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验证患者报告的结局测量信息系统计算机自适应测试在腰椎间盘突出症手术中的应用。

Validation of Patient-reported Outcomes Measurement Information System Computer Adaptive Tests in Lumbar Disk Herniation Surgery.

机构信息

From the Department of Orthopaedic Surgery, Northwestern University, Evanston, IL (Ms. Bhatt, Dr. Boody, Dr. Hsu, Dr. Rothrock, and Dr. Patel), and the Center for Spine Health, Cleveland Clinic, Cleveland, OH (Dr. Savage).

出版信息

J Am Acad Orthop Surg. 2019 Feb 1;27(3):95-103. doi: 10.5435/JAAOS-D-17-00300.

DOI:10.5435/JAAOS-D-17-00300
PMID:30247310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7315643/
Abstract

INTRODUCTION

Inadequate validation, floor/ceiling effects, and time constraints limit utilization of standardized patient-reported outcome measures. We aimed to validate Patient-reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) for patients treated surgically for a lumbar disk herniation.

METHODS

PROMIS, CATs, Oswestry Disability Index, and Short Form-12 measures were administered to 78 patients treated with lumbar microdiskectomy for symptomatic disk herniation with radiculopathy.

RESULTS

PROMIS CATs demonstrated convergent validity with legacy measures; PROMIS scores were moderately to highly correlated with the Oswestry Disability Index and Short Form-12 physical component scores (r = 0.41 and 0.78, respectively). PROMIS CATs demonstrated similar responsiveness to change compared with legacy measures. On average, the PROMIS CATs were completed in 2.3 minutes compared with 5.7 minutes for legacy measures.

DISCUSSION

The PROMIS CATs demonstrate convergent and known groups' validity and are comparable in responsiveness to legacy measures. These results suggest similar utility and improved efficiency of PROMIS CATs compared with legacy measures.

LEVELS OF EVIDENCE

Level II.

摘要

简介

标准化患者报告结局测量信息系统（PROMIS）的评估工具在验证不足、存在地板效应和时间限制的情况下，其应用受到了限制。本研究旨在验证 PROMIS 计算机自适应测试（CAT）在接受腰椎间盘突出症手术治疗的患者中的适用性。

方法

对 78 例行腰椎显微椎间盘切除术治疗有根性症状的腰椎间盘突出症的患者进行了 PROMIS、CAT、Oswestry 功能障碍指数和简明健康调查问卷-12 量表的评估。

结果

PROMIS CAT 与传统评估工具具有相关性；PROMIS 评分与 Oswestry 功能障碍指数和简明健康调查问卷-12 物理评分呈中度至高度相关（r 值分别为 0.41 和 0.78）。与传统评估工具相比，PROMIS CAT 也具有相似的反应性。平均而言，PROMIS CAT 完成时间为 2.3 分钟，而传统评估工具为 5.7 分钟。

讨论

PROMIS CAT 具有相关性和已知组的有效性，与传统评估工具的反应性相当。这些结果表明，与传统评估工具相比，PROMIS CAT 具有相似的效用和更高的效率。

证据等级

II 级。

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