Establishing the Patient Acceptable Symptoms State for the Boston Carpal Tunnel Questionnaire in a Postoperative Carpal Tunnel Surgery Population
Threshold scores for patient acceptable symptom state (PASS) represent the score beyond which a patient considers themselves “well.” We aimed to determine PASS thresholds for the symptom severity scale (SSS) and functional status scale (FSS) of the Boston Carpal Tunnel Questionnaire in a sample of p...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2024-11 |
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| creator | Maughan, Gretchen Kim, James Arbon, Jantz Roca, Hernan Garcia, Brittany N. Kazmers, Nikolas H. |
| description | Threshold scores for patient acceptable symptom state (PASS) represent the score beyond which a patient considers themselves “well.” We aimed to determine PASS thresholds for the symptom severity scale (SSS) and functional status scale (FSS) of the Boston Carpal Tunnel Questionnaire in a sample of patients 1 year following carpal tunnel release.
Adults (≥ 18 years) from a single, tertiary-care academic institution were contacted 12 ± 1 months after carpal tunnel release. The Boston Carpal Tunnel Questionnaire and two PASS anchor questions were administered via REDCap—one queried acceptability of their current symptoms, and the other queried function. Participants were classified as being in an acceptable symptom state (“PASS(+)”) if they answered “very satisfied” or “somewhat satisfied,” whereas those responding “neither satisfied nor dissatisfied,” “somewhat dissatisfied,” or “very dissatisfied” were classified as “PASS(−).” Threshold values were calculated using three methods: (1) the mean score for PASS(+) participants, (2) the 75th percentile score for PASS(+) patients, and (3) the Youden Index determined using receiver operating curve (ROC) analysis to maximize sensitivity and specificity.
The 153 patients included in the study had a mean age of 60 ± 15 years and 60% (94/153) were women. At a mean follow-up of 1.0 ± 0.1 years, SSS and FSS scores were significantly lower (better) for PASS(+) than PASS(−) patients for both anchor questions. PASS estimates ranged from |
| doi_str_mv | 10.1016/j.jhsa.2024.09.022 |
| format | Article |
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Adults (≥ 18 years) from a single, tertiary-care academic institution were contacted 12 ± 1 months after carpal tunnel release. The Boston Carpal Tunnel Questionnaire and two PASS anchor questions were administered via REDCap—one queried acceptability of their current symptoms, and the other queried function. Participants were classified as being in an acceptable symptom state (“PASS(+)”) if they answered “very satisfied” or “somewhat satisfied,” whereas those responding “neither satisfied nor dissatisfied,” “somewhat dissatisfied,” or “very dissatisfied” were classified as “PASS(−).” Threshold values were calculated using three methods: (1) the mean score for PASS(+) participants, (2) the 75th percentile score for PASS(+) patients, and (3) the Youden Index determined using receiver operating curve (ROC) analysis to maximize sensitivity and specificity.
The 153 patients included in the study had a mean age of 60 ± 15 years and 60% (94/153) were women. At a mean follow-up of 1.0 ± 0.1 years, SSS and FSS scores were significantly lower (better) for PASS(+) than PASS(−) patients for both anchor questions. PASS estimates ranged from <1.4 to <1.8 for the SSS and from <1.3 to <1.5 for the FSS. All ROC curves produced excellent discrimination (area under the curve > 0.8).
We propose PASS thresholds of 1.8 for the SSS and 1.5 for the FSS, derived by the Youden or ROC method, which showed excellent discrimination between PASS(+) and PASS(−) patients.
These threshold values can be used to assess whether patient populations have achieved an adequate symptom and functional state.</description><identifier>ISSN: 0363-5023</identifier><identifier>ISSN: 1531-6564</identifier><identifier>EISSN: 1531-6564</identifier><identifier>DOI: 10.1016/j.jhsa.2024.09.022</identifier><identifier>PMID: 39545895</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Boston carpal tunnel questionnaire (BCTQ) ; carpal tunnel release ; patient acceptable symptom state (PASS) ; upper extremity</subject><ispartof>The Journal of hand surgery (American ed.), 2024-11</ispartof><rights>2024 American Society for Surgery of the Hand</rights><rights>Copyright © 2024 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1525-f9dc4108fb322023f61fdebb9a871dc22c215b6d59c65944becb14dca734e42e3</cites><orcidid>0000-0002-3685-1662</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jhsa.2024.09.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39545895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maughan, Gretchen</creatorcontrib><creatorcontrib>Kim, James</creatorcontrib><creatorcontrib>Arbon, Jantz</creatorcontrib><creatorcontrib>Roca, Hernan</creatorcontrib><creatorcontrib>Garcia, Brittany N.</creatorcontrib><creatorcontrib>Kazmers, Nikolas H.</creatorcontrib><title>Establishing the Patient Acceptable Symptoms State for the Boston Carpal Tunnel Questionnaire in a Postoperative Carpal Tunnel Surgery Population</title><title>The Journal of hand surgery (American ed.)</title><addtitle>J Hand Surg Am</addtitle><description>Threshold scores for patient acceptable symptom state (PASS) represent the score beyond which a patient considers themselves “well.” We aimed to determine PASS thresholds for the symptom severity scale (SSS) and functional status scale (FSS) of the Boston Carpal Tunnel Questionnaire in a sample of patients 1 year following carpal tunnel release.
Adults (≥ 18 years) from a single, tertiary-care academic institution were contacted 12 ± 1 months after carpal tunnel release. The Boston Carpal Tunnel Questionnaire and two PASS anchor questions were administered via REDCap—one queried acceptability of their current symptoms, and the other queried function. Participants were classified as being in an acceptable symptom state (“PASS(+)”) if they answered “very satisfied” or “somewhat satisfied,” whereas those responding “neither satisfied nor dissatisfied,” “somewhat dissatisfied,” or “very dissatisfied” were classified as “PASS(−).” Threshold values were calculated using three methods: (1) the mean score for PASS(+) participants, (2) the 75th percentile score for PASS(+) patients, and (3) the Youden Index determined using receiver operating curve (ROC) analysis to maximize sensitivity and specificity.
The 153 patients included in the study had a mean age of 60 ± 15 years and 60% (94/153) were women. At a mean follow-up of 1.0 ± 0.1 years, SSS and FSS scores were significantly lower (better) for PASS(+) than PASS(−) patients for both anchor questions. PASS estimates ranged from <1.4 to <1.8 for the SSS and from <1.3 to <1.5 for the FSS. All ROC curves produced excellent discrimination (area under the curve > 0.8).
We propose PASS thresholds of 1.8 for the SSS and 1.5 for the FSS, derived by the Youden or ROC method, which showed excellent discrimination between PASS(+) and PASS(−) patients.
These threshold values can be used to assess whether patient populations have achieved an adequate symptom and functional state.</description><subject>Boston carpal tunnel questionnaire (BCTQ)</subject><subject>carpal tunnel release</subject><subject>patient acceptable symptom state (PASS)</subject><subject>upper extremity</subject><issn>0363-5023</issn><issn>1531-6564</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1DAUhS0EokPhBVggL9kk-DcTS2zKqPxIlSiasrYc56bjUWIH26k0j8Eb4zCFBQtWd3G_c3TvOQi9pqSmhDbvjvXxkEzNCBM1UTVh7AnaUMlp1chGPEUbwhteScL4BXqR0pGQouLyObrgSgrZKrlBP69TNt3o0sH5e5wPgG9NduAzvrIW5nUHeH-a5hymhPfZZMBDiL_JDyHl4PHOxNmM-G7xHkb8bYGUXfDeuAjYeWzw7crNEIvxA_yD75d4D_FUmHkZzSp8iZ4NZkzw6nFeou8fr-92n6ubr5--7K5uKkslk9WgeisoaYeOs5IAHxo69NB1yrRb2lvGLKOya3qpbCOVEB3Yjoremi0XIBjwS_T27DvH8GM9Wk8uWRhH4yEsSXPKWrVtKW8Lys6ojSGlCIOeo5tMPGlK9FqFPuq1Cr1WoYnSpYoievPov3QT9H8lf7IvwPszAOXLBwdRJ1uSt9CX5GzWfXD_8_8FmiqdhQ</recordid><startdate>20241115</startdate><enddate>20241115</enddate><creator>Maughan, Gretchen</creator><creator>Kim, James</creator><creator>Arbon, Jantz</creator><creator>Roca, Hernan</creator><creator>Garcia, Brittany N.</creator><creator>Kazmers, Nikolas H.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3685-1662</orcidid></search><sort><creationdate>20241115</creationdate><title>Establishing the Patient Acceptable Symptoms State for the Boston Carpal Tunnel Questionnaire in a Postoperative Carpal Tunnel Surgery Population</title><author>Maughan, Gretchen ; Kim, James ; Arbon, Jantz ; Roca, Hernan ; Garcia, Brittany N. ; Kazmers, Nikolas H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1525-f9dc4108fb322023f61fdebb9a871dc22c215b6d59c65944becb14dca734e42e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Boston carpal tunnel questionnaire (BCTQ)</topic><topic>carpal tunnel release</topic><topic>patient acceptable symptom state (PASS)</topic><topic>upper extremity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maughan, Gretchen</creatorcontrib><creatorcontrib>Kim, James</creatorcontrib><creatorcontrib>Arbon, Jantz</creatorcontrib><creatorcontrib>Roca, Hernan</creatorcontrib><creatorcontrib>Garcia, Brittany N.</creatorcontrib><creatorcontrib>Kazmers, Nikolas H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maughan, Gretchen</au><au>Kim, James</au><au>Arbon, Jantz</au><au>Roca, Hernan</au><au>Garcia, Brittany N.</au><au>Kazmers, Nikolas H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Establishing the Patient Acceptable Symptoms State for the Boston Carpal Tunnel Questionnaire in a Postoperative Carpal Tunnel Surgery Population</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>2024-11-15</date><risdate>2024</risdate><issn>0363-5023</issn><issn>1531-6564</issn><eissn>1531-6564</eissn><abstract>Threshold scores for patient acceptable symptom state (PASS) represent the score beyond which a patient considers themselves “well.” We aimed to determine PASS thresholds for the symptom severity scale (SSS) and functional status scale (FSS) of the Boston Carpal Tunnel Questionnaire in a sample of patients 1 year following carpal tunnel release.
Adults (≥ 18 years) from a single, tertiary-care academic institution were contacted 12 ± 1 months after carpal tunnel release. The Boston Carpal Tunnel Questionnaire and two PASS anchor questions were administered via REDCap—one queried acceptability of their current symptoms, and the other queried function. Participants were classified as being in an acceptable symptom state (“PASS(+)”) if they answered “very satisfied” or “somewhat satisfied,” whereas those responding “neither satisfied nor dissatisfied,” “somewhat dissatisfied,” or “very dissatisfied” were classified as “PASS(−).” Threshold values were calculated using three methods: (1) the mean score for PASS(+) participants, (2) the 75th percentile score for PASS(+) patients, and (3) the Youden Index determined using receiver operating curve (ROC) analysis to maximize sensitivity and specificity.
The 153 patients included in the study had a mean age of 60 ± 15 years and 60% (94/153) were women. At a mean follow-up of 1.0 ± 0.1 years, SSS and FSS scores were significantly lower (better) for PASS(+) than PASS(−) patients for both anchor questions. PASS estimates ranged from <1.4 to <1.8 for the SSS and from <1.3 to <1.5 for the FSS. All ROC curves produced excellent discrimination (area under the curve > 0.8).
We propose PASS thresholds of 1.8 for the SSS and 1.5 for the FSS, derived by the Youden or ROC method, which showed excellent discrimination between PASS(+) and PASS(−) patients.
These threshold values can be used to assess whether patient populations have achieved an adequate symptom and functional state.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39545895</pmid><doi>10.1016/j.jhsa.2024.09.022</doi><orcidid>https://orcid.org/0000-0002-3685-1662</orcidid></addata></record> |
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| subjects | Boston carpal tunnel questionnaire (BCTQ) carpal tunnel release patient acceptable symptom state (PASS) upper extremity |
| title | Establishing the Patient Acceptable Symptoms State for the Boston Carpal Tunnel Questionnaire in a Postoperative Carpal Tunnel Surgery Population |
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