Michael P. Kelly , Justin S. Smith , Peter Passias , Jeffrey L. Gum , Shay Bess , International Spine Study Group
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引用次数: 0
摘要
本文旨在讨论成人脊柱畸形(ASD)实践中使用的患者报告结果测量指标(PROMs)的开发和属性。ASD 中常用的 PROM 可分为一般健康测量(Short Form-36、EuroQol 和 PROMIS)和脊柱特定健康测量(Oswestry Disability Index 和 Scoliosis Research Society-22r)。阈值,包括最小临床重要性差异(MCID)和实质性临床获益(SCB),可能有助于解释 PROM 评分的变化。尽管存在局限性,PROM 仍是现代脊柱畸形实践中的重要工具,随着我们向以价值为基础的医疗保健系统迈进,PROM 将变得越来越重要。
Patient-reported outcomes measures in adult spinal deformity
The purpose of this paper is to discuss development of patient-reported outcomes measures (PROMs) and attributes of PROMs used in adult spinal deformity (ASD) practices. Commonly used PROMs in ASD can be dived into general measures of health (Short Form-36, EuroQol, and PROMIS) and spine-specific measures of health (Oswestry Disability Index and Scoliosis Research Society-22r). Threshold values, including minimum clinically important difference (MCID) and substantial clinical benefit (SCB), may be helpful in interpreting changes in PROM scores. Despite their limitations, PROMs are important tools in a modern spinal deformity practice and will be increasingly important as we move toward a value-based healthcare system.
期刊介绍:
Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.