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Bortz C, Pierce KE, Alas H, et al. The Patient-Reported Outcome Measurement Information System (PROMIS) Better Reflects the Impact of Length of Stay and the Occurrence of Complications Within 90 Days Than Legacy Outcome Measures for Lumbar Degenerative Surgery. Int J Spine Surg. 2021;15(1):82-86doi: 10.14444/8011.
Bortz, C., Pierce, K. E., Alas, H., Brown, A., Vasquez-Montes, D., Wang, E., Varlotta, C. G., Woo, D., Abotsi, E. J., Manning, J., Ayres, E. W., Diebo, B. G., Gerling, M. C., Buckland, A. J., & Passias, P. G. (2021). The Patient-Reported Outcome Measurement Information System (PROMIS) Better Reflects the Impact of Length of Stay and the Occurrence of Complications Within 90 Days Than Legacy Outcome Measures for Lumbar Degenerative Surgery. International journal of spine surgery, 15(1), 82-86. https://doi.org/10.14444/8011
Bortz, Cole, et al. "The Patient-Reported Outcome Measurement Information System (PROMIS) Better Reflects the Impact of Length of Stay and the Occurrence of Complications Within 90 Days Than Legacy Outcome Measures for Lumbar Degenerative Surgery." International journal of spine surgery vol. 15,1 (2021): 82-86. doi: https://doi.org/10.14444/8011
Bortz C, Pierce KE, Alas H, Brown A, Vasquez-Montes D, Wang E, Varlotta CG, Woo D, Abotsi EJ, Manning J, Ayres EW, Diebo BG, Gerling MC, Buckland AJ, Passias PG. The Patient-Reported Outcome Measurement Information System (PROMIS) Better Reflects the Impact of Length of Stay and the Occurrence of Complications Within 90 Days Than Legacy Outcome Measures for Lumbar Degenerative Surgery. Int J Spine Surg. 2021 Feb;15(1):82-86. doi: 10.14444/8011. Epub 2021 Feb 12. PMID: 33900960; PMCID: PMC7931701.
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Int J Spine Surg. 2021 Feb;15(1):82-86. doi: 10.14444/8011. Epub 2021 Feb 12.

The Patient-Reported Outcome Measurement Information System (PROMIS) Better Reflects the Impact of Length of Stay and the Occurrence of Complications Within 90 Days Than Legacy Outcome Measures for Lumbar Degenerative Surgery.

International journal of spine surgery

Cole Bortz, Katherine E Pierce, Haddy Alas, Avery Brown, Dennis Vasquez-Montes, Erik Wang, Christopher G Varlotta, Dainn Woo, Edem J Abotsi, Jordan Manning, Ethan W Ayres, Bassel G Diebo, Michael C Gerling, Aaron J Buckland, Peter G Passias

Affiliations

  1. Department of Orthopedics, NYU Langone Orthopedic Hospital, New York, New York.
  2. Department of Orthopedics, SUNY Downstate Medical Center, Brooklyn, New York.

PMID: 33900960 PMCID: PMC7931701 DOI: 10.14444/8011

Abstract

BACKGROUND: The Patient-Reported Outcome Measurement Information System (PROMIS) and legacy outcome measures like the Oswestry Disability Index (ODI) have not been compared for their sensitivity in reflecting the impact of perioperative complications and length of stay (LOS) in a surgical thoracolumbar population. The purpose of this study is to assess the strength of PROMIS and ODI scores as they correlate with LOS and complication outcomes of surgical thoracolumbar patients.

METHODS: Retrospective cohort study. Included: patients ≥18 years undergoing thoracolumbar surgery with available preoperative and 3-month postoperative ODI and PROMIS scores. Pearson correlation assessed the linear relationships between LOS, complications, and scores for PROMIS (physical function, pain intensity, pain interference) and ODI. Linear regression predicted the relationship between complication incidence and scores for ODI and PROMIS.

RESULTS: Included: 182 patients undergoing thoracolumbar surgery. Common diagnoses were stenosis (62.1%), radiculopathy (48.9%), and herniated disc (47.8%). Overall, 58.3% of patients underwent fusion, and 50.0% underwent laminectomy. Patients showed preoperative to postoperative improvement in ODI (50.2 to 39.0), PROMIS physical function (10.9 to 21.4), pain intensity (92.4 to 78.3), and pain interference (58.4 to 49.8, all

CONCLUSIONS: PROMIS domains of physical function and pain interference better reflected perioperative complications and LOS than the ODI. These results suggest PROMIS may offer more utility as an outcomes assessment instrument.

LEVEL OF EVIDENCE: 3.

This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2021 ISASS.

Keywords: LOS; ODI; Oswestry Disability Index; complication; outcomes; spine; thoracic; thoracolumbar

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