From the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
J Am Acad Orthop Surg. 2021 Dec 1;29(23):e1208-e1216. doi: 10.5435/JAAOS-D-20-01207.
Patient-reported outcome measures (PROMs) are used to capture the true extent of postoperative improvement. Use of lengthier and repetitive PROMs can increase question burden on patients. This study aims to determine whether the length of time to complete (TTC) legacy PROMs has an impact on scores after lumbar decompression.
A surgical database was retrospectively reviewed for patients who underwent primary, single-level lumbar decompression from 2013 to 2020. Demographic and perioperative characteristics were collected. Physical function (PF) was measured by 12-Item Short Form (SF-12), 12-Item Veterans RAND (VR-12), and Patient-Reported Outcomes Measurement Information System (PROMIS) and was collected preoperatively and postoperatively. TTC was calculated as the difference between start and ending times for each instance of survey completion. Improvements for PROMs and comparison of TTC between SF-12/VR-12 and PROMIS PF were evaluated using a t-test. Correlation between TTC and PROM scores was evaluated using the Pearson correlation. Impact of TTC on postoperative PROM scores was evaluated using linear regression.
A total of 216 patients, of which 68.1% were men, were included with a mean age of 45.8 years. Mean postoperative TTC for SF-12 and VR-12 was significantly longer than preoperative values (all P < 0.05). No notable difference in TTC was demonstrated for PROMIS PF. TTC PROMIS PF was significantly shorter than SF-12 and VR-12 from 12 weeks through 1 year (all P < 0.050). A low-strength negative correlation of TTC with SF-12 and VR-12 was observed at the preoperative, 6-week and 1-year timepoint whereas PROMIS PF had a low-strength positive correlation with TTC preoperatively and at 6 months (all P > 0.05).
Time spent completing PROMIS PF did not markedly differ postoperatively, but SF-12 and VR-12 required a longer TTC than PROMIS PF. Although insightful to patient improvement, SF-12 and VR-12 may increase the question burden placed on patients to complete surveys in a timely manner.
患者报告的结果测量（PROMs）用于捕捉术后改善的真实程度。使用更长和重复的 PROMs 可能会增加患者的问题负担。本研究旨在确定腰椎减压术后完成时间（TTC）是否会影响评分。
回顾性分析 2013 年至 2020 年期间接受原发性单节段腰椎减压术的患者的手术数据库。收集人口统计学和围手术期特征。身体功能（PF）通过 12 项简明健康调查（SF-12）、12 项退伍军人 RAND（VR-12）和患者报告的结果测量信息系统（PROMIS）进行测量，并在术前和术后进行测量。TTC 计算为每次完成调查的开始时间和结束时间之间的差异。使用 t 检验评估 PROM 的改善以及 SF-12/VR-12 和 PROMIS PF 之间的 TTC 比较。使用 Pearson 相关系数评估 TTC 与 PROM 评分之间的相关性。使用线性回归评估 TTC 对术后 PROM 评分的影响。
共纳入 216 例患者，其中 68.1%为男性，平均年龄为 45.8 岁。SF-12 和 VR-12 的平均术后 TTC 明显长于术前值（均 P < 0.05）。PROMIS PF 的 TTC 无明显差异。从 12 周至 1 年，PROMIS PF 的 TTC 明显短于 SF-12 和 VR-12（均 P < 0.050）。在术前、6 周和 1 年时，TTC 与 SF-12 和 VR-12 呈弱负相关，而 PROMIS PF 与术前和 6 个月时的 TTC 呈弱正相关（均 P > 0.05）。
完成 PROMIS PF 的时间在术后没有明显差异，但 SF-12 和 VR-12 比 PROMIS PF 需要更长的 TTC。尽管对患者的改善有深入的了解，但 SF-12 和 VR-12 可能会增加患者及时完成调查的问题负担。
