Falavigna Asdrubal, Dozza Diego Cassol, Teles Alisson R, Wong Chung Chek, Barbagallo Giuseppe, Brodke Darrel, Al-Mutair Abdulaziz, Ghogawala Zoher, Riew K Daniel
Department of Neurosurgery, Caxias do Sul University, Caxias do Sul, RS, Brazil.
Department of Neurosurgery, São Vicente de Paulo Hospital, Fronteira Sul Federal University, Passo Fundo, RS, Brazil.
World Neurosurg. 2017 Dec;108:328-335. doi: 10.1016/j.wneu.2017.09.002. Epub 2017 Sep 8.
Patient-reported outcome measures (PROMs) are the most widely accepted means of measuring outcomes after spine procedures. We sought to determine the current status of worldwide use of PROMs in Latin America (LA), Europe (EU), Asia Pacific (AP), North America (NA), and Middle East (ME) to determine the barrier to its full implementation.
A questionnaire survey was sent by e-mail to members of AOSpine to evaluate their familiarity and use of PROMs instruments and to assess the barriers to their use in spine care practice in LA, EU, AP, NA, and ME.
A total of 1634 AOSpine members from LA, EU, AP, NA, and ME answered the electronic questionnaire. The percentage of spine surgeons who were familiar with the generic health-related quality of life questionnaire was 71.7%. In addition, 31.9% of respondents did not use any PROMs routinely. The main barriers to implementing PROMs were lack of time to administer the questionnaires (57%) followed by lack of staff to assist in data collection (55%), and the long time to fill out the questionnaires (46%). The routine use of questionnaires was more frequent in NA and EU and less common in LA and ME (P < 0.001).
We found that 31.9% of spine surgeons do not use the PROMs questionnaire routinely. This appears to occur because of lack of knowledge regarding their importance, absence of reimbursement for this extra work, minimal financial support for clinical research, the cost of implementation, and lack of concern among physicians.
患者报告结局测量指标（PROMs）是脊柱手术后测量结局最广泛接受的方法。我们试图确定PROMs在拉丁美洲（LA）、欧洲（EU）、亚太地区（AP）、北美（NA）和中东（ME）的全球使用现状，以确定其全面实施的障碍。
通过电子邮件向AOSpine成员发送问卷调查，以评估他们对PROMs工具的熟悉程度和使用情况，并评估在LA、EU、AP、NA和ME的脊柱护理实践中使用这些工具的障碍。
来自LA、EU、AP、NA和ME的总共1634名AOSpine成员回答了电子问卷。熟悉一般健康相关生活质量问卷的脊柱外科医生比例为71.7%。此外，31.9%的受访者没有常规使用任何PROMs。实施PROMs的主要障碍是缺乏时间来发放问卷（57%），其次是缺乏协助数据收集的工作人员（55%），以及填写问卷时间长（46%）。问卷的常规使用在NA和EU更频繁，在LA和ME则较少见（P<0.001）。
我们发现31.9%的脊柱外科医生没有常规使用PROMs问卷。这似乎是由于对其重要性缺乏了解、这项额外工作没有报销、临床研究的资金支持极少、实施成本以及医生缺乏关注。
