The purpose of the current study was to: (1) determine the percentage of new orthopaedic patients reporting their symptoms to be acceptable at presentation, as measured by the Patient Acceptable Symptom State (PASS) question and (2) evaluate whether patient-reported outcome measures (PROMs), including Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) or Upper Extremity (UE), Pain Interference (PI), and Depression (D), or sociodemographic factors are associated with acceptable symptoms at presentation.
Between 2/7/2020-3/16/2020, new orthopaedic patients who completed PROMs were identified. Patient records were reviewed for those who also completed the patient acceptable symptom state (PASS) question, a yes/no question about whether a patient’s current symptom state is satisfactory. Bivariate analysis was conducted to compare patient characteristics, such as area deprivation index (ADI), between those reporting acceptable symptoms and those who did not. Multivariable logistic regression models were used to determine factors associated with acceptable symptoms at presentation.
A total of 570 patients were included, with one quarter (n = 143 [25%]) reporting acceptable symptoms at presentation. In multivariable regression analysis, only pain, as measured by the PROMIS PI, was associated with acceptable symptoms at presentation (Non-Upper Extremity Patient Regression: PROMIS PI (OR: 0.84 (95% CI: 0.79 to 0.90), p<0.01); Upper Extremity Patient Regression: PROMIS PI (OR: 0.91 (95% CI: 0.85 to 0.98), p0.05).
One quarter of new orthopaedic patients reported their symptoms to be acceptable at presentation. Of those who considered their symptom state unsatisfactory, pain – not functional status, mental health, or sociodemographic factors – was the primary determinant.
Diagnostic, III.

Copyright © 2021. Published by Elsevier Inc.

Author