Validity of PROMIS in minimally invasive transforaminal lumbar interbody fusion: a preliminary analysis.
J Neurosurg Backbone. 2018 Apr 13;:1-6
Authors: Haws BE, Khechen B, Guntin JA, Cardinal KL, Bohl DD, Singh Ok
OBJECTIVE Affected person-reported outcomes are generally used to guage therapy efficacy. Inefficiencies in normal measurement instruments typically show to be a barrier to information assortment. The Affected person-Reported Outcomes Measurement Info System (PROMIS) was developed to beat these limitations. This software implements computer-adaptive testing, which allows the evaluation of bodily perform in fewer questions than these required for “static” metrics. In backbone surgical procedure sufferers, average to robust correlations with Oswestry Incapacity Index (ODI) and the 36-Merchandise Brief Kind Survey (SF-36) scores have been reported for PROMIS. Nevertheless, so far, information concerning the efficacy of this software for sufferers present process minimally invasive (MIS) transforaminal lumbar interbody fusion (TLIF) have been restricted. METHODS A prospectively maintained registry of sufferers who’ve undergone main 1- or 2-level MIS TLIF was reviewed retrospectively. Sufferers with incomplete PROMIS information have been excluded. Modifications in PROMIS bodily perform scores 6 weeks, 12 weeks, and 6 months after surgical procedure have been analyzed utilizing paired t-tests. PROMIS scores have been in contrast with conventional final result measures, together with SF-12 bodily perform, ODI, and visible analog scale (VAS) again and leg scores. Correlations have been examined utilizing the Pearson correlation coefficient, and the power of affiliation was interpreted as follows: small, Zero.1 ? |r| < Zero.three; average, Zero.three ? |r| < Zero.5; and enormous, |r| ? Zero.5. Statistical significance was set at p < Zero.05. RESULTS Seventy-four sufferers have been included on this evaluation after the exclusion of these with out PROMIS scores. The imply preoperative PROMIS rating was 35.92 ± 6.98. Vital enhancements have been demonstrated in PROMIS scores 12 weeks (41.33, p < Zero.001) and 6 months (43.58, p < Zero.001) after surgical procedure. PROMIS scores demonstrated a major correlation with SF-12, ODI, and VAS leg scores (p < Zero.05). Sturdy associations with PROMIS scores have been noticed for SF-12 (r = Zero.650 to Zero.854), ODI (r = -Zero.525 to -Zero.831), and 6-month VAS again (r = -Zero.693) scores. CONCLUSIONS Bodily perform as measured by PROMIS improves considerably 12 weeks and 6 months after MIS TLIF. As well as, PROMIS scores have robust correlations with SF-12 and ODI scores. These outcomes counsel that PROMIS scores can be utilized as a legitimate evaluation of bodily perform in MIS TLIF sufferers. Additional work is required to find out the total advantages of this measure in different backbone populations.
PMID: 29652236 [PubMed – as supplied by publisher]