Validation of PROMIS-PI in a Lumbar Decompression Cohort Through Correlation to Established Pain and Disability Metrics.

IF 1.6 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2024-12-24 DOI:10.1097/BSD.0000000000001717

Fatima N Anwar, Jacob C Wolf, Andrea M Roca, Alexandra C Loya, Srinath S Medakkar, Aayush Kaul, Vincent P Federico, Arash J Sayari, Gregory D Lopez, Kern Singh

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引用次数: 0

Abstract

Study design: Retrospective review.

Objective: To validate using patient-reported outcome measurement information system-pain interference (PROMIS-PI) to assess outcomes in patients undergoing lumbar decompression surgery compared with well-established pain and disability measures.

Summary of background data: PROMIS outcomes provide valuable information, but the PROMIS-PI measure has not been validated in lumbar decompression.

Methods: Patient data from a single-surgeon registry were queried to identify patients undergoing elective, primary lumbar decompression for disc herniation. Exclusion criteria included records missing patient-reported outcome measures (PROMs). PROMs included: PROMIS-PI, visual analog scale (VAS)-back, VAS-leg, and Oswestry disability index (ODI). The association between PROMIS-PI and the other PROMs was determined at preoperative, 6-week, 12-week, 6-month, 1-year, and 2-year time points using the Pearson paired correlation tests. MCID achievement rates were determined for all PROMs and correlations were calculated between PROMIS-PI MCID achievement rates and achievement rates for VAS-B, VAS-L, and ODI.

Results: A total of 102 patients were included. PROMIS-PI demonstrated a significant correlation to VAS-B at all periods (P<0.0048, all) with a magnitude of correlation (|r|) ranging from 0.535 to 0.907. PROMIS-PI demonstrated a significant correlation to VAS-L at all periods (P<0.0048, all) with a magnitude of correlation (|r|) ranging from 0.393 to 0.907. PROMIS-PI demonstrated a significant correlation to ODI (P<0.0010, all) with a magnitude of correlation (|r|) ranging from 0.664 to 0.925. There were moderate correlations between MCID achievement rates between PROMIS-PI and all other PROMs studied (P<0.0019, all) with correlation coefficients ranging from 0.367 to 0.406.

Conclusion: PROMIS-PI demonstrated a significant correlation to VAS-back, VAS-L, and ODI metrics at preoperative and all postoperative follow-up periods. PROMIS-PI as a valid tool for the evaluation of patient-reported pain provides an additional metric that can guide pain management in patients undergoing spine surgery.

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腰部减压队列中promise - pi与疼痛和残疾指标的相关性验证。

研究设计：回顾性研究。目的：验证使用患者报告的结果测量信息系统-疼痛干扰（promisi - pi）来评估腰椎减压手术患者的结果，并与已建立的疼痛和残疾测量方法进行比较。背景资料总结：PROMIS结果提供了有价值的信息，但promise - pi测量尚未在腰椎减压中得到验证。方法：查询来自单一外科医生登记的患者数据，以确定接受选择性、原发性腰椎减压治疗椎间盘突出症的患者。排除标准包括缺少患者报告结果测量（PROMs）的记录。PROMs包括：promise - pi、视觉模拟量表(VAS)-背部、VAS-腿部和Oswestry残疾指数（ODI）。使用Pearson配对相关检验，在术前、6周、12周、6个月、1年和2年时间点确定promisi - pi与其他prom之间的相关性。测定所有prom的MCID完成率，并计算promise - pi的MCID完成率与VAS-B、VAS-L和ODI的完成率之间的相关性。结果：共纳入102例患者。结论：在术前和术后随访期间，promise - pi与VAS-back、VAS-L和ODI指标均有显著相关性。promise - pi作为评估患者报告疼痛的有效工具，为脊柱手术患者的疼痛管理提供了一个额外的指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.