Sage Journals: Discover world-class research

Abstract

Background: Assessing the impact of spine disorders such as lumbar degenerative spondylolisthesis (LDS) on overall health is a component of quality of care that may not be comprehensively captured by spine-specific and single-attribute patient-reported outcome measures (PROMs). Purpose: We sought to compare PROMs to the Lumbar Surgery Expectations Survey (“Expectations Survey”), which addresses multiple aspects of health and well-being, and to compare the relevance of surgeon-selected versus survey-selected Patient-Reported Outcomes Measurement Information System (PROMIS) items to LDS. Methods: In a cross-sectional study, 379 patients with LDS preoperatively completed the Expectations Survey, Numerical Rating Pain Scales, Oswestry Disability Index (ODI), and PROMIS computer-adaptive physical function, pain, and mental health surveys. Expectations Survey scores were compared to PROMs with correlation coefficients (indicating strengths of relationships) and probability values (indicating associations by chance). Surgeons reviewed physical function questions to identify those particularly relevant to LDS. Results: Patients’ mean age was 67 years, 64% were women, and 83% had single-level and 17% had multiple-level LDS. Probability values between the Expectations Survey and PROMs were reliable, but strengths of relationships were only mild to moderate, indicating PROMs did not comprehensively capture the impact of LDS. None of the surgeon-selected PROMIS physical function questions were posed to patients. Conclusion: This cross-sectional study found PROMs to be reliably associated but not strongly correlated with the Expectations Survey, which addresses the whole-patient impact of LDS. New measures that complement PROMIS and ODI should be developed to capture the whole-person effects of LDS and permit attribution of LDS treatments to overall health.

Keywords

lumbar spondylolisthesis patients’ expectations PROMs PROMIS ODI

Get full access to this article

View all access options for this article.

References

Abtahi

Lyman

Brodke

Lawrence

Zhang

Spiker

. Patient satisfaction is not associated with self-reported disability in a spine patient population. Clin Spine Surg. 2017;30(8):E1165–E1168.

Azevedo

. Association Between Patient’s Expectations and Real Outcomes for Degenerative Spine Surgery [dissertation]. Porto, Portugal: University of Porto; 2020. Available at: https://repositorio-aberto.up.pt/bitstream/10216/128696/2/414331.pdf. Accessed December 10, 2022.

Brodke

Zhang

Shaw

Cizik

Saltzman

Brodke

. How do PROMIS scores correspond to common physical abilities? Clin Orthop Relat Res. 2021;480(5):996–1007.

Bull

Byrnes

Hettiarachchi

Downes

. A systematic review of the validity and reliability of patient-reported experience measures. Health Serv Res. 2019;54(5):1023–1035.

Cella

Yount

Rothrock

, et al. The Patient-Reported Outcomes Measurement Information System (PROMIS). Med Care. 2007;45(5, suppl 1):S3–S11.

Charlson

Pompei

Ales

MacKenzie

. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis. 1987;40(5):373–383.

Chughtai

Gwam

Khlopas

, et al. No correlation between Press Ganey survey responses and outcomes in post-total hip arthroplasty patients. J Arthroplasty. 2018;33(3):783–785.

Chughtai

Patel

Gwam

, et al. Do Press Ganey scores correlate with total knee arthroplasty-specific outcome questionnaires in postsurgical patients? J Arthroplasty. 2017;32(suppl 9):S109–S112.

Cohen

. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum; 1988.

10.

Denisov

Zaborovskii

Solovyov

, et al. Reliability and validity of adapted Russian version of Hospital for Special Surgery Lumbar Spine Surgery Expectations Survey. HSS J. 2022;18(3):351–357.

11.

El Miedany

El Gaafary

Youssef

Ahmed

Palmer

. The arthritic patients’ perspective of measuring treatment efficacy: Patient Reported Experience Measures (PREMs) as a quality tool. Clin Exper Rheum. 2014;32(4):547–552.

12.

Fairbank

JCT

Pynsent

. The Oswestry Disability Index. Spine. 2000;25(22):2940–2953.

13.

Farrar

Young

Jr LaMoreaux

Werth

Poole

. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical rating scale. Pain. 2001;94(2):149–158.

14.

Finkelstein

Schwartz

. Patient-reported outcomes in spine surgery: past, current, and future directions. J Neurosurg Spine. 2019;31(2):155–164.

15.

Graham

Green

James

Katz

Swiontkowski

. Measuring patient satisfaction in orthopaedic surgery. J Bone Joint Surg. 2015;97(1):80–84.

16.

Guzman

Cutler

Connolly

, et al. Patient-reported outcome instruments in spine surgery. Spine. 2016;41(5):429–437.

17.

Hays

Bjorner

Revicki

Spritzer

Cella

. Development of physical and mental health summary scores from the Patient Reported Outcomes Measurement Information System (PROMIS) global items. Quality Life Res. 2009;18(7):873–880.

18.

HealthMeasures. PROMIS List of Adult Measures. June 5, 2022. Available at: https://www.healthmeasures.net/explore-measurement-systems/promis/intro-to-promis/list-of-adult-measures. Accessed November 28, 2022.

19.

Houck

Kang

Cudderford

. Do clinical criteria based on PROMIS outcomes identify acceptable symptoms and function for patients with musculoskeletal problems. Musculoskel Sci Pract. 2021;55:102423.

20.

Hudson-Cook

Tomes-Nicholson

Breen

ARM

Jenner

. A revised Oswestry disability questionnaire. In: Roland

Jenner

, eds. Back Pain: New Approaches to Rehabilitation and Education. New York: Manchester University Press; 1989:187–204.

21.

Jayakumar

Teunis

Vranceanu

Lamb

Ring

Gwilym

. Relationship between magnitude of limitations and patient experience during recovery from upper-extremity fracture. J Bone Joint Surg Open Access. 2019;4(3):e0002.

22.

Kebaish

Mercier

Duy

, et al. Spine surgery HCAHPS patient satisfaction survey results inversely correlate with survey response time. Spine. 2021;46(18):1264–1270.

23.

Kollmorgan

. Patient-Reported Outcomes Measurement Information System (PROMIS) has decreased disease-specific responsiveness more than legacy outcomes measures, but PROMIS and legacy measures do correlate: you can’t have your cake and eat it too. Arthroscopy. 2020;36(12):2998–3000.

24.

Kushchayev

Glushko

Jarraya

, et al. ABCs of the degenerative spine. Insights Imaging. 2018;9(2):253–274.

25.

Loyack

. Expectations of Recovery After Lumbar Spine Surgery: A Quality Improvement Project to Improve Patient Satisfaction [dissertation]. Chapel Hill, NC: University of North Carolina at Chapel Hill Graduate School; 2015. Available at: https://cdr.lib.unc.edu/. Accessed December 10, 2022.

26.

Mancuso

Cammissa

Sama

Hughes

Ghomrawi

HMK

Girardi

. Development and testing of an expectations survey for patients undergoing lumbar spine surgery. J Bone Joint Surg Am. 2013;95(19):1793–1800.

27.

Mancuso

Duncan

Stal

Girardi

. Patients’ expectations of lumbar spine surgery. Euro Spine J. 2015;24:2362–2369.

28.

Menendez

Omar

Chagoya

, et al. Patient satisfaction in spine surgery: a systematic review. Asian Spine J. 2019;13(6):1047–1057.

29.

Nepomuceno

Silveira

Dessotte

, et al. Instruments used in the assessment of expectation toward a spine surgery: an integrative review. Rev Esc Enferm. 2016;50(4):658–666. https://doi.org/10.1590/S0080-623420160000500017

30.

Nixon

Zhang

Weinberg

Presson

Nickisch

. Relationship of Press Ganey satisfaction and PROMIS function and pain in foot and ankle patients. Foot Ankle Int. 2020;41(1):1206–1211.

31.

Núñez-Pereira

Serra-Burriel

Vila-Casademunt

, et al. The dynamics of satisfaction in surgical and nonsurgical adult spinal deformity patients. Eur Spine J. 2021;30(5):1235–1246.

32.

Parai

Hagg

Lind

Brisby

. The value of patient global assessment in lumbar spine surgery: an evaluation based on more than 90,000 patients. Eur Spine J. 2018;27(3):554–563.

33.

Phan

Liu

Sulovari

Maqsoodi

Everett

Mesfin

. PROMIS scores should not be used in isolation to measure outcomes in lumbar stenosis patients. Spine. 2021;46(23):E1262–E1268.

34.

Stokes

Cole

Breakwell

Lloyd

Grevitt

. Do we have the right PROMS for measuring outcomes in lumbar spinal surgery? Eur Spine J. 2017;26(3):816–824.

35.

Swarup

Henn

Gulotta

Henn

III . Patient expectations and satisfaction in orthopaedic surgery: a review of the literature. J Clin Orthop Trauma. 2019;10(4):755–760.

36.

Welding

Smith

SMS

. Patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs). Health Serv Insights. 2013;6:61–68.

37.

Young

Steinhaus

Gang

, et al. The use of Patient-Reported Outcomes Measurement Information System: a systematic review. Int J Spine Surg. 2021;15(1):186–194.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.03 MB

0.05 MB

0.04 MB

0.03 MB

Emerging Need for PROMs to Measure the Impact of Spine Disorders on Overall Health and Well-being: Measuring Expectations as an Example for Lumbar Degenerative Spondylolisthesis

Abstract

Keywords

Get full access to this article

References

Supplementary Material