PMID- 34384091
OWN - NLM
STAT- MEDLINE
DCOM- 20210820
LR  - 20210820
IS  - 1528-1159 (Electronic)
IS  - 0362-2436 (Linking)
VI  - 46
IP  - 17
DP  - 2021 Sep 1
TI  - Preoperative PROMIS Scores Predict Postoperative Outcomes in Lumbar Spine Surgery 
      Patients.
PG  - 1139-1146
LID - 10.1097/BRS.0000000000003972 [doi]
AB  - STUDY DESIGN: Retrospective case series. OBJECTIVE: Our objective was to examine 
      the ability of preoperative Patient-reported Outcomes Measurement Information 
      System (PROMIS) scores to predict postoperative achievement of a minimum 
      clinically important difference (MCID) in outcome scores following lumbar spine 
      surgery. SUMMARY OF BACKGROUND DATA: PROMIS is a computer adaptive testing system 
      that has been validated in spine surgery patients. PROMIS allows for more 
      efficient and personalized data collection compared to legacy assessment tools. 
      METHODS: A total of 138 patients who underwent lumbar spine surgery at a single 
      institution completed PROMIS Physical Function (PF) and Pain Interference (PI) 
      scores preoperatively and at 3, 12, and 24 months postoperatively. Univariate and 
      multivariate analyses of PROMIS scores and clinical factors were performed. 
      Receiver-operating characteristic curves were calculated to determine the ability 
      of preoperative scores to predict postoperative achievement of an MCID of 8. PF 
      and PI t score MCID achievement threshold values with 90% specificity were 
      calculated. RESULTS: Preoperative PROMIS PF and PI scores were significantly 
      correlated to achievement of postoperative MCID after multivariate analysis. 
      Patients with worse preoperative scores were more likely to achieve MCID. 
      Preoperative PF and PI scores showed strong predictive value in determining 
      ability to achieve postoperative MCID with respective area under the curve of 
      0.85 and 0.82. A preoperative PF threshold T-score of 31.6 had a 64% chance of 
      achieving postoperative MCID, while a preoperative PI threshold t score of 67.8 
      had an 86% chance of achieving postoperative MCID. CONCLUSION: Preoperative 
      PROMIS PF and PI scores predicted improvement in postoperative PROMIS scores in 
      lumbar spine surgery patients as worse preoperative scores correlated to improved 
      PROMIS scores postoperatively. The calculated threshold t scores showed the 
      ability to predict improvement in postoperative PROMIS scores. Preoperative 
      PROMIS data may be useful in surgical decision-making and improved patient 
      education regarding postoperative outcomes.Level of Evidence: 4.
CI  - Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Snavely, Joseph E
AU  - Snavely JE
AD  - Department of Orthopedic Surgery, Northwestern University Feinberg School of 
      Medicine, Chicago, IL.
FAU - Weiner, Joseph A
AU  - Weiner JA
FAU - Johnson, Daniel J
AU  - Johnson DJ
FAU - Hsu, Wellington K
AU  - Hsu WK
FAU - Patel, Alpesh A
AU  - Patel AA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Spine (Phila Pa 1976)
JT  - Spine
JID - 7610646
SB  - IM
MH  - Humans
MH  - *Minimal Clinically Important Difference
MH  - *Patient Reported Outcome Measures
MH  - Postoperative Period
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2021/08/13 06:00
MHDA- 2021/08/21 06:00
CRDT- 2021/08/12 20:06
PHST- 2021/08/12 20:06 [entrez]
PHST- 2021/08/13 06:00 [pubmed]
PHST- 2021/08/21 06:00 [medline]
AID - 00007632-202109010-00007 [pii]
AID - 10.1097/BRS.0000000000003972 [doi]
PST - ppublish
SO  - Spine (Phila Pa 1976). 2021 Sep 1;46(17):1139-1146. doi: 
      10.1097/BRS.0000000000003972.