Validation of Patient-reported Outcomes Measurement Information System Computer Adaptive Tests in Lumbar Disk Herniation Surgery

被引：20

作者：

Bhatt, Surabhi ^{[1
]}

Boody, Barrett S. ^{[1
]}

Savage, Jason W. ^{[2
]}

Hsu, Wellington K. ^{[1
]}

Rothrock, Nan E. ^{[1
]}

Patel, Alpesh A. ^{[1
]}

机构：

[1] Northwestern Univ, Dept Orthopaed Surg, Evanston, IL 60208 USA

[2] Cleveland Clin, Ctr Spine Hlth, Cleveland, OH 44106 USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2019年 / 27卷 / 03期

关键词：

CLINICALLY IMPORTANT DIFFERENCE; PROMIS PHYSICAL FUNCTION; ITEM RESPONSE THEORY; QUALITY-OF-LIFE; PAIN; DISABILITY; FUSION; UNIVERSALITY; INSTRUMENTS; VALIDITY;

D O I：

10.5435/JAAOS-D-17-00300

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Introduction: Inadequate validation, floor/ceiling effects, and time constraints limit utilization of standardized patient-reported outcome measures. We aimed to validate Patient-reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) for patients treated surgically for a lumbar disk herniation. Methods: PROMIS, CATs, Oswestry Disability Index, and Short Form-12 measures were administered to 78 patients treated with lumbar microdiskectomy for symptomatic disk herniation with radiculopathy. Results: PROMIS CATs demonstrated convergent validity with legacy measures; PROMIS scores were moderately to highly correlated with the Oswestry Disability Index and Short Form-12 physical component scores (r = 0.41 and 0.78, respectively). PROMIS CATs demonstrated similar responsiveness to change compared with legacy measures. On average, the PROMIS CATs were completed in 2.3 minutes compared with 5.7 minutes for legacy measures. Discussion: The PROMIS CATs demonstrate convergent and known groups' validity and are comparable in responsiveness to legacy measures. These results suggest similar utility and improved efficiency of PROMIS CATs compared with legacy measures.

引用

页码：95 / 103

页数：9

共 27 条

[1]

Comparing CESD-10, PHQ-9, and PROMIS Depression Instruments in Individuals With Multiple Sclerosis [J].