Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up Study
Objective Our study aims to evaluate the correlation of Patient-Reported Outcomes Measurement Information System physical function (PROMIS PF) with legacy patient-reported outcome measures (PROMs) among patients undergoing anterior cervical discectomy and fusion (ACDF). Methods A prospectively maint...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2021-03-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-2040458-229.pdf |
| _version_ | 1797332241890672640 |
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| author | James M. Parrish Nathaniel W. Jenkins Elliot D.K. Cha Conor P. Lynch Cara E. Geoghegan Shruthi Mohan Caroline N. Jadczak David P. Matichak Kern Singh |
| author_facet | James M. Parrish Nathaniel W. Jenkins Elliot D.K. Cha Conor P. Lynch Cara E. Geoghegan Shruthi Mohan Caroline N. Jadczak David P. Matichak Kern Singh |
| author_sort | James M. Parrish |
| collection | DOAJ |
| description | Objective Our study aims to evaluate the correlation of Patient-Reported Outcomes Measurement Information System physical function (PROMIS PF) with legacy patient-reported outcome measures (PROMs) among patients undergoing anterior cervical discectomy and fusion (ACDF). Methods A prospectively maintained database was retrospectively reviewed for ACDF surgeries performed between May 2015 and September 2017. Inclusion criteria were primary elective, single- or multilevel ACDFs for degenerative spinal pathology. Patients lacking preoperative or 2-year PROMIS PF surveys were excluded. Mean scores were calculated for visual analogue scale (VAS) neck, VAS arm, Neck Disability Index (NDI), 12-Item Short Form Physical Component Score (SF-12 PCS), and PROMIS PF at preoperative and 6-week, 12-week, 6-month, 1-year, and 2-year postoperative timepoints. A t-test and Pearson correlation coefficient were utilized to evaluate score improvement and PROM relationships respectively. Results The 50 subject cohort was 60.0% male, 50% obese (body mass index ≥ 30 kg/m2) and had an average age of 50.9 years. Significant improvements were demonstrated for VAS neck and NDI at all postoperative timepoints (p < 0.001) and for SF-12 and PROMIS PF at all timepoints except 6 weeks (p ≤ 0.025). VAS arm improvement was seen up to 1 year (p ≤ 0.016). PROMIS PF demonstrated strong correlations with NDI and SF-12 PCS at all evaluated timepoints and with VAS neck at all postoperative timepoints except 6 weeks (all p < 0.01). Conclusion PROMIS PF was strongly correlated with pain, disability, and physical function up to 2 years for patients undergoing ACDF. Our results support the long-term validity of PROMIS PF for measurement of patient-reported physical function among ACDF cohorts. |
| first_indexed | 2024-03-08T07:47:40Z |
| format | Article |
| id | doaj.art-41f85a610a9341d49417d8308604a39f |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:47:40Z |
| publishDate | 2021-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-41f85a610a9341d49417d8308604a39f2024-02-02T15:37:56ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912021-03-0118115516210.14245/ns.2040458.2291121Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up StudyJames M. Parrish0Nathaniel W. Jenkins1Elliot D.K. Cha2Conor P. Lynch3Cara E. Geoghegan4Shruthi Mohan5Caroline N. Jadczak6David P. Matichak7Kern Singh8 Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA Miller School of Medicine, University of Miami, Miami, FL, USA Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USAObjective Our study aims to evaluate the correlation of Patient-Reported Outcomes Measurement Information System physical function (PROMIS PF) with legacy patient-reported outcome measures (PROMs) among patients undergoing anterior cervical discectomy and fusion (ACDF). Methods A prospectively maintained database was retrospectively reviewed for ACDF surgeries performed between May 2015 and September 2017. Inclusion criteria were primary elective, single- or multilevel ACDFs for degenerative spinal pathology. Patients lacking preoperative or 2-year PROMIS PF surveys were excluded. Mean scores were calculated for visual analogue scale (VAS) neck, VAS arm, Neck Disability Index (NDI), 12-Item Short Form Physical Component Score (SF-12 PCS), and PROMIS PF at preoperative and 6-week, 12-week, 6-month, 1-year, and 2-year postoperative timepoints. A t-test and Pearson correlation coefficient were utilized to evaluate score improvement and PROM relationships respectively. Results The 50 subject cohort was 60.0% male, 50% obese (body mass index ≥ 30 kg/m2) and had an average age of 50.9 years. Significant improvements were demonstrated for VAS neck and NDI at all postoperative timepoints (p < 0.001) and for SF-12 and PROMIS PF at all timepoints except 6 weeks (p ≤ 0.025). VAS arm improvement was seen up to 1 year (p ≤ 0.016). PROMIS PF demonstrated strong correlations with NDI and SF-12 PCS at all evaluated timepoints and with VAS neck at all postoperative timepoints except 6 weeks (all p < 0.01). Conclusion PROMIS PF was strongly correlated with pain, disability, and physical function up to 2 years for patients undergoing ACDF. Our results support the long-term validity of PROMIS PF for measurement of patient-reported physical function among ACDF cohorts.http://www.e-neurospine.org/upload/pdf/ns-2040458-229.pdfanterior cervical discectomy and fusionneck disability indexpatient-reported outcomepatient-reported outcomes measurement information systemvisual analogue scaleoutcomes |
| spellingShingle | James M. Parrish Nathaniel W. Jenkins Elliot D.K. Cha Conor P. Lynch Cara E. Geoghegan Shruthi Mohan Caroline N. Jadczak David P. Matichak Kern Singh Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up Study Neurospine anterior cervical discectomy and fusion neck disability index patient-reported outcome patient-reported outcomes measurement information system visual analogue scale outcomes |
| title | Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up Study |
| title_full | Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up Study |
| title_fullStr | Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up Study |
| title_full_unstemmed | Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up Study |
| title_short | Patient-Reported Outcomes Measurement Information System Physical Function Validation for Use in Anterior Cervical Discectomy and Fusion: A 2-Year Follow-up Study |
| title_sort | patient reported outcomes measurement information system physical function validation for use in anterior cervical discectomy and fusion a 2 year follow up study |
| topic | anterior cervical discectomy and fusion neck disability index patient-reported outcome patient-reported outcomes measurement information system visual analogue scale outcomes |
| url | http://www.e-neurospine.org/upload/pdf/ns-2040458-229.pdf |
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