Abtahi Amir M, Lyman Kade Shumway, Brodke Darrel S, Lawrence Brandon D, Zhang Chong, Spiker William Ryan
*University of Utah Department of Orthopaedics †University of Utah Department of Internal Medicine, Division of Epidemiology, Salt Lake City, UT.
Clin Spine Surg. 2017 Oct;30(8):E1165-E1168. doi: 10.1097/BSD.0000000000000431.
This is a retrospective review.
To evaluate the relationship between patient functional status and self-assessment of disability as measured by 3 commonly used clinical assessment instruments-the Oswestry Disability Index (ODI), the Neck Disability Index (NDI), and the EuroQol (EQ)-5D and patient satisfaction scores in a spine surgery clinic population.
Patient satisfaction surveys, which measure the "patient experience of care" are becoming an increasingly important measure of the quality of medical care. Despite the widespread use of patient satisfaction surveys, little is known about the relationship between patient satisfaction and patient functional status or self-assessed level of disability.
We retrospectively reviewed records of 231 consecutive patients presenting to a single academic spine surgery center between February 2011 and October 2013 who completed both a patient satisfaction survey as well as one or more patient-reported outcome questionnaires (NDI, ODI, and/or EQ-5D) for a single clinical encounter. Statistical analysis was performed to determine if an association exists between the overall patient satisfaction score and each patient-reported outcome score.
Spearman correlation coefficients demonstrated no correlation between any patient-reported outcome score and the patient satisfaction score [NDI=-0.113 (-0.409 to 0.207) P=0.489] [ODI=-0.008 (-0.149 to 0.133) P=0.912] [EQ-5D=0.011 (-0.119 to 0.140) P=0.872] for a single clinical encounter.
These results provide evidence against an association between patient-reported functional status or self-assessed level of disability and patient satisfaction in a spine patient population.
这是一项回顾性研究。
通过3种常用的临床评估工具——奥斯维斯特残疾指数（ODI）、颈部残疾指数（NDI）和欧洲五维健康量表（EQ-5D）来评估患者功能状态与残疾自评之间的关系，以及脊柱外科门诊患者的满意度评分。
衡量“患者就医体验”的患者满意度调查正日益成为医疗质量的一项重要指标。尽管患者满意度调查被广泛使用，但对于患者满意度与患者功能状态或自评残疾水平之间的关系却知之甚少。
我们回顾性分析了2011年2月至2013年10月期间在单一学术性脊柱外科中心连续就诊的231例患者的记录，这些患者在单次临床就诊时既完成了患者满意度调查，又完成了一份或多份患者报告结局问卷（NDI、ODI和/或EQ-5D）。进行统计分析以确定患者总体满意度评分与每个患者报告结局评分之间是否存在关联。
Spearman相关系数显示，在单次临床就诊中，任何患者报告结局评分与患者满意度评分之间均无相关性 [NDI=-0.113（-0.409至0.207），P=0.489] [ODI=-0.008（-0.149至0.133），P=0.912] [EQ-5D=0.011（-0.119至0.140），P=0.872]。
这些结果提供了证据，表明在脊柱疾病患者群体中，患者报告的功能状态或自评残疾水平与患者满意度之间不存在关联。
