{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T23:19:55Z","timestamp":1787527195240,"version":"build-2736575974"},"reference-count":40,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Various patient-reported outcome measures (PROMs) are available to assess functional outcomes in patients treated for wrist-hand fractures. Among the most frequently applied instruments are the Patient-Rated Wrist\/Hand Evaluation (PRWHE), Quick Disabilities of the Arm, Shoulder and Hand and Short Musculoskeletal Function Assessment. Computerized adaptive tests (CATs) utilizing the PROM-Information System (PROMIS) offers a standardized alternative. This study compared the psychometric properties of PROMIS CATs with these three legacy instruments and assessed independent factors associated with worse PROMIS scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Patients treated for wrist\u2013hand fractures were recruited in a Level I trauma centre. Construct validity was assessed by correlating instruments (Pearson\u2019s\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      &gt; 0.7 was considered sufficient). Reliability (standard error (SE),\n                      <jats:italic toggle=\"yes\">\u03b1<\/jats:italic>\n                      ), efficiency (items\/time needed to completion) and floor\/ceiling effects were assessed per instrument. A mean SE &lt; 2.2 was deemed sufficient and an\n                      <jats:italic toggle=\"yes\">\u03b1<\/jats:italic>\n                      &gt; 0.7. Factors associated with worse PROMIS scores were also identified.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Correlations between PROMIS measures and legacy instruments were high (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.74\u20130.84), except for a moderate correlation between PROMIS-Physical Function and PRWHE (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.63). Reliability for all PROM\u2019s was sufficient (SE 2.1\u20132.2,\n                      <jats:italic toggle=\"yes\">\u03b1<\/jats:italic>\n                      0.92\u20130.97). PROMIS required fewer items (4\u20138 vs. 11\u201346) and less time (51\u201384 vs. 131\u2013314\u2009seconds). The PROMs did not exhibit floor\/ceiling effects. An elevated level of depression was one of the strongest factors independently associated with worse PROMIS scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PROMIS CATs showed strong correlations with legacy instruments, supporting its ability to provide comparable functional assessments. Computerized adaptive tests maintain high reliability while offering greater efficiency than legacy instruments. Elevated depressive symptoms emerged as one of the strongest independent predictors of worse CAT scores in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Diagnostic study, Level II<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261420039","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T04:34:04Z","timestamp":1770957244000},"page":"1038-1045","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["PROMIS computerized adaptive testing is effective and efficient for outcome assessment in patients with wrist or hand fractures"],"prefix":"10.1177","volume":"51","author":[{"given":"Michiel AJ","family":"Luijten","sequence":"first","affiliation":[{"name":"Amsterdam UMC, Vrije Universiteit, Department of Epidemiology and Data Science, the Netherlands"},{"name":"Amsterdam UMC location AMC, Department of Child and Adolescent Psychiatry and Psychosocial Care, Emma Children\u2019s Hospital, the Netherlands"},{"name":"Amsterdam Public Health Research Institute, Methodology and Mental Health, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal FW","family":"Hannemann","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma, Maastricht University Medical Center +, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotte","family":"Haverman","sequence":"additional","affiliation":[{"name":"Amsterdam UMC location AMC, Department of Child and Adolescent Psychiatry and Psychosocial Care, Emma Children\u2019s Hospital, the Netherlands"},{"name":"Amsterdam Public Health Research Institute, Mental Health and Digital Health Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martijn","family":"Poeze","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma, Maastricht University Medical Center +, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diederik O","family":"Verbeek","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma, Maastricht University Medical Center +, the Netherlands"},{"name":"Trauma Section, Department of Surgery, Dijklander Ziekenhuis, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"e_1_3_2_2_1","article-title":"Development of the QuickDASH: comparison of three item-reduction approaches","volume":"87","author":"Beaton DE","year":"2005","unstructured":"Beaton DE, Wright JG, Katz JN, et al. 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