Health-related quality of life measures in adult spinal deformity: can we replace the SRS-22 with PROMIS?

被引：7

作者：

Passias, Peter G. ^{[1
,2
,7
,8
,9
]}

Pierce, Katherine E. ^{[1
,2
,7
]}

Krol, Oscar ^{[1
,2
,7
]}

Williamson, Tyler ^{[1
,2
,7
]}

Naessig, Sara ^{[1
,2
,7
]}

Ahmad, Waleed ^{[1
,2
,7
]}

Passfall, Lara ^{[1
,2
,7
]}

Tretiakov, Peter ^{[1
,2
,7
]}

Imbo, Bailey ^{[1
,2
,7
]}

Joujon-Roche, Rachel ^{[1
,2
,7
]}

Lebovic, Jordan ^{[3
,7
]}

Owusu-Sarpong, Stephane ^{[3
,7
]}

Moattari, Kevin ^{[1
,2
,7
]}

Kummer, Nicholas A. ^{[1
,2
,7
]}

Maglaras, Constance ^{[3
,7
]}

O'Connell, Brooke K. ^{[3
,7
]}

Diebo, Bassel G. ^{[4
,7
]}

Vira, Shaleen ^{[5
,7
]}

Lafage, Renaud ^{[6
,7
]}

Lafage, Virginie ^{[6
,7
]}

Buckland, Aaron J. ^{[3
,7
]}

Protopsaltis, Themistocles ^{[3
,7
]}

机构：

[1] NYU, NY Spine Inst, Dept Orthopaed, Div Spinal Surg,Med Ctr, New York, NY 10016 USA

[2] NYU, NY Spine Inst, Dept Neurosurg, Div Spinal Surg,Med Ctr, New York, NY 10016 USA

[3] NYU, Dept Orthopaed Surg, Langone Orthoped Hosp, New York, NY USA

[4] SUNY Downstate Med Ctr, Dept Orthoped Surg, New York, NY USA

[5] Univ Texas Southwestern Med Ctr Dallas, Dept Orthopaed Surg, Dallas, TX 75390 USA

[6] Hosp Special Surg, Dept Orthopaed, 535 E 70th St, New York, NY 10021 USA

[7] Northwell Hlth, Dept Orthopaed, Lenox Hill Hosp, New York, NY 10022 USA

[8] NYU, Sch Med, Div Spinal Surg,Dept Orthopaed Surg, Langone Med Ctr,Orthopaed Hosp,New York Spine Ins, 301 East 17th St, New York, NY 10003 USA

[9] NYU, Sch Med, Div Spinal Surg,Dept Neurol Surg, Langone Med Ctr,Orthopaed Hosp,New York Spine Ins, 301 East 17th St, New York, NY 10003 USA

来源：

EUROPEAN SPINE JOURNAL | 2022年 / 31卷 / 05期

关键词：

Adult spinal deformity; Fusion; HRQL; MCID; Patient-reported outcomes; PROMIS; Spine surgery; SCOLIOSIS-RESEARCH-SOCIETY-22 PATIENT QUESTIONNAIRE; CONCURRENT VALIDITY; MEASURING OUTCOMES; PHYSICAL FUNCTION; RELIABILITY; INSTRUMENT; OSWESTRY;

D O I：

10.1007/s00586-021-07106-6

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose To determine the validity and responsiveness of PROMIS metrics versus the SRS-22r questionnaire in adult spinal deformity (ASD). Methods Surgical ASD patients undergoing >= 4 levels fused with complete baseline PROMIS and SRS-22r data were included. Internal consistency (Cronbach's alpha) and test-retest reliability [intraclass correlation coefficient (ICC)] were compared. Cronbach's alpha and ICC values >= 0.70 were predefined as satisfactory. Convergent validity was evaluated via Spearman's correlations. Responsiveness was assessed via paired samples t tests with Cohen's d to assess measure of effect (baseline to 3 months). Results One hundred and ten pts are included. Mean baseline SRS-22r score was 2.62 +/- 0.67 (domains = Function: 2.6, Pain: 2.5, Self-image: 2.2, Mental Health: 3.0). Mean PROMIS domains = Physical Function (PF): 12.4, Pain Intensity (PI): 91.7, Pain Interference (Int): 55.9. Cronbach's alpha, and ICC were not satisfactory for any SRS-22 and PROMIS domains. PROMIS-Int reliability was low for all SRS-22 domains (0.037-0.225). Convergent validity demonstrated strong correlation via Spearman's rho between PROMIS-PI and overall SRS-22r (- 0.61), SRS-22 Function (- 0.781), and SRS-22 Pain (- 0.735). PROMIS-PF had strong correlation with SRS-22 Function (0.643), while PROMIS-Int had moderate correlation with SRS-22 Pain (- 0.507). Effect size via Cohen's d showed that PROMIS had superior responsiveness across all domains except for self-image. Conclusions PROMIS is a valid measure compared to SRS-22r in terms of convergent validity, and has greater measure of effect in terms of responsiveness, but failed in reliability and internal consistency. Surgeons should consider the lack of reliability and internal consistency (despite validity and responsiveness) of the PROMIS to SRS-22r before replacing the traditional questionnaire with the computer-adaptive testing.

引用

页码：1184 / 1188

页数：5