Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
Spine (Phila Pa 1976). 2020 Jun 1;45(11):E663-E669. doi: 10.1097/BRS.0000000000003361.
Retrospective.
The aim of this study was to evaluate the validity of Patient Health Questionnaire-9 (PHQ-9) among patients undergoing minimally invasive (MIS) lumbar interbody fusion.
Few studies have evaluated the utility and concurrent validity of the PHQ-9 survey in patients undergoing spinal procedures.
Patients undergoing a one- or two-level MIS lumbar interbody fusion were retrospectively reviewed. Patient-reported outcome surveys were completed preoperatively and at 6-week, 12-week, 6-month, and 1-year timepoints. Postoperative survey scores were compared to preoperative values using paired t tests. PHQ-9 scores were compared with the Mental Component Summary (MCS) scores of the Short Form-12 (SF-12) and the Veterans RAND-12 (VR-12) surveys at each timepoint using the Pearson correlation coefficient.
A total of 215 patients were included in the analysis. The mean preoperative scores for the PHQ-9, SF-12 MCS, and VR-12 MCS were 6.78, 49.55, and 50.39, respectively. Significant improvements in each survey outcome measure were observed at all postoperative timepoints. Strong correlations with PHQ-9 scores were identified for SF-12 MCS scores and VR-12 MCS scores at preoperative and postoperative timepoints (|r| ≥ 0.5 and P < 0.05 for each).
This study demonstrated that mental health, as measured by the PHQ-9, SF-12 MCS, and VR-12 MCS surveys, improves significantly after MIS lumbar fusion. In addition, PHQ-9 scores were strongly correlated with SF-12 and VR-12 scores. These results suggest that PHQ-9 can be a valid assessment of baseline mental health and postoperative improvement after MIS lumbar fusion. Concordant results among PHQ-9, SF-12 MCS, and VR-12 indicate that the simultaneous utilization of multiple survey instruments may not be necessary. Limiting the number of questionnaires that are administered in the evaluation of mental health could also help reduce survey burden placed on patients.
回顾性研究。
本研究旨在评估患者健康问卷-9（PHQ-9）在接受微创（MIS）腰椎椎间融合术患者中的有效性。
很少有研究评估 PHQ-9 调查在接受脊柱手术患者中的实用性和同时有效性。
回顾性分析接受单节段或双节段 MIS 腰椎椎间融合术的患者。患者报告的结果调查在术前以及 6 周、12 周、6 个月和 1 年时间点进行。使用配对 t 检验比较术后调查评分与术前值。使用 Pearson 相关系数在每个时间点将 PHQ-9 评分与简短形式-12（SF-12）的心理成分综合评分（MCS）和退伍军人 RAND-12（VR-12）调查进行比较。
共纳入 215 例患者进行分析。PHQ-9、SF-12 MCS 和 VR-12 MCS 的术前平均评分分别为 6.78、49.55 和 50.39。在所有术后时间点，每个调查结果测量均有显著改善。在术前和术后时间点，PHQ-9 评分与 SF-12 MCS 评分和 VR-12 MCS 评分均具有较强相关性（|r|≥0.5，每个 P<0.05）。
本研究表明，心理健康（通过 PHQ-9、SF-12 MCS 和 VR-12 MCS 调查测量）在 MIS 腰椎融合术后显著改善。此外，PHQ-9 评分与 SF-12 和 VR-12 评分密切相关。这些结果表明 PHQ-9 可以作为 MIS 腰椎融合术后基线心理健康和术后改善的有效评估。PHQ-9、SF-12 MCS 和 VR-12 之间的一致结果表明，同时使用多个调查工具可能没有必要。在评估心理健康时，限制要向患者提供的问卷数量也有助于减少调查负担。
3。
