Validating the VR-12 Physical Function Instrument After Anterior Cervical Discectomy and Fusion with SF-12, PROMIS, and NDI
| العنوان: | Validating the VR-12 Physical Function Instrument After Anterior Cervical Discectomy and Fusion with SF-12, PROMIS, and NDI |
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| المؤلفون: | Thomas S Brundage, Nadia M Hrynewycz, Michael T. Nolte, Kern Singh, James M. Parrish, Nathaniel W. Jenkins |
| المصدر: | HSS J |
| بيانات النشر: | SAGE Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 030222 orthopedics, medicine.medical_specialty, Sports medicine, business.industry, Minimal clinically important difference, Anterior cervical discectomy and fusion, 030229 sport sciences, Physical function, humanities, Rheumatology, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology, Internal medicine, Orthopedic surgery, medicine, Physical therapy, Original Article, Orthopedics and Sports Medicine, Surgery, business, Student's t-test |
| الوصف: | BACKGROUND: Development and validation of Veterans RAND 12-item (VR-12) physical component survey (PCS) has been established among civilian and veteran populations but it has not been examined among anterior cervical discectomy and fusion (ACDF) patients. PURPOSES/QUESTIONS: We sought to validate legacy patient-reported outcome measures (PROMs) with VR-12 PCS among patients undergoing ACDF procedures. METHODS: A prospectively collected surgical registry was retrospectively evaluated for elective single or multi-level ACDFs performed for degenerative spinal pathologies from January 2014 to August 2019. Exclusion criteria included missing pre-operative surveys and surgery for trauma, metastasis, or infection. Demographic variables, baseline pathologies, and peri-operative variables were collected. A paired t test evaluated the change from the pre-operative score to each post-operative timepoint for VR-12 PCS, the 12-item Short-Form Survey (SF-12) PCS, Patient-Reported Outcomes Measurement Information System physical function (PROMIS-PF), and Neck Disability Index (NDI). Minimal clinically important difference (MCID) achievement was calculated at each timepoint. Correlation was evaluated with a Pearson’s correlation coefficient and time-independent partial correlation. RESULTS: Of the 202 patients who underwent ACDF, 41.1% were female and the average age was 49.5 years. All PROMs had statistically significantly increased from baseline when compared with post-operative timepoints (12 weeks, 6 months, 1 year, and 2 years). MCID achievement rates increased through 2 years. All timepoints revealed strong VR-12 PCS correlations with SF-12 PCS, PROMIS-PF, and NDI scores. CONCLUSION: VR-12 PCS was strongly correlated with the well-validated SF-12 PCS and NDI metrics as well as with the more recent PROMIS-PF. All PROMs demonstrated statistically significant improvement in patients post-operatively. VR-12 PCS is a valid measure of physical function among patients undergoing ACDF. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11420-020-09817-w) contains supplementary material, which is available to authorized users. |
| تدمد: | 1556-3324 1556-3316 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6037f6355b14ae6f6b9ba56c50a20e9b https://doi.org/10.1007/s11420-020-09817-w |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....6037f6355b14ae6f6b9ba56c50a20e9b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15563324 15563316 |
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