PMID- 32205707 OWN - NLM STAT- MEDLINE DCOM- 20201123 LR - 20210115 IS - 1528-1159 (Electronic) IS - 0362-2436 (Linking) VI - 45 IP - 16 DP - 2020 Aug 15 TI - Psychometric Validation of the Danish Version of the Oswestry Disability Index in Patients With Chronic Low Back Pain. PG - 1143-1150 LID - 10.1097/BRS.0000000000003486 [doi] AB - STUDY DESIGN: Registry-based repeated-measures psychometric validation of the Danish Oswestry Disability Index (ODI). OBJECTIVE: The goal was to use classical and modern psychometric validation methods to assess the measurement properties and the minimally clinical important difference (MCID) of the ODI in a Danish cohort of patients with chronic low back pain being treated with spinal surgery. SUMMARY OF BACKGROUND DATA: Scores for the ODI, EQ-5D, SF-36, leg pain, back pain, and a general rating of pain item from 800 patients with chronic low back pain were extracted from the National Danish Spine Registry (DaneSpine) at baseline and 1-year postspine surgery. METHODS: Confirmatory factor analysis and item response theory (IRT) models were used to assess the psychometric properties of the ODI. MCID was also calculated based on generic legacy PROMs (EQ-5D and SF-36) and follow-up pain scores. RESULTS: While ODI did not fit a Rasch model, adequate fit to a confirmatory factor analysis and a two-parameter item response theory model was found when accounting for differential item functioning across diagnostic subgroups (degenerative spondylolisthesis, spondylosis, spinal stenosis, and herniated intervertebral disc). In addition, each group exhibited substantially different MCID values. CONCLUSION: The Danish version of the ODI is valid and responsive, but only within each of the four major diagnosis subgroups: degenerative spondylolisthesis, spondylosis, spinal stenosis, and herniated intervertebral disc. LEVEL OF EVIDENCE: 4. FAU - Comins, Jonathan AU - Comins J AD - Centre of Research and Education in General Practice, Department of Public Health, University of Copenhagen, Faculty of Health Sciences, Copenhagen, Denmark. AD - Spine Unit, Department of Orthopedic Surgery, Zealand University Hospital, Koge, Denmark. AD - Department of Orthopedic Surgery and Sports Traumatology, Bispebjerg Hospital, Copenhagen, Denmark. FAU - Brodersen, John AU - Brodersen J AD - Centre of Research and Education in General Practice, Department of Public Health, University of Copenhagen, Faculty of Health Sciences, Copenhagen, Denmark. AD - Primary Health Care Research Unit, Region Zealand, Denmark. FAU - Wedderkopp, Niels AU - Wedderkopp N AD - Department Orthopedic Surgery, Hospital of Southwestern Jutland, Esbjerg, Denmark. FAU - Lassen, Michael Rud AU - Lassen MR AD - Spine Unit, Department of Orthopedic Surgery, Zealand University Hospital, Koge, Denmark. FAU - Shakir, Hassan AU - Shakir H AD - Spine Unit, Department of Orthopedic Surgery, Zealand University Hospital, Koge, Denmark. FAU - Specht, Kirsten AU - Specht K AD - Spine Unit, Department of Orthopedic Surgery, Zealand University Hospital, Koge, Denmark. FAU - Brorson, Stig AU - Brorson S AD - Spine Unit, Department of Orthopedic Surgery, Zealand University Hospital, Koge, Denmark. FAU - Christensen, Karl Bang AU - Christensen KB AD - Department of Biostatistics, University of Copenhagen, Copenhagen, Denmark. LA - eng PT - Journal Article PL - United States TA - Spine (Phila Pa 1976) JT - Spine JID - 7610646 RN - Intervertebral disc disease SB - IM MH - Adult MH - Aged MH - Back Pain/*diagnosis MH - Cohort Studies MH - Denmark MH - *Disability Evaluation MH - Female MH - Humans MH - Intervertebral Disc Degeneration MH - Intervertebral Disc Displacement MH - Low Back Pain MH - Male MH - Middle Aged MH - Pain Measurement MH - *Psychometrics MH - Spinal Diseases/*surgery MH - Spinal Stenosis/surgery MH - Treatment Outcome EDAT- 2020/03/25 06:00 MHDA- 2020/11/24 06:00 CRDT- 2020/03/25 06:00 PHST- 2020/03/25 06:00 [pubmed] PHST- 2020/11/24 06:00 [medline] PHST- 2020/03/25 06:00 [entrez] AID - 00007632-202008150-00014 [pii] AID - 10.1097/BRS.0000000000003486 [doi] PST - ppublish SO - Spine (Phila Pa 1976). 2020 Aug 15;45(16):1143-1150. doi: 10.1097/BRS.0000000000003486.