Search Results

You are looking at 1 - 10 of 309 items for :

  • "patient-reported outcomes" x
Clear All
Restricted access

Ibrahim Hussain, Ori Barzilai, Anne S. Reiner, Lily McLaughlin, Natalie M. DiStefano, Shahiba Ogilvie, Anne L. Versteeg, Charles G. Fisher, Mark H. Bilsky and Ilya Laufer

“indeterminate” group (SINS 10–12) respond differently to surgery compared to patients with lower SINS in the “indeterminate” group (SINS 7–9). Methods Patient Selection Patients who underwent first-time instrumented fusion for metastatic spine disease were consecutively enrolled between July 2014 and August 2016. Patients without preoperative patient-reported outcome (PRO) data (including emergency cases) and those whose postoperative PRO data were collected less than 14 days or more than 180 days after surgery were excluded. Otherwise, no patients meeting inclusion criteria

Full access

Aditya Vedantam, Daniel Hansen, Valentina Briceño, Alison Brayton and Andrew Jea

current health care environment have led to an increased focus on value-based interventions and quantifying patient-reported outcomes (PROs) after surgery. A recent review of the literature, however, revealed that few studies have reported such outcome measures for pediatric neurosurgical patients, even though the use of PROs and health-related quality of life (HRQOL) outcomes for other pediatric conditions is increasing. 10 To the best of our knowledge, the use of PRO and HRQOL tools has not been previously undertaken for pediatric patients undergoing surgery for

Restricted access

Barrett S. Boody, Surabhi Bhatt, Aditya S. Mazmudar, Wellington K. Hsu, Nan E. Rothrock and Alpesh A. Patel

, radiological interpretation, and overall perception of the patient’s well-being. These have been demonstrated to be insufficient proxies for patient-centered outcomes. 24 Multiple patient-reported outcome (PRO) measures have been used for research in spine pathology and range from general measures of disability and function such as the Oswestry Disability Index (ODI) and visual analog scale pain scores to more specific outcome measures focused on the impact of spine pathology, including the Neck Disability Index (NDI), the Swiss Spinal Stenosis Questionnaire, the Oxford

Restricted access

Jawad M. Khalifeh, Christopher F. Dibble, Ammar H. Hawasli and Wilson Z. Ray

intervention. 6 , 12 , 28 The assessment of outcomes in spine care is facilitated by multiple patient-reported outcome (PRO) instruments. 6 , 12 “Legacy” PRO measures include global health status measures (e.g., the 36-Item Short-Form Health Survey [SF-36] for quality of life), pain instruments (e.g., visual analog scale [VAS] for pain intensity), and disease-specific functional status questionnaires (e.g., Neck Disability Index [NDI] for cervical spine disorders and Oswestry Disability Index [ODI] for low-back pain). 6 , 12 , 23 , 26 Legacy PRO measures are widely

Restricted access

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

Free access

Silky Chotai, Scott L. Parker, Ahilan Sivaganesan, J. Alex Sielatycki, Anthony L. Asher, Matthew J. McGirt and Clinton J. Devin

toward rewarding providers for quality rather than volume. The Institute of Medicine has emphasized that safety, patient-centered outcomes (quality), and cost of care are the key components of value-based health care. 22 Prospective registries have emerged as a feasible avenue to capture the real-world effectiveness via patient-reported outcomes (PROs) incorporating patients’ general health status, quality of life, disease specific health, societal productivity, and satisfaction with care. Complications within 90 days following surgery has been used by administrative

Free access

Owoicho Adogwa, Isaac O. Karikari, Aladine A. Elsamadicy, Amanda R. Sergesketter, Diego Galan and Keith H. Bridwell

I n an era of shifting emphasis toward quantifiable measures of quality of care as determinants of physician- and hospital-level performance, patient-reported outcomes (PROs) have become an increasingly popular tool to assess subjective outcomes after surgery. 4 , 26 PROs are especially utilized in spinal surgery, as many spinal deformities have significant implications for patients’ perceptions of health and appearance. 1 , 16 Correction of complex spinal deformities involving multiple (≥ 5) levels has been shown to produce significant improvements in PROs

Restricted access

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

T he evaluation of patient-reported outcomes (PROs) following surgery continues to be a prevalent topic in the spine literature. In spine surgery several PRO instruments have been validated to measure different aspects of health status including pain, disability, physical function, and mental health. 11 , 40 , 41 Referred to as legacy measures, these instruments allow for evaluation of a patient’s perception of their health status. However, these measurement tools do not come without limitations. Often, legacy measures are not validated across a variety of

Full access

Alex Soroceanu, Douglas C. Burton, Bassel Georges Diebo, Justin S. Smith, Richard Hostin, Christopher I. Shaffrey, Oheneba Boachie-Adjei, Gregory M. Mundis Jr., Christopher Ames, Thomas J. Errico, Shay Bess, Munish C. Gupta, Robert A. Hart, Frank J. Schwab, Virginie Lafage and International Spine Study Group

rates, 6 , 32 , 33 , 40 , 58 , 59 others failed to detect a link between BMI and postoperative morbidity. 45 , 65 , 75 Similarly, there is no consensus on the impact of BMI on patient-reported outcomes. Several authors have reported inferior postoperative outcomes in obese patients undergoing elective degenerative lumbar, cervical, and deformity surgery, 2 , 34 , 76 whereas others did not find that obesity negatively impacts measures of health-related quality of life (HRQL). 15 , 26 , 53 , 70 In the spinal deformity literature, a publication by Smith et al

Restricted access

Michael P. Kelly, Michael A. Kallen, Christopher I. Shaffrey, Justin S. Smith, Douglas C. Burton, Christopher P. Ames, Virginie Lafage, Frank J. Schwab, Han Jo Kim, Eric O. Klineberg, Shay Bess and the International Spine Study Group

test-retest reliability. 9 , 10 The Patient-Reported Outcomes Measurement Information System (PROMIS), funded by the National Institutes of Health (NIH), is a system of generic health measures and is available to clinicians and researchers alike for computer adaptive test (CAT) administration, a highly effective and efficient method of measure administration, based on detailed item performance parameters derived from supporting item response theory (IRT) analyses. In short, CATs allow for the collection of precise patient-centered outcome scores while minimizing