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논문 기본 정보

자료유형
학술저널
저자정보
James M. Parrish (Department of Orthopaedic Surgery Rush University Medical Center) Nathaniel W. Jenkins (Department of Orthopaedic Surgery Rush University Medical Center) Elliot D.K. Cha (Department of Orthopaedic Surgery Rush University Medical Center) Conor P. Lynch (Department of Orthopaedic Surgery Rush University Medical Center) Cara E. Geoghegan (Department of Orthopaedic Surgery Rush University Medical Center) Shruthi Mohan (Department of Orthopaedic Surgery Rush University Medical Center) Caroline N. Jadczak (Department of Orthopaedic Surgery Rush University Medical Center) David P. Matichak (Miller School of Medicine University of Miami) Kern Singh (Department of Orthopaedic Surgery Rush University Medical Center)
저널정보
대한척추신경외과학회 Neurospine 대한척추신경외과학회지 제18권 제1호
발행연도
2021.1
수록면
155 - 162 (8page)

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Objective: Our study aims to evaluate the correlation of Patient-Reported Outcomes Measurement Information System physical function (PROMIS PF) with legacy patient-reported outcome measures (PROMs) among patients undergoing anterior cervical discectomy and fusion (ACDF). Methods: A prospectively maintained database was retrospectively reviewed for ACDF surgeries performed between May 2015 and September 2017. Inclusion criteria were primary elective, single- or multilevel ACDFs for degenerative spinal pathology. Patients lacking preoperative or 2-year PROMIS PF surveys were excluded. Mean scores were calculated for visual analogue scale (VAS) neck, VAS arm, Neck Disability Index (NDI), 12-Item Short Form Physical Component Score (SF-12 PCS), and PROMIS PF at preoperative and 6-week, 12-week, 6-month, 1-year, and 2-year postoperative timepoints. A t-test and Pearson correlation coefficient were utilized to evaluate score improvement and PROM relationships respectively. Results: The 50 subject cohort was 60.0% male, 50% obese (body mass index≥30 kg/m2) and had an average age of 50.9 years. Significant improvements were demonstrated for VAS neck and NDI at all postoperative timepoints (p<0.001) and for SF-12 and PROMIS PF at all timepoints except 6 weeks (p≤0.025). VAS arm improvement was seen up to 1 year (p≤0.016). PROMIS PF demonstrated strong correlations with NDI and SF-12 PCS at all evaluated timepoints and with VAS neck at all postoperative timepoints except 6 weeks (all p<0.01). Conclusion: PROMIS PF was strongly correlated with pain, disability, and physical function up to 2 years for patients undergoing ACDF. Our results support the long-term validity of PROMIS PF for measurement of patient-reported physical function among ACDF cohorts.

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