What does this research mean for the field?

Interpretive thresholds for the PROMIS-Upper-Extremity v2.0 T-score scale in patients with upper extremity injuries are 45 for no-to-mild problems, 32.5 for mild-to-moderate problems, and 25 for moderate-to-severe problems. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Identify interpretive T-score thresholds classifying mild, moderate, and severe functional limitations on the PROMIS-UE v2.0 instrument in patients with upper extremity injuries.

August 30, 2026Quality of Life ResearchOpen Access

Deciding on thresholds for clinical relevance of PROMIS-upper extremity v2.0 in patients with upper extremity injury

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Authors

SBSuus G. J. van Bruggen LVLore Elise de Vreeze CLCharlotte M. Lameijer

Discussion

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Overview

Qualitative vignette study establishes severity thresholds for PROMIS-UE T-scores in upper extremity injury, supporting shared clinical decision-making.

Key Points

Identify interpretive T-score thresholds classifying mild, moderate, and severe functional limitations on the PROMIS-UE v2.0 instrument in patients with upper extremity injuries.
Conducted a qualitative vignette study derived from PROMIS-UE v2.0 and its item response theory model.
Tested and ranked clinical vignettes across expert and patient focus groups to define cutoff levels for physical functioning.
Achieved consensus on the threshold between no problems and mild problems at a T-score of 45.
Established thresholds for mild-to-moderate problems at a T-score of 32.5 and moderate-to-severe problems at a T-score of 25.

Cite This Study

Bruggen et al. (2026) studied this question.

synapsesocial.com/papers/6a93f14b6c1a8fb52e79e13d https://doi.org/10.1007/s11136-026-04367-w

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August 30, 2026Quality of Life ResearchOpen Access

Deciding on thresholds for clinical relevance of PROMIS-upper extremity v2.0 in patients with upper extremity injury

View Full Paper

Ask AI

Bookmark

Authors

SBSuus G. J. van Bruggen LVLore Elise de Vreeze CLCharlotte M. Lameijer

Discussion

Member takes

Overview

Qualitative vignette study establishes severity thresholds for PROMIS-UE T-scores in upper extremity injury, supporting shared clinical decision-making.

Key Points

Identify interpretive T-score thresholds classifying mild, moderate, and severe functional limitations on the PROMIS-UE v2.0 instrument in patients with upper extremity injuries.
Conducted a qualitative vignette study derived from PROMIS-UE v2.0 and its item response theory model.
Tested and ranked clinical vignettes across expert and patient focus groups to define cutoff levels for physical functioning.
Achieved consensus on the threshold between no problems and mild problems at a T-score of 45.
Established thresholds for mild-to-moderate problems at a T-score of 32.5 and moderate-to-severe problems at a T-score of 25.

Cite This Study

Bruggen et al. (2026) studied this question.

synapsesocial.com/papers/6a93f14b6c1a8fb52e79e13d https://doi.org/10.1007/s11136-026-04367-w

Also Consider

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