoreCohort studyPain interferenceProspective single cohort studyPain interference measuresOutcomes of patientsPercentage of patientsProportion of patientsRetrospective cohort studyPostoperative time pointsAnkle arthrodesis proceduresSingle cohort studyAnkle fusion surgeryPattern of recoveryRetrospective reviewRoutine careArthrodesis proceduresAnkle arthrodesisFusion surgeryEvidenceLevel IIProvider communicationPatient recoveryPrediction of post-interventional physical function in diabetic foot ulcer patients using patient reported outcome measurement information system (PROMIS)
Hao SP, Houck JR, Waldman OV, Baumhauer JF, Oh I. Prediction of post-interventional physical function in diabetic foot ulcer patients using patient reported outcome measurement information system (PROMIS). Foot And Ankle Surgery 2020, 27: 224-230. PMID: 32439241, PMCID: PMC7655606, DOI: 10.1016/j.fas.2020.04.009.Peer-Reviewed Original ResearchConceptsPostoperative physical functionDiabetic foot ulcer patientsBaseline physical functionPreoperative PROMIS scoresFoot ulcer patientsDFU patientsPhysical functionUlcer patientsClinical factorsPROMIS scoresSurgical interventionAmputation levelHealing statusPostoperative PROMIS physical functionPatients' physical functionPROMIS Physical FunctionOutcomes Measurement Information SystemPreoperative physical functionRelevant clinical factorsSignificant univariate correlationRank correlation coefficientMeasurement Information SystemChi-squared testWound healing statusDFU populationChopart Amputation: Questioning the Clinical Efficacy of a Long-standing Surgical Option for Diabetic Foot Infection.
Brodell JD, Ayers BC, Baumhauer JF, DiGiovanni BF, Flemister AS, Ketz JP, Oh I. Chopart Amputation: Questioning the Clinical Efficacy of a Long-standing Surgical Option for Diabetic Foot Infection. Journal Of The American Academy Of Orthopaedic Surgeons 2020, 28: 684-691. PMID: 32769724, DOI: 10.5435/jaaos-d-19-00757.Peer-Reviewed Original ResearchConceptsBaseline physical functionPROMIS Physical FunctionDiabetic foot infectionsPostoperative wound complicationsChopart amputationRevision amputationFoot infectionsWound complicationsPhysical functionWound healingOutcomes Measurement Information System (PROMIS) instrumentsPROMIS physical function scoresPhysical function scoresPatient-reported outcomesJudicious patient selectionExtent of infectionPostoperative complicationsTotal patientsCase seriesClinical outcomesKnee amputationPain interferencePatient selectionSurgical optionsTendon transfer
2019
Are Sicker Patients Less Likely to Improve after Ankle Fusion?
Kohring J, Houck J, Flemister S, Ketz J, Oh I, Baumhauer J. Are Sicker Patients Less Likely to Improve after Ankle Fusion? Foot & Ankle Orthopaedics 2019, 4: 2473011419s00252. PMCID: PMC8696802, DOI: 10.1177/2473011419s00252.Peer-Reviewed Original ResearchCharlson Comorbidity IndexPROMIS Physical FunctionPROMIS T-scoresPain interferenceASA scorePhysical functionAnkle arthrodesisT-scoreSicker patientsAnkle fusionDemographic dataHigher Charlson comorbidity indexPre-existing medical conditionsPre-operative functionLow physical functionPost-operative patientsAnkle arthrodesis proceduresComorbidity indexMedical comorbiditiesChart reviewRetrospective reviewRisk stratificationRoutine careAnkle arthritisArthrodesis proceduresDeltoid-Spring Ligament Reconstruction in Adult Acquired Flatfoot Deformity With Medial Peritalar Instability
Brodell JD, MacDonald A, Perkins JA, Deland JT, Oh I. Deltoid-Spring Ligament Reconstruction in Adult Acquired Flatfoot Deformity With Medial Peritalar Instability. Foot & Ankle International 2019, 40: 753-761. PMID: 30902021, DOI: 10.1177/1071100719839176.Peer-Reviewed Original ResearchConceptsPROMIS Pain InterferenceSpring ligament tearsPhysical functionPeritalar instabilityRadiographic outcomesLigament reconstructionLigament tearsOsseous correctionFlatfoot deformityPeritalar stabilitySF-36 physical functionTibiocalcaneonavicular ligamentTalo-first metatarsal angleAdult Acquired Flatfoot DeformityPostoperative weightbearing radiographsPostoperative clinical outcomesPROMIS Physical FunctionAnkle Ability MeasureRetrospective case seriesOutcomes Measurement Information SystemViable surgical optionCalcaneal pitch angleTalonavicular coverage angleAcquired Flatfoot DeformityMeasurement Information System
2018
PROMIS Pain Interference Is Superior vs Numeric Pain Rating Scale for Pain Assessment in Foot and Ankle Patients
Bernstein DN, Kelly M, Houck JR, Ketz JP, Flemister AS, DiGiovanni BF, Baumhauer JF, Oh I. PROMIS Pain Interference Is Superior vs Numeric Pain Rating Scale for Pain Assessment in Foot and Ankle Patients. Foot & Ankle International 2018, 40: 139-144. PMID: 30282475, DOI: 10.1177/1071100718803314.Peer-Reviewed Original ResearchConceptsNumeric Pain Rating ScalePROMIS Physical FunctionPROMIS PFPain rating scalePROMIS-PIPreoperative levelsAnkle patientsPROMIS Pain Interference scoresRating ScalePain interference scoresPROMIS Pain InterferenceCurrent Procedural Terminology codesOutcomes Measurement Information SystemProcedural Terminology codesMeasurement Information SystemElective footPostoperative functionPostoperative settingPain managementPain assessmentPain interferenceSpearman correlation coefficientPROMIS domainsPhysical functionInclusion criteriaPain Assessment in Foot and Ankle Patients
Kelly M, Bernstein D, MacDonald A, Ketz J, Flemister A, DiGiovanni B, Baumhauer J, Oh I. Pain Assessment in Foot and Ankle Patients. Foot & Ankle Orthopaedics 2018, 3: 2473011418s00067. DOI: 10.1177/2473011418s00067.Peer-Reviewed Original ResearchNumeric Pain Rating ScalePROMIS Pain InterferencePROMIS Physical FunctionPROMIS PFPROMIS PIPre-operative levelsPhysical functionAnkle patientsSurgical footPain levelsPain managementPain assessmentPROMIS domainsModerate correlationPost-operative expectationsPost-surgical painPatients' pain levelsPost-operative painPost-operative scoresOutcomes Measurement Information SystemPain rating scaleElective surgical proceduresMeasurement Information SystemNPRS scoresPostoperative settingDeltoid-Spring Ligament Reconstruction in Stage IIB Adult Acquired Flatfoot Deformity with Spring Ligament Tear
Oh I, MacDonald A, Ikepeze T, Deland J. Deltoid-Spring Ligament Reconstruction in Stage IIB Adult Acquired Flatfoot Deformity with Spring Ligament Tear. Foot & Ankle Orthopaedics 2018, 3: 2473011418s00372. DOI: 10.1177/2473011418s00372.Peer-Reviewed Original ResearchAdult Acquired Flatfoot DeformitySpring ligament tearsSF-36 physical functionLigament tearsPhysical functionAcquired Flatfoot DeformityOsseous correctionRadiographic outcomesFlatfoot deformityOutcomes Measurement Information System Physical FunctionShort-term clinical investigationsViable surgical treatment optionPeritalar stabilityPost-operative clinical outcomesTibiocalcaneonavicular ligamentTalo-first metatarsal anglePROMIS Physical FunctionSurgical treatment optionsCalcaneal pitch anglePain interference domainTalonavicular coverage angleAP talo-first metatarsal anglePrevious anatomic studiesGastrocnemius recessionLigament reconstructionSubtle Cavus Deformities
MacDonald A, Kelly M, Houck J, Baumhauer J, Oh I, Flemister A, Ketz J. Subtle Cavus Deformities. Foot & Ankle Orthopaedics 2018, 3: 2473011418s00081. DOI: 10.1177/2473011418s00081.Peer-Reviewed Original ResearchPROMIS Physical FunctionLateral ankle ligament reconstructionAnkle ligament reconstructionDepression T scoresPost-operative complicationsPain interferenceCavus deformityAllograft reconstructionLigament reconstructionT-scorePROMIS scoresRecurrent instabilityPROMIS PFPROMIS-PF T-scoreLateral ankle ligament injuriesLateral ankle reconstructionSubtle cavus footAnkle ligament injuriesClear risk factorsPost-operative depressionStudent's t-testImproved painRecurrent injuryAnkle reconstructionLigament injuryDetermining Success or Failure After Foot and Ankle Surgery Using Patient Acceptable Symptom State (PASS) and Patient Reported Outcome Information System (PROMIS)
Anderson MR, Baumhauer JF, DiGiovanni BF, Flemister S, Ketz JP, Oh I, Houck JR. Determining Success or Failure After Foot and Ankle Surgery Using Patient Acceptable Symptom State (PASS) and Patient Reported Outcome Information System (PROMIS). Foot & Ankle International 2018, 39: 894-902. PMID: 29791196, DOI: 10.1177/1071100718769666.Peer-Reviewed Original ResearchConceptsPatient acceptable symptom statePROMIS T-scoresPROMIS Physical FunctionPatient-reported outcomesPatient outcomesAnkle surgeryT-scorePain interferencePhysical functionPatients' perceptionsChi-square analysisTertiary academic medical centerGeneric patient-reported outcomesROC analysisPostoperative PROMIS scoresAcceptable symptom stateProportion of patientsReceiver operator curve analysisRetrospective cohort studyT-score valuesAcademic medical centerNegative patient outcomesOperator curve analysisCohort studyPROMIS scores
2017
Clinical Utilization of Patient Reported Outcome (PROMIS) Scores for Surgical Reconstruction of Posterior Tibialis Tendon Dysfunction
Anderson M, Houck J, Flemister A, Baumhauer J, Ketz J, DiGiovanni B, Ciufo D, Oh I. Clinical Utilization of Patient Reported Outcome (PROMIS) Scores for Surgical Reconstruction of Posterior Tibialis Tendon Dysfunction. Foot & Ankle Orthopaedics 2017, 2: 2473011417s000020. DOI: 10.1177/2473011417s000020.Peer-Reviewed Original ResearchPosterior tibialis tendon dysfunctionPost-surgical improvementPROMIS scalesPost-operative changesPain interferencePhysical functionPROMIS scoresAnkle surgeryClinical variablesPre-operative decision makingRadiographic measurementsPROMIS Physical FunctionReceiver operator curve analysisTertiary care centerCommon surgical problemOperator curve analysisICD-9/10Tendon dysfunctionAdult patientsPreoperative patientsRadiographic variablesCare centerSurgical problemsFlatfoot deformitySurgical reconstructionWhen are the Patients Satisfied with Their Outcome? Correlation of PROMIS Values with Patient Acceptable Symptom State (PASS) Scores in Foot and Ankle Patients
Anderson M, Baumhauer J, Flemister A, Ketz J, Oh I, DiGiovanni B, Houck J. When are the Patients Satisfied with Their Outcome? Correlation of PROMIS Values with Patient Acceptable Symptom State (PASS) Scores in Foot and Ankle Patients. Foot & Ankle Orthopaedics 2017, 2: 2473011417s000095. DOI: 10.1177/2473011417s000095.Peer-Reviewed Original ResearchPatient acceptable symptom statePROMIS PFPROMIS Physical FunctionPain interferencePROMIS T-scoresPROMIS scoresPROMIS scalesAnkle patientsPatient acceptable symptom state scoreT-scorePreoperative PROMIS scoresAcceptable symptom stateLevel of painStandard of careExpectations of treatmentLogistic regression analysisRegression analysisSensitivity/specificityPatient demographicsPoint patientsSymptom statePhysical functionVisit typePatient outcomesOutcome measuresTrends in PROMIS Scores in the Early Post-operative Period following Various Lateral Ankle Ligament Reconstructive Techniques
MacDonald A, Houck J, Ketz J, Baumhauer J, Oh I, Flemister A. Trends in PROMIS Scores in the Early Post-operative Period following Various Lateral Ankle Ligament Reconstructive Techniques. Foot & Ankle Orthopaedics 2017, 2: 2473011417s000276. DOI: 10.1177/2473011417s000276.Peer-Reviewed Original ResearchLateral ankle ligament reconstructionAnkle ligament reconstructionPain interferenceLigament reconstructionPROMIS scoresBaseline beginningDepression scoresReconstruction typeLateral ankle ligament injuriesEarly post-operative periodMeeting exclusion criteriaPROMIS Physical FunctionPre-operative scoresPost-operative visitAnkle ligament injuriesPost-operative periodPre-operative counselingSlow improvementType of reconstructionICD-9/10Conservative managementOperative treatmentLigament injurySurgical outcomesAnkle clinic
2016
Preoperative PROMIS Scores Predict Postoperative Success in Foot and Ankle Patients
Ho B, Houck JR, Flemister AS, Ketz J, Oh I, DiGiovanni BF, Baumhauer JF. Preoperative PROMIS Scores Predict Postoperative Success in Foot and Ankle Patients. Foot & Ankle International 2016, 37: 911-918. PMID: 27530986, DOI: 10.1177/1071100716665113.Peer-Reviewed Original ResearchConceptsPreoperative PROMIS scoresPhysical function scoresPatient-reported outcomesPROMIS scoresPhysical functionPreoperative painOperative interventionPain interferenceAnkle clinicFunction scoresDepression scoresCutoff valueT-scorePreoperative patient-reported outcomesMinimal clinical important differencePatient-reported outcome scoresElective operative interventionPain interference scoresPostoperative pain improvementPrognostic cutoff valuePROMIS Physical FunctionSignificant pain reductionClinical important differenceConsecutive patient visitsPredictors of improvement2016 J. Leonard Goldner Award - Can Initial PROMIS Scores Predict Outcome for Foot and Ankle Patients?
Ho B, Houck J, Flemister A, Ketz J, DiGiovanni B, Oh I, Baumhauer J. 2016 J. Leonard Goldner Award - Can Initial PROMIS Scores Predict Outcome for Foot and Ankle Patients? Foot & Ankle Orthopaedics 2016, 1: 2473011416s00090. DOI: 10.1177/2473011416s00090.Peer-Reviewed Original ResearchBaseline physical functionPhysical functionPROMIS scoresPatient visitsNon-operative treatment groupHigher baseline painHigher initial painPROMIS Physical FunctionNon-operative patientsHigher baseline depressionConsecutive patient visitsPredictors of outcomeTreatment decision processUse of patientStudent's t-testBaseline painBaseline patientOrthopaedic FootInitial painInitial visitPain interferenceAnkle patientsLess painPROMIS domainsAnkle clinic