PMID- 33211189 OWN - NLM STAT- MEDLINE DCOM- 20210623 LR - 20210623 IS - 1432-0932 (Electronic) IS - 0940-6719 (Linking) VI - 30 IP - 2 DP - 2021 Feb TI - Validity of the Japanese core outcome measures index (COMI)-neck for cervical spine surgery: a prospective cohort study. PG - 402-409 LID - 10.1007/s00586-020-06657-4 [doi] AB - PURPOSE: To investigate the psychometric properties of the Japanese version of the Core Outcome Measures Index-Neck (COMI-Neck) in patients undergoing cervical spine surgery. METHODS: A total of 177 patients undergoing cervical spine surgery for spinal disorders from April to December 2017 were enrolled. Patient-reported outcomes (PROs) included EuroQOL, Neck Disability Index, and treatment satisfaction. To address whether the questionnaire's scores relate to other outcomes based on a predefined hypothesis, the correlations between the COMI-Neck and the other PROs were measured (Spearman's rank correlation coefficients). The minimum clinically important difference (MCID) of the COMI summary score was calculated using the receiver operating characteristic (ROC) curve with a 7-point Likert scale of satisfaction with the treatment results. To assess reproducibility, another group of 59 volunteers with chronic neck pain were asked to reply to the COMI-Neck twice with an interval of 7-14 days. RESULTS: The COMI summary score showed no floor or ceiling effects preoperatively or postoperatively. Each of the COMI domains and the COMI summary score correlated to the hypothesized extent with the scores of the reference questionnaires (rho = 0.40-0.79). According to the ROC curve with satisfaction (including "very satisfied" and "satisfied"), the area under the curve and MCID of the COMI summary score were 0.78 and 2.1. The intraclass correlation coefficient and the minimum detectable change (MDC 95%) of the COMI summary score were 0.97 and 0.77. CONCLUSION: The Japanese version of the COMI-Neck is valid and reliable for Japanese-speaking patients with cervical spinal disorders. FAU - Oshima, Yasushi AU - Oshima Y AUID- ORCID: 0000-0003-4696-1846 AD - Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. yoo-tky@umin.ac.jp. AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. yoo-tky@umin.ac.jp. FAU - Nagata, Kosei AU - Nagata K AD - Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. FAU - Nakamoto, Hideki AU - Nakamoto H AD - Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. FAU - Sakamoto, Ryuji AU - Sakamoto R AD - Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Orthopedic Surgery, Yokohama Rosai Hospital, Yokohama, Japan. FAU - Takeshita, Yujiro AU - Takeshita Y AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Orthopedic Surgery, Yokohama Rosai Hospital, Yokohama, Japan. FAU - Ohtomo, Nozomu AU - Ohtomo N AD - Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan. FAU - Kawamura, Naohiro AU - Kawamura N AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan. FAU - Iizuka, Masaaki AU - Iizuka M AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Spinal Surgery, Japan Community Health-Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan. FAU - Ono, Takashi AU - Ono T AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Spinal Surgery, Japan Community Health-Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan. FAU - Nakajima, Koji AU - Nakajima K AD - Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki, Japan. FAU - Higashikawa, Akiro AU - Higashikawa A AD - University of Tokyo Spine Group (UTSG), Tokyo, Japan. AD - Department of Orthopedic Surgery, Kanto Rosai Hospital, Kawasaki, Japan. FAU - Yoshimoto, Takahiko AU - Yoshimoto T AD - Department of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Tokyo, Japan. FAU - Fujii, Tomoko AU - Fujii T AD - Department of Medical Research and Management for Musculoskeletal Pain, Faculty of Medicine, 22nd Century Medical and Research Center, The University of Tokyo, Tokyo, Japan. FAU - Tanaka, Sakae AU - Tanaka S AD - Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. FAU - Oka, Hiroyuki AU - Oka H AD - Department of Medical Research and Management for Musculoskeletal Pain, Faculty of Medicine, 22nd Century Medical and Research Center, The University of Tokyo, Tokyo, Japan. FAU - Matsudaira, Ko AU - Matsudaira K AD - Department of Medical Research and Management for Musculoskeletal Pain, Faculty of Medicine, 22nd Century Medical and Research Center, The University of Tokyo, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20201119 PL - Germany TA - Eur Spine J JT - European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society JID - 9301980 SB - IM MH - Cervical Vertebrae/surgery MH - *Disability Evaluation MH - Humans MH - Japan MH - *Outcome Assessment, Health Care MH - Pain Measurement MH - Prospective Studies MH - Reproducibility of Results MH - Surveys and Questionnaires MH - Treatment Outcome OTO - NOTNLM OT - COMI OT - Cervical myelopathy OT - Cervical spine OT - Neck pain OT - Patient-reported outcome EDAT- 2020/11/20 06:00 MHDA- 2021/06/24 06:00 CRDT- 2020/11/19 12:14 PHST- 2020/05/09 00:00 [received] PHST- 2020/11/03 00:00 [accepted] PHST- 2020/10/07 00:00 [revised] PHST- 2020/11/20 06:00 [pubmed] PHST- 2021/06/24 06:00 [medline] PHST- 2020/11/19 12:14 [entrez] AID - 10.1007/s00586-020-06657-4 [pii] AID - 10.1007/s00586-020-06657-4 [doi] PST - ppublish SO - Eur Spine J. 2021 Feb;30(2):402-409. doi: 10.1007/s00586-020-06657-4. Epub 2020 Nov 19.