Engle Alyson M, Abd-Elsayed Alaa, Pope Jason E, Fishman Michael
The Spine and Nerve Center of the Virginias, Charleston, WV, USA.
University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Pain Ther. 2021 Dec;10(2):1663-1672. doi: 10.1007/s40122-021-00323-3. Epub 2021 Oct 2.
Multidimensional patient-reported outcomes are a critical part of assessing patients to better understand their well-being during treatment. The PROMIS-29 assessment tool is utilized as a component of assessing multidimensional pain scales. It includes patient-reported measures of pain, mood, sleep, social participation, and function. Currently, there are no data on whether a patient's immediate environment (remote versus in person) influences the reported patient outcomes measurement of a multidimensional tool represented as PROMIS-29 data.
Retrospective analysis of prospectively collected data was performed. Subjects were identified and consecutively enrolled upon entry into a chronic pain or spine center in the United States. The PROMIS-29 v2.1 was recorded. Statistical differences were assessed among age groups and across the seven domains of the assessment.
A total of 25,187 distinct patients were enrolled in the study from August 2018 to December 2020 with a presenting baseline measurement of PROMIS-29. The PROMIS-29 v2.1 was evaluated across the seven domains, and subgroup age analysis was performed for patients completing surveys in the clinical setting (non-remote group) and those completing the survey in the remote setting (remote group) during entry into spine and pain practices across the United States. For mental health scores, those less than 40 years of age and those over 80 years of age showed significant differences in ratings of anxiety and depression in the remote versus non-remote setting. Regarding physical health scores, those aged 60-79 showed a significant difference in the remote versus non-remote ratings for pain interference (p = 0.005; 63.9 vs. 64.4), physical function (p = 0.000; 36.4 vs. 35.7), and fatigue (p = 0.020; 57.2 vs. 57.7), while subjects over 80 years of age showed a statistical difference between the remote versus non-remote setting only in rating physical function (p = 0.025; 33.0 vs. 34). Notably, the rating of sleep disturbance in the remote versus non-remote setting was the only significant variable in the 40-59 age category (p = 0.000; 60.0 vs. 59.1). Those less than 40 years of age also reported a significant difference in the remote versus non-remote setting when rating sleep disturbance (p = 0.000; 60.5 vs. 58.9). With regard to social function, only those older than 80 years showed a significant difference in rating of ability in the remote compared to the non-remote setting (p = 0.031; 39.6 vs. 40.7).
This data set is the first published data describing the influence of environment (remote versus in person) on PROMIS-29 outcome measurements in the chronic pain population.
多维患者报告结局是评估患者以更好地了解其治疗期间健康状况的关键部分。PROMIS - 29评估工具被用作评估多维疼痛量表的一个组成部分。它包括患者报告的疼痛、情绪、睡眠、社会参与和功能的测量指标。目前，尚无数据表明患者的即时环境（远程与面对面）是否会影响以PROMIS - 29数据表示的多维工具所报告的患者结局测量。
对前瞻性收集的数据进行回顾性分析。在美国，当患者进入慢性疼痛或脊柱中心时进行识别并连续纳入研究对象。记录PROMIS - 29 v2.1。评估年龄组之间以及评估的七个领域之间的统计学差异。
从2018年8月至2020年12月，共有25187名不同患者纳入该研究，其呈现的PROMIS - 29基线测量值。对PROMIS - 29 v2.1在七个领域进行了评估，并对在美国各地脊柱和疼痛诊疗机构就诊期间在临床环境中完成调查的患者（非远程组）和在远程环境中完成调查的患者（远程组）进行了亚组年龄分析。对于心理健康评分，年龄小于40岁和大于80岁的患者在远程与非远程环境下的焦虑和抑郁评分存在显著差异。关于身体健康评分，60 - 79岁的患者在远程与非远程评分中的疼痛干扰（p = 0.005；63.9对64.4）、身体功能（p = 0.000；36.4对35.7）和疲劳（p = 0.020；57.2对57.7）方面存在显著差异，而80岁以上的受试者仅在身体功能评分的远程与非远程环境之间存在统计学差异（p = 0.025；33.0对34）。值得注意的是，在40 - 59岁年龄组中，远程与非远程环境下的睡眠障碍评分是唯一的显著变量（p = 0.000；60.0对59.1）。年龄小于40岁的患者在远程与非远程环境下对睡眠障碍进行评分时也报告存在显著差异（p = 0.000；60.5对58.9）。关于社会功能，只有80岁以上的患者在远程与非远程环境下的能力评分存在显著差异（p = 0.031；39.6对40.7）。
该数据集是首次发表的描述环境（远程与面对面）对慢性疼痛人群中PROMIS - 29结局测量影响的数据。
