退伍军人兰德12项身体功能调查在微创经椎间孔腰椎椎间融合术中的验证
Validation of Veterans RAND 12-Item Physical Function Survey in Minimally Invasive Transforaminal Lumbar Interbody Fusion.
作者信息
Nolte Michael T, Parrish James M, Jenkins Nathaniel W, Cha Elliot D K, Lynch Conor P, Jadczak Caroline N, Mohan Shruthi, Geoghegan Cara E, Hrynewycz Nadia M, Singh Kern
机构信息
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
出版信息
Int J Spine Surg. 2022 Jun 20;16(4):605-11. doi: 10.14444/8308.
BACKGROUND
Veterans RAND 12-item (VR-12) physical component score (PCS) has been validated in both veteran and US citizen populations; however, its use for spine surgery populations has not been evaluated. This study aims to correlate the VR-12 PCS survey with legacy patient-reported outcome measures (PROMs) in patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).
METHODS
A prospective surgical database was retrospectively assessed for MIS TLIFs performed at 1 level from March 2015 to June 2019. Inclusion criteria were elective procedures for degenerative spinal pathology. Patients were excluded if they had surgery for metastatic, traumatic, or infectious etiologies or had incomplete preoperative 12-item Short Form (SF-12) PCS or Patient-Reported Outcomes Measurement Information System physical function (PROMIS-PF) survey. Additionally, patients with any incomplete VR-12 PCS surveys through 1 year were excluded. Demographics and perioperative characteristics were recorded. Mean postoperative PROM scores and score difference from preoperative baseline were calculated at each postoperative timepoint through 1 year. The relationship of VR-12-PCS with SF-12-PCS and PROMIS PF was evaluated with a Pearson's correlation coefficient and time-independent partial correlation.
RESULTS
A total of 59 patients underwent single-level MIS TLIFs. The cohort was 44.1% women with an average age of 53.8 years, and 52.5% were obese (body mass index ≥30 kg/m). The VR-12 PCS, SF-12 PCS, and PROMIS PF surveys had significant improvements from baseline to the 6 month through 1 year postoperative timepoints ( ≤ 0.001, all). All timepoints revealed strong VR-12-PCS correlations with SF-12-PCS and PROMIS PF (all ≤ 0.001).
CONCLUSION
VR-12 PCS, SF-12 PCS, and PROMIS PF scores all indicate statistically significant improvements in physical function for patients following MIS TLIF. VR-12 PCS was strongly correlated with the historically validated SF-12 PCS system as well as with the more recent PROMIS PF survey. Our observations give weight to utilizing the VR-12 PCS survey as a valid measure of physical function among patients undergoing MIS TLIF.
CLINICAL RELEVANCE
This study validates VR-12 PCS to measure physical function for TLIF patients.
背景
退伍军人兰德12项健康调查（VR - 12）身体成分得分（PCS）已在退伍军人和美国公民群体中得到验证；然而，其在脊柱手术人群中的应用尚未得到评估。本研究旨在将VR - 12 PCS调查与接受微创经椎间孔腰椎椎间融合术（MIS TLIF）患者的传统患者报告结局指标（PROMs）进行关联。
方法
对2015年3月至2019年6月期间进行单节段MIS TLIF手术的前瞻性手术数据库进行回顾性评估。纳入标准为退行性脊柱病变的择期手术。如果患者因转移性、创伤性或感染性病因接受手术，或术前12项简短健康调查（SF - 12）PCS或患者报告结局测量信息系统身体功能（PROMIS - PF）调查不完整，则将其排除。此外，任何在术后1年内VR - 12 PCS调查不完整的患者也被排除。记录人口统计学和围手术期特征。计算术后1年内每个时间点的平均术后PROM得分以及与术前基线的得分差异。使用Pearson相关系数和时间独立偏相关评估VR - 12 - PCS与SF - 12 - PCS以及PROMIS PF之间的关系。
结果
共有59例患者接受了单节段MIS TLIF手术。该队列中女性占44.1%，平均年龄53.8岁，52.5%为肥胖患者（体重指数≥30 kg/m²）。从基线到术后6个月至1年的各个时间点，VR - 12 PCS、SF - 12 PCS和PROMIS PF调查均有显著改善（P均≤0.001）。所有时间点均显示VR - 12 - PCS与SF - 12 - PCS以及PROMIS PF之间存在强相关性（P均≤0.001）。
结论
VR - 12 PCS、SF - 12 PCS和PROMIS PF得分均表明MIS TLIF术后患者的身体功能有统计学上的显著改善。VR - 12 PCS与经过历史验证的SF - 12 PCS系统以及较新的PROMIS PF调查均有强相关性。我们的观察结果支持将VR - 12 PCS调查作为MIS TLIF患者身体功能的有效测量指标。
临床意义
本研究验证了VR - 12 PCS可用于测量TLIF患者的身体功能。
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