An Evaluation of PROMIS in Patients With Primary or Metastatic Spine Tumors.
Journal
Spine
ISSN: 1528-1159
Titre abrégé: Spine (Phila Pa 1976)
Pays: United States
ID NLM: 7610646
Informations de publication
Date de publication:
15 May 2019
15 May 2019
Historique:
pubmed:
27
11
2018
medline:
13
7
2019
entrez:
27
11
2018
Statut:
ppublish
Résumé
Retrospective evaluation of prospectively collected data. In spine tumor patients: i) to assess the correlation of Patient-reported Outcomes Measurement Information System (PROMIS) physical function (PF), pain interference (PI), and Depression scores with Oswestry Disability Index (ODI) and Neck Disability Index (NDI) scores; and ii) to assess ceiling and floor effects of PROMIS PF, PI, and Depression domains and the ODI/NDI. There remains no widely used patient-reported outcome (PRO) instrument for spine tumor patients. PROMIS, a universal PRO tool, may add notable value to patient care. A paucity of work exists comparing PROMIS to legacy PRO tools in primary and metastatic spine tumor patients. Patients confirmed to have a primary or metastatic spine tumor were asked to complete PROMIS PF, PI, and Depression domains and either an ODI or NDI questionnaire between May 2015 and December 2017. Pearson correlation coefficients (r) were calculated. Ceiling and floor effects were determined. P < 0.05 was significant. Eighty unique visits from 51 patients with spine tumors (44 metastatic/67 visits; 7 primary/13 visits) met our inclusion criteria. A strong correlation existed between PROMIS PI and the ODI/NDI in both primary and metastatic tumor patient subgroups (range, r = 0.75-0.86, P < 0.05). PROMIS PF and the ODI/NDI demonstrated a strong correlation among all patients (r = -0.75, P < 0.05) and in the metastatic disease subgroup (r = -0.78, P < 0.05). A strong correlation existed between PROMIS Depression and the ODI/NDI in the primary tumor subgroup (r = 0.79, P < 0.05). PROMIS Depression demonstrated the largest floor effect (13.6%); there were similar ceiling effects. PROMIS PF and PI domains correlate well with the ODI/NDI in spine tumor patients and have a similar ceiling effect but decreased floor effect. PROMIS Depression was not as well captured, except in the primary tumor subgroup. 2.
Sections du résumé
STUDY DESIGN
METHODS
Retrospective evaluation of prospectively collected data.
OBJECTIVE
OBJECTIVE
In spine tumor patients: i) to assess the correlation of Patient-reported Outcomes Measurement Information System (PROMIS) physical function (PF), pain interference (PI), and Depression scores with Oswestry Disability Index (ODI) and Neck Disability Index (NDI) scores; and ii) to assess ceiling and floor effects of PROMIS PF, PI, and Depression domains and the ODI/NDI.
SUMMARY OF BACKGROUND DATA
BACKGROUND
There remains no widely used patient-reported outcome (PRO) instrument for spine tumor patients. PROMIS, a universal PRO tool, may add notable value to patient care. A paucity of work exists comparing PROMIS to legacy PRO tools in primary and metastatic spine tumor patients.
METHODS
METHODS
Patients confirmed to have a primary or metastatic spine tumor were asked to complete PROMIS PF, PI, and Depression domains and either an ODI or NDI questionnaire between May 2015 and December 2017. Pearson correlation coefficients (r) were calculated. Ceiling and floor effects were determined. P < 0.05 was significant.
RESULTS
RESULTS
Eighty unique visits from 51 patients with spine tumors (44 metastatic/67 visits; 7 primary/13 visits) met our inclusion criteria. A strong correlation existed between PROMIS PI and the ODI/NDI in both primary and metastatic tumor patient subgroups (range, r = 0.75-0.86, P < 0.05). PROMIS PF and the ODI/NDI demonstrated a strong correlation among all patients (r = -0.75, P < 0.05) and in the metastatic disease subgroup (r = -0.78, P < 0.05). A strong correlation existed between PROMIS Depression and the ODI/NDI in the primary tumor subgroup (r = 0.79, P < 0.05). PROMIS Depression demonstrated the largest floor effect (13.6%); there were similar ceiling effects.
CONCLUSION
CONCLUSIONS
PROMIS PF and PI domains correlate well with the ODI/NDI in spine tumor patients and have a similar ceiling effect but decreased floor effect. PROMIS Depression was not as well captured, except in the primary tumor subgroup.
LEVEL OF EVIDENCE
METHODS
2.
Identifiants
pubmed: 30475337
doi: 10.1097/BRS.0000000000002934
pii: 00007632-201905150-00014
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
747-752Références
Porter ME. What is value in health care? N Engl J Med 2010; 363:2477–2481.
Fairbank JC. Why are there different versions of the Oswestry Disability Index? J Neurosurg Spine 2014; 20:83–86.
Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976) 2000; 25:2940–2952.
Fairbank JC, Couper J, Davies JB, et al. The Oswestry low back pain disability questionnaire. Physiotherapy 1980; 66:271–273.
Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther 1991; 14:409–415.
Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther 2008; 31:491–502.
Zuckerman SL, Chotai S, Devin CJ, et al. Surgical resection of intradural extramedullary spinal tumors: patient reported outcomes and minimum clinically important difference. Spine (Phila Pa 1976) 2016; 41:1925–1932.
Street J, Lenehan B, Berven S, et al. Introducing a new health-related quality of life outcome tool for metastatic disease of the spine: content validation using the International Classification of Functioning, Disability, and Health; on behalf of the Spine Oncology Study Group. Spine (Phila Pa 1976) 2010; 35:1377–1386.
Janssen SJ, Teunis T, van Dijk E, et al. Validation of the Spine Oncology Study Group-Outcomes Questionnaire to assess quality of life in patients with metastatic spine disease. Spine J 2017; 17:768–776.
Cella D, Yount S, Rothrock N, et al. The Patient-reported Outcomes Measurement Information System (PROMIS): progress of an NIH Roadmap cooperative group during its first two years. Med Care 2007; 45 (5 Suppl 1):S3–S11.
Paulino Pereira NR, Janssen SJ, Raskin KA, et al. Most efficient questionnaires to measure quality of life, physical function, and pain in patients with metastatic spine disease: a cross-sectional prospective survey study. Spine J 2017; 17:953–961.
Brodke DS, Goz V, Voss MW, et al. PROMIS PF CAT outperforms the ODI and SF-36 physical function domain in spine patients. Spine (Phila Pa 1976) 2017; 42:921–929.
Boody BS, Bhatt S, Mazmudar AS, et al. Validation of Patient-reported Outcomes Measurement Information System (PROMIS) computerized adaptive tests in cervical spine surgery. J Neurosurg Spine 2018; 28:268–279.
Patel AA, Dodwad SM, Boody BS, et al. Validation of Patient Reported Outcomes Measurement Information System (PROMIS) Computer Adaptive Tests (CATs) in the surgical treatment of lumbar spinal stenosis. Spine (Phila Pa 1976) 2018; 43:1521–1528.
Papuga MO, Mesfin A, Molinari R, et al. Correlation of PROMIS physical function and pain CAT instruments with Oswestry Disability Index and Neck Disability Index in spine patients. Spine (Phila Pa 1976) 2016; 41:1153–1159.
Sharma M, Ugiliweneza B, Beswick J, et al. Concurrent validity and comparative responsiveness of PROMIS - SF versus Legacy measures in the cervical and lumbar spine population: Longitudinal analysis from baseline to post surgery. World Neurosurg 2018; 115:e664–e675.
Purvis TE, Andreou E, Neuman BJ, et al. Concurrent validity and responsiveness of PROMIS health domains among patients presenting for anterior cervical spine surgery. Spine (Phila Pa 1976) 2017; 42:E1357–E1365.
Papuga MO, Dasilva C, McIntyre A, et al. Large-scale clinical implementation of PROMIS computer adaptive testing with direct incorporation into the electronic medical record. Health Systems 2017; 7:1–12.
Cella D, Riley W, Stone A, et al. The Patient-reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005-2008. J Clin Epidemiol 2010; 63:1179–1194.
Hancock KJ, Glass N, Anthony CA, et al. Performance of PROMIS for healthy patients undergoing meniscal surgery. J Bone Joint Surg Am 2017; 99:954–958.
Beckmann JT, Hung M, Bounsanga J, et al. Psychometric evaluation of the PROMIS Physical Function Computerized Adaptive Test in comparison to the American Shoulder and Elbow Surgeons score and Simple Shoulder Test in patients with rotator cuff disease. J Shoulder Elbow Surg 2015; 24:1961–1967.
Colman MW, Karim SM, Lozano-Calderon SA, et al. Quality of life after en bloc resection of tumors in the mobile spine. Spine J 2015; 15:1728–1737.
Phukan R, Herzog T, Boland PJ, et al. how does the level of sacral resection for primary malignant bone tumors affect physical and mental health, pain, mobility, incontinence, and sexual function? Clin Orthop Relat Res 2016; 474:687–696.
Minoughan CE, Schumaier AP, Fritch JL, et al. Correlation of Patient-Reported Outcome Measurement Information System physical function upper extremity computer adaptive testing, with the American shoulder and elbow surgeons shoulder assessment form and simple shoulder test in patients with shoulder pain. Arthroscopy 2018; 34:1430–1436.
Tyser AR, Beckmann J, Franklin JD, et al. Evaluation of the PROMIS physical function computer adaptive test in the upper extremity. J Hand Surg Am 2014; 39:2047–2051. e2044.
Hung M, Stuart AR, Higgins TF, et al. Computerized Adaptive Testing Using the promis physical function item bank reduces test burden with less ceiling effects compared with the Short Musculoskeletal Function Assessment in orthopaedic trauma patients. J Orthop Trauma 2014; 28:439–443.
Guattery JM, Dardas AZ, Kelly M, et al. Floor Effect of PROMIS Depression CAT associated with hasty completion in orthopaedic surgery patients. Clin Orthop Relat Res 2018; 476:696–703.
Baumhauer JF. Patient-reported outcomes: are they living up to their potential? N Engl J Med 2017; 377:6–9.