PMID- 36567055
OWN - NLM
STAT- MEDLINE
DCOM- 20230328
LR  - 20230330
IS  - 1878-1632 (Electronic)
IS  - 1529-9430 (Linking)
VI  - 23
IP  - 4
DP  - 2023 Apr
TI  - Correlation of mJOA, PROMIS physical function, and patient satisfaction in 
      patients with cervical myelopathy: an analysis of the Michigan Spine Surgery 
      Improvement Collaborative (MSSIC) database.
PG  - 550-557
LID - S1529-9430(22)01079-8 [pii]
LID - 10.1016/j.spinee.2022.12.016 [doi]
AB  - BACKGROUND CONTEXT: Patient-reported outcomes (PROs) are increasingly utilized to 
      evaluate the efficacy and value of spinal procedures. Among patients with 
      cervical myelopathy, the modified Japanese Orthopaedic Association (mJOA) remains 
      the standard instrument, with Patient-Reported Outcomes Measurement Information 
      System (PROMIS) physical function (PF) and patient satisfaction also frequently 
      assessed. These outcomes have not all been directly compared using a large spine 
      registry at 2 years follow-up for cervical myelopathic patients undergoing 
      surgery. PURPOSE: To determine the correlation and association of PROMIS PF, 
      mJOA, and patient satisfaction outcomes in patients undergoing surgery for 
      cervical myelopathy. STUDY DESIGN/SETTING: Retrospective review of a multicenter 
      spine registry database. PATIENT SAMPLE: Adult patients with cervical myelopathy 
      who underwent cervical spine surgery between 2/26/2018 and 4/17/2021. OUTCOME 
      MEASURES: PROMIS PF, mJOA, and North American Spine Society (NASS) patient 
      satisfaction index. METHODS: The MSSIC database was accessed to gather pre- and 
      postoperative outcome data on patients with cervical myelopathy. Spearman's 
      correlation coefficients relating mJOA and PROMIS PF were quantified up to 2 
      years postoperatively. The correlations between patient satisfaction with mJOA 
      and PROMIS were determined. Kappa statistics were used to evaluate for agreement 
      between those reaching the minimum clinically important difference (MCID) for 
      mJOA and PROMIS PF. Odds ratios were calculated to determine the association 
      between patient satisfaction and those reaching MCID for mJOA and PROMIS PF. 
      Support for MSSIC is provided by BCBSM and Blue Care Network as part of the BCBSM 
      Value Partnerships program. RESULTS: Data from 2,023 patients were included. 
      Moderate to strong correlations were found between mJOA and PROMIS PF at all time 
      points (p<.001). These outcomes had fair agreement at all postoperative time 
      points when comparing those who reached MCID. Satisfaction was strongly related 
      to changes from baseline for both mJOA and PROMIS PF at all time points (p<.001). 
      Odds ratios associating satisfaction with PROMIS PF MCID were higher at all time 
      points compared with mJOA, although the differences were not significant. 
      CONCLUSIONS: PROMIS PF has a strong positive correlation with mJOA up to 2 years 
      postoperatively in patients undergoing surgery for cervical myelopathy, with 
      similar odds of achieving MCID with both instruments. Patient satisfaction is 
      predicted similarly by these outcome measures by 2 years postoperatively. These 
      results affirm the validity of PROMIS PF in the cervical myelopathic population. 
      Given its generalizability and ease of use, PROMIS PF may be a more practical 
      outcome measure for clinical use compared with mJOA.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Squires, Mathieu
AU  - Squires M
AD  - Department of Orthopedic Surgery, University of Michigan, 1500 E Medical Center 
      Dr, Ann Arbor, MI 48109, USA. Electronic address: mdsquire@med.umich.edu.
FAU - Schultz, Lonni
AU  - Schultz L
AD  - Henry Ford Health System, 1 Ford Place, Detroit, MI 48202, USA.
FAU - Schwalb, Jason
AU  - Schwalb J
AD  - Henry Ford Health System, 1 Ford Place, Detroit, MI 48202, USA.
FAU - Park, Paul
AU  - Park P
AD  - Department of Neurosurgery, University of Michigan, 1500 E Medical Center Dr, Ann 
      Arbor, MI 48109, USA.
FAU - Chang, Victor
AU  - Chang V
AD  - Henry Ford Health System, 1 Ford Place, Detroit, MI 48202, USA.
FAU - Nerenz, David
AU  - Nerenz D
AD  - Henry Ford Health System, 1 Ford Place, Detroit, MI 48202, USA.
FAU - Perez-Cruet, Miguelangelo
AU  - Perez-Cruet M
AD  - Beaumont Health System, 3601 W. 13 Mile Rd., Royal Oak, MI 48073, USA.
FAU - Abdulhak, Muwaffak
AU  - Abdulhak M
AD  - Henry Ford Health System, 1 Ford Place, Detroit, MI 48202, USA.
FAU - Khalil, Jad
AU  - Khalil J
AD  - Beaumont Health System, 3601 W. 13 Mile Rd., Royal Oak, MI 48073, USA.
FAU - Aleem, Ilyas
AU  - Aleem I
AD  - Department of Orthopedic Surgery, University of Michigan, 1500 E Medical Center 
      Dr, Ann Arbor, MI 48109, USA.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20221223
PL  - United States
TA  - Spine J
JT  - The spine journal : official journal of the North American Spine Society
JID - 101130732
SB  - IM
MH  - Adult
MH  - Humans
MH  - Patient Satisfaction
MH  - Michigan
MH  - *Orthopedics
MH  - *Spinal Cord Diseases/epidemiology
MH  - Spine
MH  - Patient Reported Outcome Measures
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Cervical
OT  - Myelopathy
OT  - Outcomes
OT  - PROMIS
OT  - Satisfaction
OT  - Spine
OT  - mJOA
EDAT- 2022/12/26 06:00
MHDA- 2023/03/28 17:10
CRDT- 2022/12/25 19:17
PHST- 2022/08/12 00:00 [received]
PHST- 2022/11/03 00:00 [revised]
PHST- 2022/12/15 00:00 [accepted]
PHST- 2023/03/28 17:10 [medline]
PHST- 2022/12/26 06:00 [pubmed]
PHST- 2022/12/25 19:17 [entrez]
AID - S1529-9430(22)01079-8 [pii]
AID - 10.1016/j.spinee.2022.12.016 [doi]
PST - ppublish
SO  - Spine J. 2023 Apr;23(4):550-557. doi: 10.1016/j.spinee.2022.12.016. Epub 2022 Dec 
      23.