Stokes O M, Cole A A, Breakwell L M, Lloyd A J, Leonard C M, Grevitt M
Exeter Spine Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Sheffield Teaching Hospital NHS Foundation Trust, Sheffield, UK.
Eur Spine J. 2017 Mar;26(3):816-824. doi: 10.1007/s00586-016-4938-x. Epub 2017 Jan 9.
Patient-reported outcome measures (PROMs) have become an important part of routine auditing of outcomes in spinal surgery in the UK. PROMs can be used to help assess the quality of care provided by surgical units by determining the comparative health status of patients, before and after surgery. This study was designed to review the PROMs used to assess outcomes in spinal surgery and to determine if they are fit for the purpose.
A systematic literature search was undertaken to identify studies that reported PROMs data following lumbar spinal surgery. The PROMs that were used in each study were recorded and a separate search was undertaken to determine the evidence regarding the validity of each measure.
The initial search identified 1142 abstracts, which were reduced through de-duplication, filtering and review to 58 articles, which were retrieved and reviewed in full. The search identified that the majority of studies used either the Oswestry Disability Index (ODI), SF-36, Roland-Morris Disability Questionnaire (RMDQ) and EQ-5D along with visual analogue scales or numeric rating scales for back and leg pain.
The consistent use of PROMs supports the comparison of outcomes from different studies, although there was minimal evidence regarding the specificity and sensitivity of these measures for use with lumbar spinal patients. Our review highlights the need to determine a consensus regarding the use and reporting of outcome measures within the lumbar spine literature.
患者报告结局测量（PROMs）已成为英国脊柱外科手术结局常规审计的重要组成部分。PROMs可用于通过确定患者手术前后的相对健康状况，来帮助评估手术科室提供的护理质量。本研究旨在回顾用于评估脊柱手术结局的PROMs，并确定它们是否适用于此目的。
进行系统的文献检索，以识别报告腰椎手术后PROMs数据的研究。记录每项研究中使用的PROMs，并进行单独检索以确定每项测量有效性的证据。
初步检索识别出1142篇摘要，通过去重、筛选和评审，减少至58篇文章，对这些文章进行了全文检索和评审。检索发现，大多数研究使用奥斯威斯利残疾指数（ODI）、SF-36、罗兰-莫里斯残疾问卷（RMDQ）和EQ-5D，以及用于背部和腿部疼痛的视觉模拟量表或数字评定量表。
PROMs的一致使用有助于不同研究结果的比较，尽管关于这些测量用于腰椎患者的特异性和敏感性的证据很少。我们的综述强调需要就腰椎文献中结局测量的使用和报告达成共识。
