Loading…
Physical Performance Tests Provide Distinct Information in Both Predicting and Assessing Patient-Reported Outcomes Following Lumbar Spine Surgery
STUDY DESIGN.Secondary analysis of randomized controlled trial data. OBJECTIVE.The aim of this study was to examine whether preoperative physical performance is an independent predictor of patient-reported disability and pain at 12 months after lumbar spine surgery. SUMMARY OF BACKGROUND DATA.Patien...
Saved in:
| Published in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2020-12, Vol.45 (23), p.E1556-E1563 |
|---|---|
| Main Authors: | , , , , , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c4015-9530c881c2d5486c19c3e763bac452885fecff1346a95de00656a2cee7d56a6b3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c4015-9530c881c2d5486c19c3e763bac452885fecff1346a95de00656a2cee7d56a6b3 |
| container_end_page | E1563 |
| container_issue | 23 |
| container_start_page | E1556 |
| container_title | Spine (Philadelphia, Pa. 1976) |
| container_volume | 45 |
| creator | Master, Hiral Pennings, Jacquelyn S. Coronado, Rogelio A. Henry, Abigail L. O’Brien, Michael T. Haug, Christine M. Skolasky, Richard L. Riley, Lee H. Neuman, Brian J. Cheng, Joseph S. Aaronson, Oran S. Devin, Clinton J. Wegener, Stephen T. Archer, Kristin R. |
| description | STUDY DESIGN.Secondary analysis of randomized controlled trial data.
OBJECTIVE.The aim of this study was to examine whether preoperative physical performance is an independent predictor of patient-reported disability and pain at 12 months after lumbar spine surgery.
SUMMARY OF BACKGROUND DATA.Patient-reported outcome measures (PROMs) are commonly used to assess clinical improvement after lumbar spine surgery. However, there is evidence in the orthopedic literature to suggest that PROMs should be supplemented with physical performance tests to accurately evaluate long-term outcomes.
METHODS.A total of 248 patients undergoing surgery for degenerative lumbar spine conditions were recruited from two institutions. Physical performance tests (5-Chair Stand and Timed Up and Go) and PROMs of disability (Oswestry Disability IndexODI) and back and leg pain (Brief Pain Inventory) were assessed preoperatively and at 12 months after surgery.
RESULTS.Physical performance tests and PROMs significantly improved over 12 months following lumbar spine surgery (P |
| doi_str_mv | 10.1097/BRS.0000000000003665 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2440473354</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2440473354</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4015-9530c881c2d5486c19c3e763bac452885fecff1346a95de00656a2cee7d56a6b3</originalsourceid><addsrcrecordid>eNqFkctuEzEUhi1UREPhDVDlZTdTfM_MshcKlSI1asp65HjONKYeO7U9jfIYvDFOUxDqAixLvn3_sc7_I_SJklNKmunn89vFKflrcKXkGzShktUVpbI5QJNyxyomuDpE71P6USDFafMOHXJWN4QTNkE_56ttskY7PIfYhzhobwDfQcoJz2N4sh3gS5uy9Sbja_9MZBs8th6fh7wqEHTWlPd7rH2Hz1KClHaneeHA5-oW1iFm6PDNmE0YIOGr4FzY7JjZOCx1xIu19YAXY7yHuP2A3vbaJfj4sh6h71df7i6-VbObr9cXZ7PKCEJl1UhOTF1TwzopamVoYzhMFV9qI4oFtezB9D3lQulGdlBal0ozAzDtykYt-RE62dddx_A4lobbwSYDzmkPYUwtE4KIKedSFFTsURNDShH6dh3toOO2paTdhdGWMNrXYRTZ8csP43KA7o_ot_sFqPfAJrgMMT24cQOxXYF2efW_2uIf0h1WvCjhE0ZomaQiz-n_Ah-4qAQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2440473354</pqid></control><display><type>article</type><title>Physical Performance Tests Provide Distinct Information in Both Predicting and Assessing Patient-Reported Outcomes Following Lumbar Spine Surgery</title><source>LWW_医学期刊</source><creator>Master, Hiral ; Pennings, Jacquelyn S. ; Coronado, Rogelio A. ; Henry, Abigail L. ; O’Brien, Michael T. ; Haug, Christine M. ; Skolasky, Richard L. ; Riley, Lee H. ; Neuman, Brian J. ; Cheng, Joseph S. ; Aaronson, Oran S. ; Devin, Clinton J. ; Wegener, Stephen T. ; Archer, Kristin R.</creator><creatorcontrib>Master, Hiral ; Pennings, Jacquelyn S. ; Coronado, Rogelio A. ; Henry, Abigail L. ; O’Brien, Michael T. ; Haug, Christine M. ; Skolasky, Richard L. ; Riley, Lee H. ; Neuman, Brian J. ; Cheng, Joseph S. ; Aaronson, Oran S. ; Devin, Clinton J. ; Wegener, Stephen T. ; Archer, Kristin R.</creatorcontrib><description>STUDY DESIGN.Secondary analysis of randomized controlled trial data.
OBJECTIVE.The aim of this study was to examine whether preoperative physical performance is an independent predictor of patient-reported disability and pain at 12 months after lumbar spine surgery.
SUMMARY OF BACKGROUND DATA.Patient-reported outcome measures (PROMs) are commonly used to assess clinical improvement after lumbar spine surgery. However, there is evidence in the orthopedic literature to suggest that PROMs should be supplemented with physical performance tests to accurately evaluate long-term outcomes.
METHODS.A total of 248 patients undergoing surgery for degenerative lumbar spine conditions were recruited from two institutions. Physical performance tests (5-Chair Stand and Timed Up and Go) and PROMs of disability (Oswestry Disability IndexODI) and back and leg pain (Brief Pain Inventory) were assessed preoperatively and at 12 months after surgery.
RESULTS.Physical performance tests and PROMs significantly improved over 12 months following lumbar spine surgery (P < 0.01). Weak correlations were found between physical performance tests and disability and pain (ρ = 0.15 to 0.32, P < 0.05). Multivariable regression analyses controlling for age, education, preoperative outcome score, fusion, previous spine surgery, depressive symptoms, and randomization group found that preoperative 5-Chair Stand test was significantly associated with disability and back pain at 12-month follow-up. Each additional 10 seconds needed to complete the 5-Chair Stand test were associated with six-point increase in ODI (P = 0.047) and one-point increase in back pain (P = 0.028) scores. The physical performance tests identified an additional 14% to 19% of patients as achieving clinical improvement that were not captured by disability or pain questionnaires.
CONCLUSION.Results indicate that physical performance tests may provide distinct information in both predicting and assessing clinical outcomes in patients undergoing lumbar spine surgery. Our findings suggest that the 5-Chair Stand test may be a useful test to include within a comprehensive risk assessment before surgery and as an outcome measure at long-term follow-up.Level of Evidence3</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0000000000003665</identifier><identifier>PMID: 32890302</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Back Pain - surgery ; Female ; Humans ; Lumbar Vertebrae - surgery ; Male ; Middle Aged ; Neurosurgical Procedures ; Outcome Assessment, Health Care ; Pain Measurement ; Patient Reported Outcome Measures ; Physical Functional Performance ; Physical Therapy Modalities ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2020-12, Vol.45 (23), p.E1556-E1563</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4015-9530c881c2d5486c19c3e763bac452885fecff1346a95de00656a2cee7d56a6b3</citedby><cites>FETCH-LOGICAL-c4015-9530c881c2d5486c19c3e763bac452885fecff1346a95de00656a2cee7d56a6b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32890302$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Master, Hiral</creatorcontrib><creatorcontrib>Pennings, Jacquelyn S.</creatorcontrib><creatorcontrib>Coronado, Rogelio A.</creatorcontrib><creatorcontrib>Henry, Abigail L.</creatorcontrib><creatorcontrib>O’Brien, Michael T.</creatorcontrib><creatorcontrib>Haug, Christine M.</creatorcontrib><creatorcontrib>Skolasky, Richard L.</creatorcontrib><creatorcontrib>Riley, Lee H.</creatorcontrib><creatorcontrib>Neuman, Brian J.</creatorcontrib><creatorcontrib>Cheng, Joseph S.</creatorcontrib><creatorcontrib>Aaronson, Oran S.</creatorcontrib><creatorcontrib>Devin, Clinton J.</creatorcontrib><creatorcontrib>Wegener, Stephen T.</creatorcontrib><creatorcontrib>Archer, Kristin R.</creatorcontrib><title>Physical Performance Tests Provide Distinct Information in Both Predicting and Assessing Patient-Reported Outcomes Following Lumbar Spine Surgery</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>STUDY DESIGN.Secondary analysis of randomized controlled trial data.
OBJECTIVE.The aim of this study was to examine whether preoperative physical performance is an independent predictor of patient-reported disability and pain at 12 months after lumbar spine surgery.
SUMMARY OF BACKGROUND DATA.Patient-reported outcome measures (PROMs) are commonly used to assess clinical improvement after lumbar spine surgery. However, there is evidence in the orthopedic literature to suggest that PROMs should be supplemented with physical performance tests to accurately evaluate long-term outcomes.
METHODS.A total of 248 patients undergoing surgery for degenerative lumbar spine conditions were recruited from two institutions. Physical performance tests (5-Chair Stand and Timed Up and Go) and PROMs of disability (Oswestry Disability IndexODI) and back and leg pain (Brief Pain Inventory) were assessed preoperatively and at 12 months after surgery.
RESULTS.Physical performance tests and PROMs significantly improved over 12 months following lumbar spine surgery (P < 0.01). Weak correlations were found between physical performance tests and disability and pain (ρ = 0.15 to 0.32, P < 0.05). Multivariable regression analyses controlling for age, education, preoperative outcome score, fusion, previous spine surgery, depressive symptoms, and randomization group found that preoperative 5-Chair Stand test was significantly associated with disability and back pain at 12-month follow-up. Each additional 10 seconds needed to complete the 5-Chair Stand test were associated with six-point increase in ODI (P = 0.047) and one-point increase in back pain (P = 0.028) scores. The physical performance tests identified an additional 14% to 19% of patients as achieving clinical improvement that were not captured by disability or pain questionnaires.
CONCLUSION.Results indicate that physical performance tests may provide distinct information in both predicting and assessing clinical outcomes in patients undergoing lumbar spine surgery. Our findings suggest that the 5-Chair Stand test may be a useful test to include within a comprehensive risk assessment before surgery and as an outcome measure at long-term follow-up.Level of Evidence3</description><subject>Adult</subject><subject>Aged</subject><subject>Back Pain - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Lumbar Vertebrae - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurosurgical Procedures</subject><subject>Outcome Assessment, Health Care</subject><subject>Pain Measurement</subject><subject>Patient Reported Outcome Measures</subject><subject>Physical Functional Performance</subject><subject>Physical Therapy Modalities</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNqFkctuEzEUhi1UREPhDVDlZTdTfM_MshcKlSI1asp65HjONKYeO7U9jfIYvDFOUxDqAixLvn3_sc7_I_SJklNKmunn89vFKflrcKXkGzShktUVpbI5QJNyxyomuDpE71P6USDFafMOHXJWN4QTNkE_56ttskY7PIfYhzhobwDfQcoJz2N4sh3gS5uy9Sbja_9MZBs8th6fh7wqEHTWlPd7rH2Hz1KClHaneeHA5-oW1iFm6PDNmE0YIOGr4FzY7JjZOCx1xIu19YAXY7yHuP2A3vbaJfj4sh6h71df7i6-VbObr9cXZ7PKCEJl1UhOTF1TwzopamVoYzhMFV9qI4oFtezB9D3lQulGdlBal0ozAzDtykYt-RE62dddx_A4lobbwSYDzmkPYUwtE4KIKedSFFTsURNDShH6dh3toOO2paTdhdGWMNrXYRTZ8csP43KA7o_ot_sFqPfAJrgMMT24cQOxXYF2efW_2uIf0h1WvCjhE0ZomaQiz-n_Ah-4qAQ</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Master, Hiral</creator><creator>Pennings, Jacquelyn S.</creator><creator>Coronado, Rogelio A.</creator><creator>Henry, Abigail L.</creator><creator>O’Brien, Michael T.</creator><creator>Haug, Christine M.</creator><creator>Skolasky, Richard L.</creator><creator>Riley, Lee H.</creator><creator>Neuman, Brian J.</creator><creator>Cheng, Joseph S.</creator><creator>Aaronson, Oran S.</creator><creator>Devin, Clinton J.</creator><creator>Wegener, Stephen T.</creator><creator>Archer, Kristin R.</creator><general>Lippincott Williams & Wilkins</general><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20201201</creationdate><title>Physical Performance Tests Provide Distinct Information in Both Predicting and Assessing Patient-Reported Outcomes Following Lumbar Spine Surgery</title><author>Master, Hiral ; Pennings, Jacquelyn S. ; Coronado, Rogelio A. ; Henry, Abigail L. ; O’Brien, Michael T. ; Haug, Christine M. ; Skolasky, Richard L. ; Riley, Lee H. ; Neuman, Brian J. ; Cheng, Joseph S. ; Aaronson, Oran S. ; Devin, Clinton J. ; Wegener, Stephen T. ; Archer, Kristin R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4015-9530c881c2d5486c19c3e763bac452885fecff1346a95de00656a2cee7d56a6b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Back Pain - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Lumbar Vertebrae - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurosurgical Procedures</topic><topic>Outcome Assessment, Health Care</topic><topic>Pain Measurement</topic><topic>Patient Reported Outcome Measures</topic><topic>Physical Functional Performance</topic><topic>Physical Therapy Modalities</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Master, Hiral</creatorcontrib><creatorcontrib>Pennings, Jacquelyn S.</creatorcontrib><creatorcontrib>Coronado, Rogelio A.</creatorcontrib><creatorcontrib>Henry, Abigail L.</creatorcontrib><creatorcontrib>O’Brien, Michael T.</creatorcontrib><creatorcontrib>Haug, Christine M.</creatorcontrib><creatorcontrib>Skolasky, Richard L.</creatorcontrib><creatorcontrib>Riley, Lee H.</creatorcontrib><creatorcontrib>Neuman, Brian J.</creatorcontrib><creatorcontrib>Cheng, Joseph S.</creatorcontrib><creatorcontrib>Aaronson, Oran S.</creatorcontrib><creatorcontrib>Devin, Clinton J.</creatorcontrib><creatorcontrib>Wegener, Stephen T.</creatorcontrib><creatorcontrib>Archer, Kristin R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Master, Hiral</au><au>Pennings, Jacquelyn S.</au><au>Coronado, Rogelio A.</au><au>Henry, Abigail L.</au><au>O’Brien, Michael T.</au><au>Haug, Christine M.</au><au>Skolasky, Richard L.</au><au>Riley, Lee H.</au><au>Neuman, Brian J.</au><au>Cheng, Joseph S.</au><au>Aaronson, Oran S.</au><au>Devin, Clinton J.</au><au>Wegener, Stephen T.</au><au>Archer, Kristin R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical Performance Tests Provide Distinct Information in Both Predicting and Assessing Patient-Reported Outcomes Following Lumbar Spine Surgery</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>45</volume><issue>23</issue><spage>E1556</spage><epage>E1563</epage><pages>E1556-E1563</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><abstract>STUDY DESIGN.Secondary analysis of randomized controlled trial data.
OBJECTIVE.The aim of this study was to examine whether preoperative physical performance is an independent predictor of patient-reported disability and pain at 12 months after lumbar spine surgery.
SUMMARY OF BACKGROUND DATA.Patient-reported outcome measures (PROMs) are commonly used to assess clinical improvement after lumbar spine surgery. However, there is evidence in the orthopedic literature to suggest that PROMs should be supplemented with physical performance tests to accurately evaluate long-term outcomes.
METHODS.A total of 248 patients undergoing surgery for degenerative lumbar spine conditions were recruited from two institutions. Physical performance tests (5-Chair Stand and Timed Up and Go) and PROMs of disability (Oswestry Disability IndexODI) and back and leg pain (Brief Pain Inventory) were assessed preoperatively and at 12 months after surgery.
RESULTS.Physical performance tests and PROMs significantly improved over 12 months following lumbar spine surgery (P < 0.01). Weak correlations were found between physical performance tests and disability and pain (ρ = 0.15 to 0.32, P < 0.05). Multivariable regression analyses controlling for age, education, preoperative outcome score, fusion, previous spine surgery, depressive symptoms, and randomization group found that preoperative 5-Chair Stand test was significantly associated with disability and back pain at 12-month follow-up. Each additional 10 seconds needed to complete the 5-Chair Stand test were associated with six-point increase in ODI (P = 0.047) and one-point increase in back pain (P = 0.028) scores. The physical performance tests identified an additional 14% to 19% of patients as achieving clinical improvement that were not captured by disability or pain questionnaires.
CONCLUSION.Results indicate that physical performance tests may provide distinct information in both predicting and assessing clinical outcomes in patients undergoing lumbar spine surgery. Our findings suggest that the 5-Chair Stand test may be a useful test to include within a comprehensive risk assessment before surgery and as an outcome measure at long-term follow-up.Level of Evidence3</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>32890302</pmid><doi>10.1097/BRS.0000000000003665</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0362-2436 |
| ispartof | Spine (Philadelphia, Pa. 1976), 2020-12, Vol.45 (23), p.E1556-E1563 |
| issn | 0362-2436 1528-1159 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2440473354 |
| source | LWW_医学期刊 |
| subjects | Adult Aged Back Pain - surgery Female Humans Lumbar Vertebrae - surgery Male Middle Aged Neurosurgical Procedures Outcome Assessment, Health Care Pain Measurement Patient Reported Outcome Measures Physical Functional Performance Physical Therapy Modalities Surveys and Questionnaires Treatment Outcome |
| title | Physical Performance Tests Provide Distinct Information in Both Predicting and Assessing Patient-Reported Outcomes Following Lumbar Spine Surgery |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-27T02%3A54%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Physical%20Performance%20Tests%20Provide%20Distinct%20Information%20in%20Both%20Predicting%20and%20Assessing%20Patient-Reported%20Outcomes%20Following%20Lumbar%20Spine%20Surgery&rft.jtitle=Spine%20(Philadelphia,%20Pa.%201976)&rft.au=Master,%20Hiral&rft.date=2020-12-01&rft.volume=45&rft.issue=23&rft.spage=E1556&rft.epage=E1563&rft.pages=E1556-E1563&rft.issn=0362-2436&rft.eissn=1528-1159&rft_id=info:doi/10.1097/BRS.0000000000003665&rft_dat=%3Cproquest_cross%3E2440473354%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c4015-9530c881c2d5486c19c3e763bac452885fecff1346a95de00656a2cee7d56a6b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2440473354&rft_id=info:pmid/32890302&rfr_iscdi=true |