Validation of PROMIS Physical Function in MIS TLIF

医学 Oswestry残疾指数 可视模拟标度 病人报告结果测量信息系统 围手术期 队列 患者报告的结果 正式舞会 物理疗法 腰痛 外科 生活质量(医疗保健) 内科学 计算机化自适应测验 心理测量学 护理部 替代医学 病理 产科 临床心理学
作者
Nathaniel W. Jenkins,James M. Parrish,Elliot D.K.,Conor P. Lynch,Arash J. Sayari,Cara E. Geoghegan,Caroline N. Jadczak,Shruthi Mohan,Kern Singh
出处
期刊:Spine [Lippincott Williams & Wilkins]
卷期号:45 (22): E1516-E1522 被引量:30
标识
DOI:10.1097/brs.0000000000003635
摘要

Study Design. Retrospective cohort. Objective. We evaluate the correlation of the Patient-Reported Outcomes Measurement Information System for physical function (PROMIS-PF) with legacy patient-reported outcome measures (PROMs) in patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) up to 2 years postoperatively. Summary of Background Data. PROMIS-PF has not been validated past 6 months following MIS TLIF. Methods. A surgical registry was retrospectively reviewed for eligible MIS TLIFs between May 2015 and September 2017. Inclusion criteria were primary, one- or two-level MIS TLIFs for degenerative spinal pathology. Patients without preoperative or 2-year follow up PROMIS-PF surveys were excluded. Demographic, perioperative, and PROMs including Visual Analog Scale (VAS) back, VAS leg, Oswestry Disability Index (ODI), 12-Item Short Form (SF-12) physical component summary (PCS) scores, and PROMIS-PF at preoperative and postoperative timepoint ( e.g. , 6 weeks, 12 weeks, 6 months, 1 year, and 2 years). A paired t test evaluated PROM improvement from baseline. The relationship of PROMIS-PF with VAS back, VAS leg, SF-12 PCS, and ODI was evaluated with a Pearson correlation coefficient. Results. The 68-subject cohort was 41.2% female, with an average age of 52.9 years; 44.1% were obese, and the majority underwent one-level fusions (95.6% ) . Pain (VAS back, VAS leg) and disability metrics (ODI) demonstrated significant improvement at all timepoints following MIS TLIF when compared to baseline (all P < 0.001). Physical function (SF-12 PCS, PROMIS-PF) demonstrated significant postoperative improvement at 12 weeks, 6 months, 1 year, and 2 years (all P < 0.001). All evaluated timepoints, with the exception of preoperative VAS back scores, revealed strong PROMIS-PF correlations with VAS back, VAS leg, ODI, and SF-12 PCS. Conclusion. PROMIS-PF demonstrated a strong correlation with pain (VAS back, VAS leg), disability (ODI) and physical function (SF-12) at all postoperative follow-ups through 2 years. Our study provides longitudinal evidence for utilizing PROMIS-PF as a valid physical function measure among patients undergoing MIS TLIF. Level of Evidence: 4.
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