Validation of Affected person Reported Outcomes Measurement Info System (PROMIS) Pc Adaptive Exams (CATs) within the Surgical Remedy of Lumbar Spinal Stenosis.
Backbone (Phila Pa 1976). 2018 Mar 19;:
Authors: Patel AA, Dodwad SM, Boody BS, Bhatt S, Savage JW, Hsu WK, Rothrock NE
STUDY DESIGN: Potential, cohort research.
OBJECTIVE: Show validity of PROMIS bodily perform, ache interference, and ache habits laptop adaptive exams (CATs) in surgically handled lumbar stenosis sufferers.
SUMMARY OF BACKGROUND DATA: There was rising consideration given to affected person reported outcomes related to spinal interventions. Historic affected person end result measures have insufficient validation, show ground/ceiling results, and often used attributable to time constraints. PROMIS is an adaptive, responsive NIH evaluation device that measures patient-reported well being standing.
METHODS: 98 consecutive sufferers had been surgically handled for lumbar spinal stenosis and had been assessed utilizing PROMIS CATs, ODI, ZCQ and SF-12. Prior lumbar surgical procedure, historical past of scoliosis, most cancers, trauma, or an infection had been excluded. Completion time, preoperative evaluation, 6 week and three month postoperative scores had been collected.
RESULTS: At baseline, 49%, 79%, and 81% of sufferers had PROMIS PB, PI, and PF scores better than 1 SD worse than the final inhabitants. 50.6% had been categorized as severely disabled, crippled, or mattress sure by ODI. PROMIS CATs demonstrated convergent validity by way of reasonable to excessive correlations with legacy measures (r?=?Zero.35-Zero.73). PROMIS CATs demonstrated identified teams validity when stratified by ODI ranges of incapacity. ODI enhancements of at the very least 10 factors on common had adjustments in PROMIS scores within the anticipated path (PI?=?-12.98, PB?=?-9.74, PF?=?7.53). PROMIS CATs demonstrated comparable responsiveness to vary when evaluated towards legacy measures. PROMIS PB and PI decreased 6.66 and 9.62 and PROMIS PF elevated 6.eight factors between baseline and Three-months post-op (p?<?Zero.001). Completion time for the PROMIS CATs (2.6?minutes) compares favorably to ODI, ZCQ, and SF-12 scores (Three.1, Three.6, and three.Zero minutes).
CONCLUSION: PROMIS CATs show convergent validity, identified teams validity, and responsiveness for surgically handled sufferers with lumbar stenosis to detect change over time and are extra environment friendly than legacy devices.
LEVEL OF EVIDENCE: 2.
PMID: 29557925 [PubMed – as supplied by publisher]