Concurrent Validity and Responsiveness of PROMIS Health Domains Among Patients Presenting for Anterior Cervical Spine Surgery

Taylor E. Purvis, Elena Andreou, Brian J. Neuman, Lee H. Riley, Richard L. Skolasky

Research output: Research - peer-reviewArticle

Abstract

STUDY DESIGN.: Prospective cohort study. OBJECTIVE.: To determine validity and responsiveness of Patient-Reported Outcomes Measurement Information System (PROMIS) health domains. SUMMARY OF BACKGROUND DATA.: PROMIS health domains (anxiety, depression, fatigue, pain, physical function, satisfaction with participation in social roles, sleep disturbance) may measure quality of care and determine minimal important differences (MIDs) after spine surgery. We examined concurrent validity of PROMIS domains before and PROMIS domain MIDs after anterior cervical spine surgery. METHODS.: We included 148 adults undergoing cervical spine surgery from February 2015 through June 2016. We determined concurrent validity by correlations of preoperative PROMIS domains with legacy measures and responsiveness of PROMIS domains using distribution-based and anchor-based criteria (preoperative to postoperative change, within 6 months) anchored to treatment expectations (assessed using North American Spine Society Patient Satisfaction Index criteria). Statistical significance was accepted as p?<?0.05. RESULTS.: All PROMIS domains showed moderate to strong correlations with Neck Disability Index, Short-Form Health Survey, version 2 (SF-12v2), and Brief Pain Inventory pain interference and weak correlations with intensity of arm/neck pain (except between PROMIS pain and neck pain [r?=?0.45, p?<?0.001] and PROMIS physical function and SF-12v2 physical [r?=?–0.14, p?=?0.138] and mental [r?=?0.39, p?<?0.001] components). PROMIS domains were well correlated with Generalized Anxiety Disorder-7 and Patient Health Questionnaire-8 except PROMIS physical function (r?=?–0.29, p?=?0.002). Distribution-based PROMIS MID estimates ranged from 2.3–3.9 points. Incorporating cross-sectional and longitudinal anchor-based criteria, final PROMIS MID estimates were as follows: anxiety, –5.7; depression, –4.6, fatigue, –5.8; pain, –5.2; physical function, 4.5; satisfaction with participation in social roles, 4.4; and sleep disturbance, –7.4. CONCLUSIONS.: PROMIS domains are a valid assessment of health in this population and were responsive to postoperative improvements in symptoms and quality of life.Level of Evidence: 2

LanguageEnglish (US)
JournalSpine
DOIs
StateAccepted/In press - Jul 24 2017

Fingerprint

Health Information Systems
Spine
Patient Reported Outcome Measures
Information Systems
Pain
Neck Pain
Fatigue
Sleep
Anxiety
Depression
Health
Quality of Health Care
Health Surveys
Anxiety Disorders
Patient Satisfaction
Arm
Cohort Studies
Neck
Quality of Life
Prospective Studies

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

Cite this

@article{ed3b9fd0e6754aada326dc49fe7b3071,
title = "Concurrent Validity and Responsiveness of PROMIS Health Domains Among Patients Presenting for Anterior Cervical Spine Surgery",
abstract = "STUDY DESIGN.: Prospective cohort study. OBJECTIVE.: To determine validity and responsiveness of Patient-Reported Outcomes Measurement Information System (PROMIS) health domains. SUMMARY OF BACKGROUND DATA.: PROMIS health domains (anxiety, depression, fatigue, pain, physical function, satisfaction with participation in social roles, sleep disturbance) may measure quality of care and determine minimal important differences (MIDs) after spine surgery. We examined concurrent validity of PROMIS domains before and PROMIS domain MIDs after anterior cervical spine surgery. METHODS.: We included 148 adults undergoing cervical spine surgery from February 2015 through June 2016. We determined concurrent validity by correlations of preoperative PROMIS domains with legacy measures and responsiveness of PROMIS domains using distribution-based and anchor-based criteria (preoperative to postoperative change, within 6 months) anchored to treatment expectations (assessed using North American Spine Society Patient Satisfaction Index criteria). Statistical significance was accepted as p?<?0.05. RESULTS.: All PROMIS domains showed moderate to strong correlations with Neck Disability Index, Short-Form Health Survey, version 2 (SF-12v2), and Brief Pain Inventory pain interference and weak correlations with intensity of arm/neck pain (except between PROMIS pain and neck pain [r?=?0.45, p?<?0.001] and PROMIS physical function and SF-12v2 physical [r?=?–0.14, p?=?0.138] and mental [r?=?0.39, p?<?0.001] components). PROMIS domains were well correlated with Generalized Anxiety Disorder-7 and Patient Health Questionnaire-8 except PROMIS physical function (r?=?–0.29, p?=?0.002). Distribution-based PROMIS MID estimates ranged from 2.3–3.9 points. Incorporating cross-sectional and longitudinal anchor-based criteria, final PROMIS MID estimates were as follows: anxiety, –5.7; depression, –4.6, fatigue, –5.8; pain, –5.2; physical function, 4.5; satisfaction with participation in social roles, 4.4; and sleep disturbance, –7.4. CONCLUSIONS.: PROMIS domains are a valid assessment of health in this population and were responsive to postoperative improvements in symptoms and quality of life.Level of Evidence: 2",
author = "Purvis, {Taylor E.} and Elena Andreou and Neuman, {Brian J.} and Riley, {Lee H.} and Skolasky, {Richard L.}",
year = "2017",
month = "7",
doi = "10.1097/BRS.0000000000002347",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Concurrent Validity and Responsiveness of PROMIS Health Domains Among Patients Presenting for Anterior Cervical Spine Surgery

AU - Purvis,Taylor E.

AU - Andreou,Elena

AU - Neuman,Brian J.

AU - Riley,Lee H.

AU - Skolasky,Richard L.

PY - 2017/7/24

Y1 - 2017/7/24

N2 - STUDY DESIGN.: Prospective cohort study. OBJECTIVE.: To determine validity and responsiveness of Patient-Reported Outcomes Measurement Information System (PROMIS) health domains. SUMMARY OF BACKGROUND DATA.: PROMIS health domains (anxiety, depression, fatigue, pain, physical function, satisfaction with participation in social roles, sleep disturbance) may measure quality of care and determine minimal important differences (MIDs) after spine surgery. We examined concurrent validity of PROMIS domains before and PROMIS domain MIDs after anterior cervical spine surgery. METHODS.: We included 148 adults undergoing cervical spine surgery from February 2015 through June 2016. We determined concurrent validity by correlations of preoperative PROMIS domains with legacy measures and responsiveness of PROMIS domains using distribution-based and anchor-based criteria (preoperative to postoperative change, within 6 months) anchored to treatment expectations (assessed using North American Spine Society Patient Satisfaction Index criteria). Statistical significance was accepted as p?<?0.05. RESULTS.: All PROMIS domains showed moderate to strong correlations with Neck Disability Index, Short-Form Health Survey, version 2 (SF-12v2), and Brief Pain Inventory pain interference and weak correlations with intensity of arm/neck pain (except between PROMIS pain and neck pain [r?=?0.45, p?<?0.001] and PROMIS physical function and SF-12v2 physical [r?=?–0.14, p?=?0.138] and mental [r?=?0.39, p?<?0.001] components). PROMIS domains were well correlated with Generalized Anxiety Disorder-7 and Patient Health Questionnaire-8 except PROMIS physical function (r?=?–0.29, p?=?0.002). Distribution-based PROMIS MID estimates ranged from 2.3–3.9 points. Incorporating cross-sectional and longitudinal anchor-based criteria, final PROMIS MID estimates were as follows: anxiety, –5.7; depression, –4.6, fatigue, –5.8; pain, –5.2; physical function, 4.5; satisfaction with participation in social roles, 4.4; and sleep disturbance, –7.4. CONCLUSIONS.: PROMIS domains are a valid assessment of health in this population and were responsive to postoperative improvements in symptoms and quality of life.Level of Evidence: 2

AB - STUDY DESIGN.: Prospective cohort study. OBJECTIVE.: To determine validity and responsiveness of Patient-Reported Outcomes Measurement Information System (PROMIS) health domains. SUMMARY OF BACKGROUND DATA.: PROMIS health domains (anxiety, depression, fatigue, pain, physical function, satisfaction with participation in social roles, sleep disturbance) may measure quality of care and determine minimal important differences (MIDs) after spine surgery. We examined concurrent validity of PROMIS domains before and PROMIS domain MIDs after anterior cervical spine surgery. METHODS.: We included 148 adults undergoing cervical spine surgery from February 2015 through June 2016. We determined concurrent validity by correlations of preoperative PROMIS domains with legacy measures and responsiveness of PROMIS domains using distribution-based and anchor-based criteria (preoperative to postoperative change, within 6 months) anchored to treatment expectations (assessed using North American Spine Society Patient Satisfaction Index criteria). Statistical significance was accepted as p?<?0.05. RESULTS.: All PROMIS domains showed moderate to strong correlations with Neck Disability Index, Short-Form Health Survey, version 2 (SF-12v2), and Brief Pain Inventory pain interference and weak correlations with intensity of arm/neck pain (except between PROMIS pain and neck pain [r?=?0.45, p?<?0.001] and PROMIS physical function and SF-12v2 physical [r?=?–0.14, p?=?0.138] and mental [r?=?0.39, p?<?0.001] components). PROMIS domains were well correlated with Generalized Anxiety Disorder-7 and Patient Health Questionnaire-8 except PROMIS physical function (r?=?–0.29, p?=?0.002). Distribution-based PROMIS MID estimates ranged from 2.3–3.9 points. Incorporating cross-sectional and longitudinal anchor-based criteria, final PROMIS MID estimates were as follows: anxiety, –5.7; depression, –4.6, fatigue, –5.8; pain, –5.2; physical function, 4.5; satisfaction with participation in social roles, 4.4; and sleep disturbance, –7.4. CONCLUSIONS.: PROMIS domains are a valid assessment of health in this population and were responsive to postoperative improvements in symptoms and quality of life.Level of Evidence: 2

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