Health-related quality of life measures in adult spinal deformity: can we replace the SRS-22 with PROMIS?

Adult Humans Pain Quality of Life Reproducibility of Results Scoliosis / surgery Surveys and Questionnaires
Adult spinal deformity Fusion HRQL MCID PROMIS Patient-reported outcomes Spine surgery

Journal

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
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980

Informations de publication

Date de publication:
05 2022
Historique:
received: 09 10 2021
accepted: 23 12 2021
revised: 09 10 2021
pubmed: 12 1 2022
medline: 21 5 2022
entrez: 11 1 2022
Statut: ppublish

Résumé

To determine the validity and responsiveness of PROMIS metrics versus the SRS-22r questionnaire in adult spinal deformity (ASD). Surgical ASD patients undergoing ≥ 4 levels fused with complete baseline PROMIS and SRS-22r data were included. Internal consistency (Cronbach's alpha) and test-retest reliability [intraclass correlation coefficient (ICC)] were compared. Cronbach's alpha and ICC values ≥ 0.70 were predefined as satisfactory. Convergent validity was evaluated via Spearman's correlations. Responsiveness was assessed via paired samples t tests with Cohen's d to assess measure of effect (baseline to 3 months). One hundred and ten pts are included. Mean baseline SRS-22r score was 2.62 ± 0.67 (domains = Function: 2.6, Pain: 2.5, Self-image: 2.2, Mental Health: 3.0). Mean PROMIS domains = Physical Function (PF): 12.4, Pain Intensity (PI): 91.7, Pain Interference (Int): 55.9. Cronbach's alpha, and ICC were not satisfactory for any SRS-22 and PROMIS domains. PROMIS-Int reliability was low for all SRS-22 domains (0.037-0.225). Convergent validity demonstrated strong correlation via Spearman's rho between PROMIS-PI and overall SRS-22r (- 0.61), SRS-22 Function (- 0.781), and SRS-22 Pain (- 0.735). PROMIS-PF had strong correlation with SRS-22 Function (0.643), while PROMIS-Int had moderate correlation with SRS-22 Pain (- 0.507). Effect size via Cohen's d showed that PROMIS had superior responsiveness across all domains except for self-image. PROMIS is a valid measure compared to SRS-22r in terms of convergent validity, and has greater measure of effect in terms of responsiveness, but failed in reliability and internal consistency. Surgeons should consider the lack of reliability and internal consistency (despite validity and responsiveness) of the PROMIS to SRS-22r before replacing the traditional questionnaire with the computer-adaptive testing.

Identifiants

DOI: 10.1007/s00586-021-07106-6 PMID: 35013830
pubmed: 35013830
doi: 10.1007/s00586-021-07106-6
pii: 10.1007/s00586-021-07106-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1184-1188

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

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Auteurs

Peter G Passias (PG)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA. Peter.Passias@nyumc.org.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA. Peter.Passias@nyumc.org.
Division of Spinal Surgery, Departments of Orthopaedic and Neurological Surgery, NYU Langone Medical Center, Orthopaedic Hospital, NYU School of Medicine, New York Spine Institute, 301 East 17th St, New York, NY, 10003, USA. Peter.Passias@nyumc.org.

Katherine E Pierce (KE)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Oscar Krol (O)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Tyler Williamson (T)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Sara Naessig (S)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Waleed Ahmad (W)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Lara Passfall (L)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Peter Tretiakov (P)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Bailey Imbo (B)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Rachel Joujon-Roche (R)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Jordan Lebovic (J)

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Stephane Owusu-Sarpong (S)

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Kevin Moattari (K)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Nicholas A Kummer (NA)

Division of Spinal Surgery, Departments of Orthopaedic and Neurosurgery, NYU Medical Center, NY Spine Institute, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Constance Maglaras (C)

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Brooke K O'Connell (BK)

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Bassel G Diebo (BG)

Department of Orthopedic Surgery, SUNY Downstate Medical Center, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Shaleen Vira (S)

Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Renaud Lafage (R)

Department of Orthopaedics, Hospital for Special Surgery, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Virginie Lafage (V)

Department of Orthopaedics, Hospital for Special Surgery, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Aaron J Buckland (AJ)

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

Themistocles Protopsaltis (T)

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA.

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