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  • Journal of Neurosurgery: Spine x
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Taylor E. Purvis, Brian J. Neuman, Lee H. Riley III and Richard L. Skolasky

National Institutes of Health encouraged researchers and clinicians to implement the Patient-Reported Outcomes Measurement Information System (PROMIS) to promote comparisons among multiple disease settings and across a range of populations. 10 , 12 , 27 Among other outcome variables, the PROMIS instrument generates anxiety and depression scores. 27 The raw scores for anxiety and depression are translated to standardized T-scores with a population mean of 50 ± 10. 11 , 37 The GAD-7 and PHQ-8 were developed using the classic test theory framework and require patients to

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Brittany E. Haws, Benjamin Khechen, Mundeep S. Bawa, Dil V. Patel, Harmeet S. Bawa, Daniel D. Bohl, Adam B. Wiggins, Kaitlyn L. Cardinal, Jordan A. Guntin and Kern Singh

populations or anatomical locations. Additionally, the administration of legacy measures can be time-consuming for patients and may lead to an additional administrative burden. The Patient-Reported Outcomes Measurement Information System (PROMIS) was developed as an effort to provide a standardized measure of clinical outcomes that is valid and reliable across a wide variety of patient populations. This instrument affords the accurate and efficient collection of PROs for multiple health domains, particularly with the use of computer adaptive testing (CAT). 13 PROMIS

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Dil V. Patel, Mundeep S. Bawa, Brittany E. Haws, Benjamin Khechen, Andrew M. Block, Sailee S. Karmarkar, Eric H. Lamoutte and Kern Singh

P atient-reported outcomes (PROs) have historically been used by spine surgeons to gather clinical data before and after surgery. In recent years, the Patient-Reported Outcomes Measurement Information System (PROMIS) has emerged as a valuable instrument in evaluating patient health. 21 PROMIS is a time-efficient survey that dynamically modifies subsequent questions based on responses, potentially improving patient compliance with long-term data collection. The PROMIS domain Physical Function (PROMIS PF) may be particularly useful in relation to spine surgery

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Jared C. Tishelman, Dennis Vasquez-Montes, David S. Jevotovsky, Nicholas Stekas, Michael J. Moses, Raj J. Karia, Thomas Errico, Aaron J. Buckland and Themistocles S. Protopsaltis

often responsible for a significant burden to both the patient and the provider. The Patient-Reported Outcomes Measurement Information System (PROMIS) is a National Institutes of Health (NIH)–funded initiative to improve and streamline patient outcomes reporting. 6 , 15 PROMIS Physical Function (PF), PROMIS Pain Intensity, and PROMIS Pain Interference are 3 domains of the PROMIS instrument that test physical and psychosocial dimensions of a patient’s complaints. These PROMIS tools have demonstrated improved validity, reliability, and flexibility. 1 , 6 , 11 , 19

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Chicago, Illinois, April 4-5, 2019

on patient reported outcomes following lumbar spine surgery. Outcomes data was collected with the Patient-Reported Outcomes Measurement Information System (PROMIS), a validated assessment tool in spine surgery patients. Materials/Methods 91 patients undergoing lumbar spine surgery at a single institution completed PROMIS Pain Interference (PI) scores preoperatively and at 3, 12, and 24 months postoperatively. 36 patients used opioid pain medication at the time of their preoperative office visit compared to 55 patients who did not. The differences between

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Maxwell Boakye, Barbara C. Leigh and Andrea C. Skelly

S pinal cord injury frequently leads to alterations in ambulatory, cardiovascular, hand, and many other bodily functions that affect QOL. An assessment of SCI outcomes should therefore include patient-reported QOL outcomes as well as the standard clinical and functional outcomes. Developing and incorporating patient-reported QOL outcomes in medical research are priorities of the NIH, as evidenced by the creation of the PROMIS ( http://www.nihpromis.org/ ). The efficacy of interventions can be measured in terms of their impact on health-related QOL outcomes

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Zarina S. Ali, Tracy M. Flanders, Ali K. Ozturk, Neil R. Malhotra, Lena Leszinsky, Brendan J. McShane, Diana Gardiner, Kristin Rupich, H. Isaac Chen, James Schuster, Paul J. Marcotte, Michael J. Kallan, M. Sean Grady, Lee A. Fleisher and William C. Welch

Information System (PROMIS), ODI, NDI, and EQ-5D. PROs have become the gold standard to measure clinical efficacy after a surgical intervention, 4 , 28 and such questionnaires in the pre- and postoperative time points provide both the patient and the neurosurgeon with insight into the patient’s overall clinical function and improvement. We also hope to study the effects of the ERAS protocol on overall health, such as long-term improvements in BMI and A1C. Limitations of the Study There are several limitations to this study. This is a prospective cohort analysis limited by

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Daniel Lubelski, Nicolas R. Thompson, Sachin Bansal, Thomas E. Mroz, Daniel J. Mazanec, Edward C. Benzel and Tagreed Khalaf

. Particularly, depression has been shown to be associated with less improvement following lumbar fusion surgery. 1–3 , 5 , 9 , 26 , 29 There are very few such studies, however, with regard to medical management of LSS. Karp and colleagues 18 reviewed 158 patients who underwent epidural spinal injections for low-back pain with or without radiculopathy. These investigators found that depression and sleep disturbance were prognostic of worse Patient-Reported Outcome Measurement Information System (PROMIS) outcomes following epidural spinal injections. Hägg et al. 13 performed