Jerry Bounsanga

• Master of Statistics
• Analyst at Utah Medical Education Council

Background: This study explored whether opinions about the government's role in addressing the COVID-19 pandemic vary based on demographic characteristics and racial beliefs. We hypothesized that opinions about the United States (U.S.) government's response to COVID-19 would differ based on an individual's characteristics such as age, race, and ra...

Background: Skin cancer is the most common form of cancer, and both clinical and epidemiological data link cumulative solar dosages and the number of sunburns to skin cancer. Each year, more than 5.4 million new cases of skin cancer are diagnosed, incurring a significant health and financial burden. Recommended preventive measures for skin cancer...

Introduction: Past studies examined factors associated with rural practice, but none employed newer machine learning (ML) methods to explore potential predictors. The primary aim of this study was to identify factors related to practice in a rural area. Secondary aims were to capture a more precise understanding of the demographic characteristics...

Introduction/aims: Scoliosis is a common comorbidity among individuals diagnosed with a dystrophinopathy. We examined associations between clinical predictors and scoliosis in childhood-onset dystrophinopathy. Methods: The progression and treatment of scoliosis were obtained from data collected by the US population-based Muscular Dystrophy Surve...

Few studies provide detailed findings about the health disparities of women being told by a physician whether they have ever had a human papillomavirus (HPV) infection. This study sought to characterize the prevalence and characteristics associated with women age 18 to 59 years in the United States who report being told they were infected with HPV....

BACKGROUND Oral cancer is the sixth most prevalent cancer worldwide. Public knowledge in oral cancer risk factors and survival is limited. AIM To come up with machine learning (ML) algorithms to predict the length of survival for individuals diagnosed with oral cancer, and to explore the most important factors that were responsible for shortening...

Introduction: The prevalence and impact of symptoms affecting individuals with pediatric forms of myotonic dystrophy type-1 (DM1) are not well understood. Methods: Patients from United States, Canada, and Sweden completed a survey that investigated 20 themes associated with pediatric-onset DM1. Participants reported the prevalence and importance...

Objective: This study sought to utilise machine learning methods in artificial intelligence to select the most relevant variables in classifying the presence and absence of root caries and to evaluate the model performance. Background: Dental caries is one of the most prevalent oral health problems. Artificial intelligence can be used to develop...

Background: Routine assessment of photophobia in the clinical setting may underestimate the presence and severity of this condition. We aimed to develop and validate a questionnaire to improve evaluation of the impact of photophobia on activities of daily living, and to determine the relationship of this questionnaire to psychophysical assessment...

Purpose: In light of recently-proposed quality measures for carpal tunnel release (CTR), elucidating the minimal clinically important difference (MCID) for selected outcome measures will be important when interpreting treatment responses. Our purpose was to estimate the MCID of the Patient-Reported Outcomes Measurement Information System (PROMIS)...

This study examined factors contributing to achievement gaps between White and African American students in 2,868 diverse school districts across the United States. Using pooled data across five school years (2008-2013), six grade levels (grades third to eighth, which typically include students aged 8 years-14 years) and two different subjects (mat...

Purpose: The Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Computer Adaptive Test (UE CAT) was recently updated to version 2.0 (v2.0). We hypothesized that the PROMIS UE CAT v2.0 would exhibit improved performance characteristics compared with the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) whe...

This study examined the role of relationship quality on physical and psychological health among older adults. It included 2,298 adults aged 50 and older who participated in the Midlife in the US national longitudinal study of health and well-being. We assessed the effect of spousal support and strain on psychological and physical health, controllin...

Background: Investigating the responsiveness of an instrument is important in order to provide meaningful interpretation of clinical outcomes. This study examined the responsiveness of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF), the PROMIS Pain Interference (PI), and the Foot and Ankle Ability Meas...

Background: Establishing score points that reflect meaningful change from the patient perspective is important for interpreting patient-reported outcomes. This study estimated the minimum clinically important difference (MCID) values of 2 Patient-Reported Outcomes Measurement Information System (PROMIS) instruments and the Foot and Ankle Ability M...

Background The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Computer Adaptive Test (CAT) was previously validated for rotator cuff disease and shoulder instability. This study evaluated the psychometric properties of the PROMIS Physical Function (PF) CAT, PROMIS Pain Interference (PI) CAT, and the American Sho...

Health care delivery often focuses on treatments over provider and payment attributes, which also impact care delivery. This study describes the procedures, allowed charges, submitted charges, and payments for orthopaedic providers that accept Medicare Part B in the US. Additionally, the study investigated regional and gender differences in charges...

The main objectives of this study were to document research on BPCI and review the literature for evidence pertinent to the advantages and limitations of the BPCI funding mechanism. We searched the PubMed database for bundle payment studies using the search terms bundle payment and BPCI program. A systematic approach was used to guide the synthesis...

Purpose Previous oncological studies showed that lymph node ratio (LNR) (ratio of number of lymph nodes that tested positive for metastasis to the total number of lymph nodes examined) is a negative indicator of cancer survival. The American Joint Committee on Cancer (AJCC) staging system incorporates tumor size, lymph node involvement, and metasta...

Introduction The purpose of this study was to describe and compare the performance of balance and walking tests in relation to self‐reported fall history in adults with myotonic dystrophy type 1 (DM1). Methods Twenty‐two (13 male) participants with DM1 completed a six‐month fall history questionnaire, the modified Dynamic Gait Index (mDGI), Limits...

Background: As new Patient-Reported Outcomes Measurement Information System (PROMIS) instruments are incorporated into clinical practice, determining how large a change on these instruments represents a clinically relevant difference is important; the metric that describes this is the minimum clinically important difference (MCID). Prior research...

Objective The development of a disease specific patient reported outcome for Charcot Marie Tooth disease is an important step in the preparation for therapeutic trials. This study describes the development of the Charcot Marie Tooth Health Index (CMTHI). Methods Inherited Neuropathy Consortium Contact Registry participants were queried on the symp...

Background context: The Patient-Reported Outcomes Information System (PROMIS) instruments are an important advancement in the use of PROs, but need to be evaluated with longitudinal data to determine whether they are responsive to change in specific clinical populations. Purpose: The purpose of this study was to assess the responsiveness of the...

AIM To establish minimum clinically important difference (MCID) for measurements in an orthopaedic patient population with joint disorders. METHODS Adult patients aged 18 years and older seeking care for joint conditions at an orthopaedic clinic took the Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS® PF) comput...

Background: This study evaluated the psychometric properties of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF) instrument administered through computerized adaptive testing (CAT) compared with the traditional full-length Disabilities of the Arm, Shoulder and Hand (DASH). Methods: The PROMIS PF CAT an...

Objectives: To examine the relationship between the Patient Reported Outcome Measurement Information System (PROMIS) Pain Interference (PI) and PROMIS Physical Function (PF) scales in patients with spinal pain at a university spine center. Design: Retrospective analysis of prospectively collected patient-reported outcome data at a university spi...

Background This study evaluated the responsiveness of several PROMIS patient-reported outcome measures in patients with hand and upper extremity disorders and provided comparisons with the qDASH instrument. Methods The PROMIS Upper Extremity computer adaptive test (UE CAT) v1.2, the PROMIS Physical Function (PF) CAT v1.2, the PROMIS Pain Interfere...

Background: Critically analyzing research is a key skill in evidence-based practice and requires knowledge of research methods, results interpretation, and applications, all of which rely on a foundation based in statistics. Evidence-based practice makes high demands on trained medical professionals to interpret an ever-expanding array of research...

Objectives: A number of neurologic and ophthalmic conditions are associated with abnormal light sensitivity (photophobia), but the most prevalent condition is migraine. We previously developed a questionnaire to quantify patients’ light sensitivity symptoms and the effects of their light sensitivity on activities of daily living. The objective of t...

Purpose: The relationship between psychosocial factors and self-reported physical function among hand and upper extremity patients is complex. The Patient-Reported Outcomes Measurement Information System (PROMIS) platform has attempted to create a variety of specifically targeted metrics that can be administered using computer adaptive testing (CA...

12345Responsiveness is the ability to detect change over time and is an important aspect of measures used to detect treatment effects. The purpose of this study was to assess the responsiveness of the HOOS JR, the KOOS JR, and the PROMIS Physical Function (PF) computerized adaptive test (CAT) in a joint reconstruction practice. 983 patients were ev...

Background: Arthritis is the leading cause of work disability and contributes to lost productivity. Previous studies showed that various factors predict pain but they were limited in sample size and scope from a data analytics perspective. Objectives: The current study applied machine learning algorithms to identify predictors of pain associated...

INTRODUCTION: Children with congenital myotonic dystrophy (CDM) have communication and motor delays. It's not well studied how communication delays affect performance on functional measures such as four‐stair climb (4SC), rise from floor (RFF) and 10‐meter run (10MR). METHODS: 49 participants with CDM were recruited in to three age‐based cohorts. M...

Vitamins C and D have been associated with decreasing pain and increasing function but these associations are not definitive. This cross-sectional study explores what relationships supplemental and dietary intake of vitamins C and D have on pain severity and physical function in patients with knee osteoarthritis. Using data from the Osteoarthritis...

Objective: Unemployment among older adults during recessionary cycles has been tied to early retirement decisions and negative health outcomes. This study explored episodes of unemployment experienced between age 50 and retirement as predictors of retirement age and health outcomes. Methods: A total of 1540 participants from the U.S. Health and...

Study design: Clinical measurement. Introduction: The psychometric properties of the PROMIS v1.2 UE item bank were tested on various samples prior to its release, but have not been fully evaluated among the orthopaedic population. Purpose of the study: This study assesses the performance of the UE item bank within the UE orthopaedic patient po...

Introduction: Congenital Myotonic Dystrophy (CDM) occurs when symptoms of myotonic dystrophy present at birth. This study evaluated the relationship between physical function, muscle mass, and age to provide an assessment of the disease and help prepare for therapeutic trials. Methods: CDM participants performed timed functional tests (TFTs), Th...

Varying types of health information sources may influence health outcomes, but not much is known about their impact. The purpose of our study was to explore the association between health information sources and individuals’ health status. A total of 14,966 participants who responded to the Annenberg National Health Communication Survey between 200...

Introduction. Myotonic Dystrophy type 1 (DM1) is a commonly inherited muscular dystrophy. Motor performance and balance effect mobility and falls in DM1. A clearer understanding of falls is needed in this population. Objectives. Explore relationships between the modified Dynamic Gait Index (mDGI) and fall history, and other measures of function. Me...

Aims: The relationship between using illicit substances and seeking out mental health treatments has not been well studied. This study aimed to explore the relationship and identification of drug usage patterns related to the highest frequency of receiving mental health care. Methods: Data were obtained from the National Survey on Drug Use and Heal...

The prevalence and chronic nature of arthritis make it the most common cause of disability among U.S.A adults. Family support reduces the negative impact of chronic conditions generally but its role in pain and depression for arthritic conditions is not well understood. A total of 844 males (35.0%) and 1567 females (65.0%) with arthritic conditions...

Objective: Herein, we describe the disease burden and age-related changes of congenital-onset myotonic dystrophy (CDM) in childhood. Methods: Children with CDM and age-matched controls aged 0 to 13 years were enrolled. Participants were divided into cohorts based on the following age groups: 0-2, 3-6, and 7-13 years. Each cohort received age-app...

Purpose: The Patient-Reported Outcomes Measurement Information System Upper Extremity Computer Adaptive Test (UE CAT) has recently been made available by the National Institutes of Health to measure physical function outcomes in the upper extremity. We hypothesized that the UE CAT would psychometrically outperform the Disabilities of the Arm, Shou...

Objectives: Depression is a major health risk factor among the older population, related to significant increases in total per person health care expenditures. Prior studies have shown significant regional variations in some clinical conditions. However, there has not been any study examining depressive symptoms across regions. The purpose of this...

Objective: Pediatric concussion is an extensive public health concern with a complex clinical presentation. Balance assessment has been well-studied in the adult population, but has been limited in children. We aimed to assess the reliability and minimum detectable change (MDC) of the Balance Error Scoring System (BESS) in healthy children. Desig...

Background: Health care quality is often linked to patient satisfaction. Yet, there is a lack of national studies examining the relationship between patient satisfaction, patient-reported outcomes, and medical expenditure. Objective: The aim of this study is to examine the contribution of physical health, mental health, general health, and total...

The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Computerized Adaptive Test (PF CAT) is a newly developed patient-reported outcome instrument designed by the National Institutes of Health to measure generalized physical function. However, the measurement properties of the PF CAT have not been compared with est...

Many instruments exist to assess mental disorders and anxiety, such as the hospital anxiety and depression scale (HADS). Nothing has been evaluated on the HADS factor structure for use with orthopedic trauma patients. The aim of this study was to validate the underlying structure of the HADS. Specifically, we sought to understand which of the facto...

Objective: The purpose of this study is to investigate whether the LE CAT, PROMIS PF CAT, Depression CAT, or Pain CAT can be used as a proxy for the EQ-5D-5L. Background: Patient-reported outcome measures have become vital tools for physicians to understand the effectiveness and value of treatment and care. Methods: This study was conducted in 20...