PMID- 33992211
OWN - NLM
STAT- MEDLINE
DCOM- 20210622
LR  - 20210622
IS  - 1532-2653 (Electronic)
IS  - 0967-5868 (Linking)
VI  - 88
DP  - 2021 Jun
TI  - The Single Assessment Numeric Evaluation (SANE) after anterior cervical 
      discectomy and fusion: A pilot study.
PG  - 95-101
LID - S0967-5868(21)00147-8 [pii]
LID - 10.1016/j.jocn.2021.03.037 [doi]
AB  - STUDY DESIGN: Retrospective cohort. OBJECTIVES: To evaluate the single assessment 
      numerical evaluation (SANE) as a patient reported outcomes measure (PROM) after 
      anterior cervical discectomy and fusion (ACDF), by comparing to legacy measures. 
      METHODS: We included all patients undergoing ACDF with at least one year of 
      follow up with complete PROM data. Patients completed the Neck Disability Index 
      (NDI), the RAND-36 and the EuroQual Five Dimension (EQ-5D) scale, as well as the 
      one-question SANE, pre- and post-operatively. Validity of SANE compared with 
      other PROMs was determined utilizing Pearson's correlation (rho), proportional bias 
      (B), responsiveness, minimal clinically important difference (MCID) and 
      agreement. RESULTS: Sixty-nine patients were included. There were 
      moderate-to-strong correlations at a minimum of one-year follow-up between the 
      SANE and NDI (rho = -0.73, P < 0.0001), RAND (rho = 0.80, P < 0.0001), and EQ-5D 
      (rho = -0.66, P < 0.0001). No significant proportional bias was found for the SANE 
      when compared to the RAND (B = 0.03, p = 0.99), NDI (B = -0.003, p = 0.99), or 
      EQ-5D (B = -0.0007, p = 0.99). Responsiveness for SANE was statistically similar 
      to all other PROMs. The MCID for SANE was determined to be 10.5, with 42% of 
      patients achieving the MCID. Bland-Altman plots demonstrated high agreement 
      between all PROMs. CONCLUSION: We found the SANE score provides clinically 
      important patient outcomes data after ACDF, despite only requiring answering one 
      question. The SANE performs comparably to more burdensome health questionnaires. 
      The SANE score may offer spine surgeons the option to easily and quickly collect 
      clinically relevant data on their surgical patients.
CI  - Published by Elsevier Ltd.
FAU - Wagner, Scott C
AU  - Wagner SC
AD  - Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, 
      Bethesda, MD, United States; Department of Surgery, The Uniformed Services 
      University of the Health Sciences, Bethesda, MD, United States.
FAU - Nassr, Ahmad
AU  - Nassr A
AD  - Department of Orthopaedic Surgery, The Mayo Clinic, Rochester, MN, United States.
FAU - Freedman, Brett A
AU  - Freedman BA
AD  - Department of Orthopaedic Surgery, The Mayo Clinic, Rochester, MN, United States.
FAU - Elder, Benjamin D
AU  - Elder BD
AD  - Department of Orthopaedic Surgery, The Mayo Clinic, Rochester, MN, United States.
FAU - Bydon, Mohamad
AU  - Bydon M
AD  - Department of Neurosurgery, The Mayo Clinic, Rochester, MN, United States.
FAU - Sebastian, Arjun S
AU  - Sebastian AS
AD  - Department of Orthopaedic Surgery, The Mayo Clinic, Rochester, MN, United States.
LA  - eng
PT  - Journal Article
DEP - 20210402
PL  - Scotland
TA  - J Clin Neurosci
JT  - Journal of clinical neuroscience : official journal of the Neurosurgical Society 
      of Australasia
JID - 9433352
SB  - IM
MH  - Cohort Studies
MH  - *Diskectomy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - *Patient Reported Outcome Measures
MH  - Pilot Projects
MH  - *Recovery of Function
MH  - Retrospective Studies
MH  - *Spinal Fusion
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - ACDF
OT  - Outcomes
OT  - PROM
OT  - SANE
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2021/05/17 06:00
MHDA- 2021/06/23 06:00
CRDT- 2021/05/16 20:26
PHST- 2021/02/12 00:00 [received]
PHST- 2021/03/19 00:00 [accepted]
PHST- 2021/05/16 20:26 [entrez]
PHST- 2021/05/17 06:00 [pubmed]
PHST- 2021/06/23 06:00 [medline]
AID - S0967-5868(21)00147-8 [pii]
AID - 10.1016/j.jocn.2021.03.037 [doi]
PST - ppublish
SO  - J Clin Neurosci. 2021 Jun;88:95-101. doi: 10.1016/j.jocn.2021.03.037. Epub 2021 
      Apr 2.