TY - JOUR
T1 - The Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network
T2 - Feasibility of a Multicenter Network for Patient Outcomes Assessment in Foot and Ankle
AU - OFAR (Orthopaedic Foot and Ankle Outcomes Research Network)
AU - Hunt, Kenneth J.
AU - Alexander, Ian
AU - Baumhauer, Judith
AU - Brodsky, James
AU - Chiodo, Christopher
AU - Daniels, Timothy
AU - Davis, W. Hodges
AU - Deland, Jon
AU - Ellis, Scott
AU - Hung, Man
AU - Ishikawa, Susan N.
AU - Latt, L. Daniel
AU - Phisitkul, Phinit
AU - Soohoo, Nelson Fong
AU - Yang, Arthur
AU - Saltzman, Charles L.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This investigation was funded by the AOFAS Outreach and Education Fund (OEF). PROMIS is currently funded by the NIH. No commercial support was received by any author for this investigation.
PY - 2014/9
Y1 - 2014/9
N2 - There is an increasing need for orthopaedic practitioners to measure and collect patient-reported outcomes data. In an effort to better understand outcomes from operative treatment, the American Orthopaedic Foot & Ankle Society (AOFAS) established the Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network, a national consortium of foot and ankle orthopaedic surgeons. We hypothesized that the OFAR Network could successfully collect, aggregate, and report patient-reported outcome (PRO) data using the National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS). Ten sites enrolled consecutive patients undergoing elective surgery for 1 of 6 foot/ankle disorders. Outcome instruments were collected preoperatively and at 6 months postoperatively using the PROMIS online system: Foot and Ankle Ability Measure (FAAM), Foot Function Index (FFI), and PROMIS physical function (PF) and pain computerized adaptive tests (CAT). During the 3-month period, 328 patients were enrolled; 249 (76%) had completed preoperative patient-reported outcomes data and procedure-specific data. Of these, 140 (56%) also completed 6-month postoperative patient- reported outcomes data. Ankle arthritis and flatfoot demonstrated consistently worse preoperative scores. Five of 6 disorders showed significant improvement at 6 months on PF CAT and FAAM, 4 of 6 showed improvement on pain interference CAT, and no disorders showed improvement on FFI. Ankle arthritis and flatfoot demonstrated the greatest magnitude of change on most patient-reported outcomes scales. We were able to enroll large numbers of patients in a short enrollment period for this preliminary study. Data were easily aggregated and analyzed. Substantial loss of follow-up data indicates a critical area requiring further effort. The AOFAS OFAR Network is undergoing expansion with goals to ultimately facilitate large, prospective multicenter studies and optimize the quality and interpretation of available outcome instruments for the foot and ankle population. Level II, prospective comparative study.
AB - There is an increasing need for orthopaedic practitioners to measure and collect patient-reported outcomes data. In an effort to better understand outcomes from operative treatment, the American Orthopaedic Foot & Ankle Society (AOFAS) established the Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network, a national consortium of foot and ankle orthopaedic surgeons. We hypothesized that the OFAR Network could successfully collect, aggregate, and report patient-reported outcome (PRO) data using the National Institutes of Health (NIH) Patient Reported Outcomes Measurement Information System (PROMIS). Ten sites enrolled consecutive patients undergoing elective surgery for 1 of 6 foot/ankle disorders. Outcome instruments were collected preoperatively and at 6 months postoperatively using the PROMIS online system: Foot and Ankle Ability Measure (FAAM), Foot Function Index (FFI), and PROMIS physical function (PF) and pain computerized adaptive tests (CAT). During the 3-month period, 328 patients were enrolled; 249 (76%) had completed preoperative patient-reported outcomes data and procedure-specific data. Of these, 140 (56%) also completed 6-month postoperative patient- reported outcomes data. Ankle arthritis and flatfoot demonstrated consistently worse preoperative scores. Five of 6 disorders showed significant improvement at 6 months on PF CAT and FAAM, 4 of 6 showed improvement on pain interference CAT, and no disorders showed improvement on FFI. Ankle arthritis and flatfoot demonstrated the greatest magnitude of change on most patient-reported outcomes scales. We were able to enroll large numbers of patients in a short enrollment period for this preliminary study. Data were easily aggregated and analyzed. Substantial loss of follow-up data indicates a critical area requiring further effort. The AOFAS OFAR Network is undergoing expansion with goals to ultimately facilitate large, prospective multicenter studies and optimize the quality and interpretation of available outcome instruments for the foot and ankle population. Level II, prospective comparative study.
KW - PRO
KW - PROMIS
KW - ankle arthritis
KW - computer adaptive testing
KW - patient-reported outcomes
UR - http://www.scopus.com/inward/record.url?scp=84922366364&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84922366364&partnerID=8YFLogxK
U2 - 10.1177/1071100714544157
DO - 10.1177/1071100714544157
M3 - Article
C2 - 25161151
AN - SCOPUS:84922366364
SN - 1071-1007
VL - 35
SP - 847
EP - 854
JO - Foot & Ankle International
JF - Foot & Ankle International
IS - 9
ER -