期刊
EUROPEAN SPINE JOURNAL
卷 29, 期 6, 页码 1340-1352出版社
SPRINGER
DOI: 10.1007/s00586-020-06365-z
关键词
Patient acceptable symptom state; Adult spinal deformity; Scoliosis Research Society (SRS) instrument; Oswestry Disability Index; Pain Numeric Rating Scale
资金
- Depuy Synthes Spine
- Medtronic
Introduction Previous studies suggest that a meaningful and easily understood measure of treatment outcome may be the proportion of patients who are in a patient acceptable symptom state (PASS). We sought to quantify the score equivalent to PASS for different outcome instruments, in patients with adult spinal deformity (ASD). Methods We analysed the following 12-month questionnaire data from the European Spine Study Group (ESSG): Oswestry Disability Index (ODI; 0-100); Numeric Rating Scales (NRS; 0-10) for back/leg pain; Scoliosis Research Society (SRS) questionnaire; and an item if you had to spend the rest of your life with the symptoms you have now, how would you feel about it? (5-point scale, dichotomised with top 2 responses somewhat satisfied/very satisfied being considered PASS+, everything else PASS-). Receiver operating characteristics (ROC) analyses indicated the cut-off scores equivalent to PASS+. Results Out of 1043 patients (599 operative, 444 non-operative; 51 +/- 19 years; 84% women), 42% reported being PASS+ at 12 months' follow-up. The ROC areas under the curve were 0.71-0.84 (highest for SRS subscore), suggesting the questionnaire scores discriminated well between PASS+ and PASS-. The scores corresponding to PASS+ were > 3.5 for the SRS subscore (> 3.3-3.8 for SRS subdomains); <= 18 for ODI; and <= 3 for NRS pain. There were slight differences in cut-offs for subgroups of age, treatment type, aetiology, baseline symptoms, and sex. Conclusion Most interventions for ASD improve patients' complaints but do not totally eliminate them. Reporting the percentage achieving a score equivalent to an acceptable state may represent a more stringent and discerning target for denoting treatment success in ASD. Graphic abstract These slides can be retrieved under Electronic Supplementary Material.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据