Validation of Patient-reported Outcomes Measurement Information System Computer Adaptive Tests in Lumbar Disk Herniation Surgery

Surabhi Bhatt; Barrett S. Boody; Jason W. Savage; Wellington K. Hsu; Nan E. Rothrock; Alpesh A. Patel

doi:10.5435/JAAOS-D-17-00300

Validation of Patient-reported Outcomes Measurement Information System Computer Adaptive Tests in Lumbar Disk Herniation Surgery

Surabhi Bhatt, Barrett S. Boody, Jason W. Savage, Wellington K. Hsu, Nan E. Rothrock, Alpesh A. Patel^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Introduction: Inadequate validation, floor/ceiling effects, and time constraints limit utilization of standardized patient-reported outcome measures. We aimed to validate Patient-reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) for patients treated surgically for a lumbar disk herniation. Methods: PROMIS, CATs, Oswestry Disability Index, and Short Form-12 measures were administered to 78 patients treated with lumbar microdiskectomy for symptomatic disk herniation with radiculopathy. Results: PROMIS CATs demonstrated convergent validity with legacy measures; PROMIS scores were moderately to highly correlated with the Oswestry Disability Index and Short Form-12 physical component scores (r = 0.41 and 0.78, respectively). PROMIS CATs demonstrated similar responsiveness to change compared with legacy measures. On average, the PROMIS CATs were completed in 2.3 minutes compared with 5.7 minutes for legacy measures. Discussion: The PROMIS CATs demonstrate convergent and known groups’ validity and are comparable in responsiveness to legacy measures. These results suggest similar utility and improved efficiency of PROMIS CATs compared with legacy measures.Levels

Original language	English (US)
Pages (from-to)	95-103
Number of pages	9
Journal	Journal of the American Academy of Orthopaedic Surgeons
Volume	27
Issue number	3
DOIs	https://doi.org/10.5435/JAAOS-D-17-00300
State	Published - Feb 1 2019

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

Access to Document

10.5435/JAAOS-D-17-00300

Cite this

@article{a59b5ae0ff4f4b418c167f16bd5cbb77,

title = "Validation of Patient-reported Outcomes Measurement Information System Computer Adaptive Tests in Lumbar Disk Herniation Surgery",

abstract = "Introduction: Inadequate validation, floor/ceiling effects, and time constraints limit utilization of standardized patient-reported outcome measures. We aimed to validate Patient-reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) for patients treated surgically for a lumbar disk herniation. Methods: PROMIS, CATs, Oswestry Disability Index, and Short Form-12 measures were administered to 78 patients treated with lumbar microdiskectomy for symptomatic disk herniation with radiculopathy. Results: PROMIS CATs demonstrated convergent validity with legacy measures; PROMIS scores were moderately to highly correlated with the Oswestry Disability Index and Short Form-12 physical component scores (r = 0.41 and 0.78, respectively). PROMIS CATs demonstrated similar responsiveness to change compared with legacy measures. On average, the PROMIS CATs were completed in 2.3 minutes compared with 5.7 minutes for legacy measures. Discussion: The PROMIS CATs demonstrate convergent and known groups{\textquoteright} validity and are comparable in responsiveness to legacy measures. These results suggest similar utility and improved efficiency of PROMIS CATs compared with legacy measures.Levels",

author = "Surabhi Bhatt and Boody, {Barrett S.} and Savage, {Jason W.} and Hsu, {Wellington K.} and Rothrock, {Nan E.} and Patel, {Alpesh A.}",

year = "2019",

month = feb,

day = "1",

doi = "10.5435/JAAOS-D-17-00300",

language = "English (US)",

volume = "27",

pages = "95--103",

journal = "Journal of the American Academy of Orthopaedic Surgeons",

issn = "1067-151X",

publisher = "Lippincott Williams and Wilkins Ltd.",

number = "3",

}

TY - JOUR

T1 - Validation of Patient-reported Outcomes Measurement Information System Computer Adaptive Tests in Lumbar Disk Herniation Surgery

AU - Bhatt, Surabhi

AU - Boody, Barrett S.

AU - Savage, Jason W.

AU - Hsu, Wellington K.

AU - Rothrock, Nan E.

AU - Patel, Alpesh A.

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Introduction: Inadequate validation, floor/ceiling effects, and time constraints limit utilization of standardized patient-reported outcome measures. We aimed to validate Patient-reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) for patients treated surgically for a lumbar disk herniation. Methods: PROMIS, CATs, Oswestry Disability Index, and Short Form-12 measures were administered to 78 patients treated with lumbar microdiskectomy for symptomatic disk herniation with radiculopathy. Results: PROMIS CATs demonstrated convergent validity with legacy measures; PROMIS scores were moderately to highly correlated with the Oswestry Disability Index and Short Form-12 physical component scores (r = 0.41 and 0.78, respectively). PROMIS CATs demonstrated similar responsiveness to change compared with legacy measures. On average, the PROMIS CATs were completed in 2.3 minutes compared with 5.7 minutes for legacy measures. Discussion: The PROMIS CATs demonstrate convergent and known groups’ validity and are comparable in responsiveness to legacy measures. These results suggest similar utility and improved efficiency of PROMIS CATs compared with legacy measures.Levels

AB - Introduction: Inadequate validation, floor/ceiling effects, and time constraints limit utilization of standardized patient-reported outcome measures. We aimed to validate Patient-reported Outcomes Measurement Information System (PROMIS) computer adaptive tests (CATs) for patients treated surgically for a lumbar disk herniation. Methods: PROMIS, CATs, Oswestry Disability Index, and Short Form-12 measures were administered to 78 patients treated with lumbar microdiskectomy for symptomatic disk herniation with radiculopathy. Results: PROMIS CATs demonstrated convergent validity with legacy measures; PROMIS scores were moderately to highly correlated with the Oswestry Disability Index and Short Form-12 physical component scores (r = 0.41 and 0.78, respectively). PROMIS CATs demonstrated similar responsiveness to change compared with legacy measures. On average, the PROMIS CATs were completed in 2.3 minutes compared with 5.7 minutes for legacy measures. Discussion: The PROMIS CATs demonstrate convergent and known groups’ validity and are comparable in responsiveness to legacy measures. These results suggest similar utility and improved efficiency of PROMIS CATs compared with legacy measures.Levels

UR - http://www.scopus.com/inward/record.url?scp=85060212685&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060212685&partnerID=8YFLogxK

U2 - 10.5435/JAAOS-D-17-00300

DO - 10.5435/JAAOS-D-17-00300

M3 - Article

C2 - 30247310

AN - SCOPUS:85060212685

SN - 1067-151X

VL - 27

SP - 95

EP - 103

JO - Journal of the American Academy of Orthopaedic Surgeons

JF - Journal of the American Academy of Orthopaedic Surgeons

IS - 3

ER -

Validation of Patient-reported Outcomes Measurement Information System Computer Adaptive Tests in Lumbar Disk Herniation Surgery

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this