The Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network: Feasibility of a Multicenter Network for Patient Outcomes Assessment in Foot and Ankle
Introduction: 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 Out...
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| Veröffentlicht in: | Foot & ankle international 2014-09, Vol.35 (9), p.847-854 |
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| creator | Hunt, Kenneth J. Alexander, Ian Baumhauer, Judith Brodsky, James Chiodo, Christopher Daniels, Timothy Davis, W. Hodges Deland, Jon Ellis, Scott Hung, Man Ishikawa, Susan N. Latt, L. Daniel Phisitkul, Phinit SooHoo, Nelson Fong Yang, Arthur Saltzman, Charles L. |
| description | Introduction:
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).
Methods:
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.
Results:
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.
Conclusion:
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 of Evidence:
Level II, prospective comparative study. |
| doi_str_mv | 10.1177/1071100714544157 |
| format | Article |
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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).
Methods:
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.
Results:
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.
Conclusion:
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 of Evidence:
Level II, prospective comparative study.</description><identifier>ISSN: 1071-1007</identifier><identifier>EISSN: 1944-7876</identifier><identifier>DOI: 10.1177/1071100714544157</identifier><identifier>PMID: 25161151</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Ankle - surgery ; Comparative Effectiveness Research ; Data Collection ; Feasibility Studies ; Female ; Foot - surgery ; Foot Deformities - surgery ; Humans ; Joint Diseases - surgery ; Male ; Middle Aged ; Patient Outcome Assessment ; Prospective Studies ; Societies, Medical ; United States</subject><ispartof>Foot & ankle international, 2014-09, Vol.35 (9), p.847-854</ispartof><rights>The Author(s) 2014</rights><rights>The Author(s) 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c290t-f9c8e32c6ed6f8aa56b6678b9abfeb3e8aa3f5187461242d297b9aa420fe645b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1071100714544157$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1071100714544157$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25161151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hunt, Kenneth J.</creatorcontrib><creatorcontrib>Alexander, Ian</creatorcontrib><creatorcontrib>Baumhauer, Judith</creatorcontrib><creatorcontrib>Brodsky, James</creatorcontrib><creatorcontrib>Chiodo, Christopher</creatorcontrib><creatorcontrib>Daniels, Timothy</creatorcontrib><creatorcontrib>Davis, W. Hodges</creatorcontrib><creatorcontrib>Deland, Jon</creatorcontrib><creatorcontrib>Ellis, Scott</creatorcontrib><creatorcontrib>Hung, Man</creatorcontrib><creatorcontrib>Ishikawa, Susan N.</creatorcontrib><creatorcontrib>Latt, L. Daniel</creatorcontrib><creatorcontrib>Phisitkul, Phinit</creatorcontrib><creatorcontrib>SooHoo, Nelson Fong</creatorcontrib><creatorcontrib>Yang, Arthur</creatorcontrib><creatorcontrib>Saltzman, Charles L.</creatorcontrib><creatorcontrib>OFAR (Orthopaedic Foot and Ankle Outcomes Research Network)</creatorcontrib><creatorcontrib>OFAR (Orthopaedic Foot and Ankle Outcomes Research Network)</creatorcontrib><title>The Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network: Feasibility of a Multicenter Network for Patient Outcomes Assessment in Foot and Ankle</title><title>Foot & ankle international</title><addtitle>Foot Ankle Int</addtitle><description>Introduction:
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).
Methods:
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.
Results:
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.
Conclusion:
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 of Evidence:
Level II, prospective comparative study.</description><subject>Ankle - surgery</subject><subject>Comparative Effectiveness Research</subject><subject>Data Collection</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Foot - surgery</subject><subject>Foot Deformities - surgery</subject><subject>Humans</subject><subject>Joint Diseases - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Outcome Assessment</subject><subject>Prospective Studies</subject><subject>Societies, Medical</subject><subject>United States</subject><issn>1071-1007</issn><issn>1944-7876</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1Lw0AQxRdRbK3ePUmO9RDd2exHcpJSrArFQqnnsNlM7EfSrbsJ4n_vllYPgpeZYX5vHswj5BroHYBS90AVAA2FC85BqBPSh4zzWKVKnoY5kHjPe-TC-zWloBLIzkmPCZAAAvrkYbHEaObapd1pLFcmmljbRnpbRqPtpg6oa41t0Edz9KidWUbD2WQ0v41esf20bnNJzipde7w69gF5mzwuxs_xdPb0Mh5NY8My2sZVZlJMmJFYyirVWshCSpUWmS4qLBIMq6QSkCougXFWskwFpjmjFUouimRAhgffnbMfHfo2b1beYF3rLdrO5yBEKliWSAhSepAaZ713WOU7t2q0-8qB5vvY8r-xhZObo3tXNFj-HvzkFATxQeD1O-Zr27lt-PZ_w2_r_HJ2</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Hunt, Kenneth J.</creator><creator>Alexander, Ian</creator><creator>Baumhauer, Judith</creator><creator>Brodsky, James</creator><creator>Chiodo, Christopher</creator><creator>Daniels, Timothy</creator><creator>Davis, W. Hodges</creator><creator>Deland, Jon</creator><creator>Ellis, Scott</creator><creator>Hung, Man</creator><creator>Ishikawa, Susan N.</creator><creator>Latt, L. Daniel</creator><creator>Phisitkul, Phinit</creator><creator>SooHoo, Nelson Fong</creator><creator>Yang, Arthur</creator><creator>Saltzman, Charles L.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>The Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network</title><author>Hunt, Kenneth J. ; Alexander, Ian ; Baumhauer, Judith ; Brodsky, James ; Chiodo, Christopher ; Daniels, Timothy ; Davis, W. Hodges ; Deland, Jon ; Ellis, Scott ; Hung, Man ; Ishikawa, Susan N. ; Latt, L. Daniel ; Phisitkul, Phinit ; SooHoo, Nelson Fong ; Yang, Arthur ; Saltzman, Charles L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290t-f9c8e32c6ed6f8aa56b6678b9abfeb3e8aa3f5187461242d297b9aa420fe645b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Ankle - surgery</topic><topic>Comparative Effectiveness Research</topic><topic>Data Collection</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Foot - surgery</topic><topic>Foot Deformities - surgery</topic><topic>Humans</topic><topic>Joint Diseases - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Outcome Assessment</topic><topic>Prospective Studies</topic><topic>Societies, Medical</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hunt, Kenneth J.</creatorcontrib><creatorcontrib>Alexander, Ian</creatorcontrib><creatorcontrib>Baumhauer, Judith</creatorcontrib><creatorcontrib>Brodsky, James</creatorcontrib><creatorcontrib>Chiodo, Christopher</creatorcontrib><creatorcontrib>Daniels, Timothy</creatorcontrib><creatorcontrib>Davis, W. Hodges</creatorcontrib><creatorcontrib>Deland, Jon</creatorcontrib><creatorcontrib>Ellis, Scott</creatorcontrib><creatorcontrib>Hung, Man</creatorcontrib><creatorcontrib>Ishikawa, Susan N.</creatorcontrib><creatorcontrib>Latt, L. Daniel</creatorcontrib><creatorcontrib>Phisitkul, Phinit</creatorcontrib><creatorcontrib>SooHoo, Nelson Fong</creatorcontrib><creatorcontrib>Yang, Arthur</creatorcontrib><creatorcontrib>Saltzman, Charles L.</creatorcontrib><creatorcontrib>OFAR (Orthopaedic Foot and Ankle Outcomes Research Network)</creatorcontrib><creatorcontrib>OFAR (Orthopaedic Foot and Ankle Outcomes Research Network)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot & ankle international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hunt, Kenneth J.</au><au>Alexander, Ian</au><au>Baumhauer, Judith</au><au>Brodsky, James</au><au>Chiodo, Christopher</au><au>Daniels, Timothy</au><au>Davis, W. Hodges</au><au>Deland, Jon</au><au>Ellis, Scott</au><au>Hung, Man</au><au>Ishikawa, Susan N.</au><au>Latt, L. Daniel</au><au>Phisitkul, Phinit</au><au>SooHoo, Nelson Fong</au><au>Yang, Arthur</au><au>Saltzman, Charles L.</au><aucorp>OFAR (Orthopaedic Foot and Ankle Outcomes Research Network)</aucorp><aucorp>OFAR (Orthopaedic Foot and Ankle Outcomes Research Network)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network: Feasibility of a Multicenter Network for Patient Outcomes Assessment in Foot and Ankle</atitle><jtitle>Foot & ankle international</jtitle><addtitle>Foot Ankle Int</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>35</volume><issue>9</issue><spage>847</spage><epage>854</epage><pages>847-854</pages><issn>1071-1007</issn><eissn>1944-7876</eissn><abstract>Introduction:
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).
Methods:
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.
Results:
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.
Conclusion:
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 of Evidence:
Level II, prospective comparative study.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>25161151</pmid><doi>10.1177/1071100714544157</doi><tpages>8</tpages></addata></record> |
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| ispartof | Foot & ankle international, 2014-09, Vol.35 (9), p.847-854 |
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| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Ankle - surgery Comparative Effectiveness Research Data Collection Feasibility Studies Female Foot - surgery Foot Deformities - surgery Humans Joint Diseases - surgery Male Middle Aged Patient Outcome Assessment Prospective Studies Societies, Medical United States |
| title | The Orthopaedic Foot and Ankle Outcomes Research (OFAR) Network: Feasibility of a Multicenter Network for Patient Outcomes Assessment in Foot and Ankle |
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