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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

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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

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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

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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

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Shawyon Baygani, Kristin Zieles, and Andrew Jea

outcomes or nonstandardized instruments assessing patient-reported outcomes (PROs). Currently, no study has determined if preoperative patient disability, as measured by the Pediatric Quality of Life Inventory (PedsQL), is associated with short- and intermediate-term PROs after Chiari decompression surgery in children. The PedsQL is an instrument designed with a core set of 23 generic questions, with additional disease-specific modules. 22 , 23 Core questions focus on the multidimensional aspects of health. It is appropriate for a child to self-report from ages 5 to 18

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Joel A. Finkelstein and Carolyn E. Schwartz

I nnovation and technology have had a profound influence on our everyday lives, as well as on our health-related quality of life (QOL) through advances in medical and surgical treatments. Measurement of spine surgery outcomes has undergone an evolution. Millennial and postmillennial surgeons came into the field inheriting an established practice of collecting patient-reported outcome measures (PROMs), often referred to as “legacy” measures. In the pre-PROM era, outcomes from surgery were evaluated without the patient’s perspective and, hence, they lacked

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Rafa Rahman, Alvaro Ibaseta, Jay S. Reidler, Nicholas S. Andrade, Richard L. Skolasky, Lee H. Riley III, David B. Cohen, Daniel M. Sciubba, Khaled M. Kebaish, and Brian J. Neuman

/anxiety from before and 12 months after spine surgery, as well as changes in Patient-Reported Outcomes Measurement Information System (PROMIS) scores at the same time points. We analyzed PROMIS scores in patients stratified according to perioperative changes in depression and anxiety symptoms, which were also measured using PROMIS. We hypothesized that patients whose depression/anxiety stayed the same or worsened after surgery, as well as those who developed depression/anxiety postoperatively, would have less improvement in PROMIS scores than those with no depression

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Christine Park, Alessandra N. Garcia, Chad Cook, Christopher I. Shaffrey, and Oren N. Gottfried

different degrees, experienced pain relief and functional improvement overall after undergoing the same procedures. 10 , 12–14 Although there are reports in the literature indicating that patient-reported outcomes are comparable between nonobese and obese patients who underwent lumbar spine surgery, there is a lack of data on long-term clinical outcomes and patient satisfaction following lumbar surgery in a large patient sample size. 15 Existing large, retrospective studies mostly focus on postoperative complications. 11 , 16 Furthermore, the BMI categorization has been

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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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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