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Research ArticleLumbar Spine

Impact of Time to Complete PROMIS-PF Surveys on the Scores of Patients Undergoing Lumbar Decompression

Elliot D.K. Cha, Conor P. Lynch, Cara E. Geoghegan, Caroline N. Jadczak, Shruthi Mohan and Kern Singh
International Journal of Spine Surgery December 2021, 15 (6) 1060-1065; DOI: https://doi.org/10.14444/8191
Elliot D.K. Cha
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
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Conor P. Lynch
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
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Cara E. Geoghegan
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
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Caroline N. Jadczak
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
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Shruthi Mohan
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
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Kern Singh
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA
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    Table 1

    Demographics of patients undergoing lumbar decompression (n = 91).

    DemographicTotal
    (n = 91)
    Age (mean ± SD)46.7 ± 13.2
    Gender, n (%)
     Female33 (36.3%)
     Male58 (64.7%)
    BMI, n (%)
     < 30 kg/m2 53 (58.2%)
     ≥ 30 kg/m2 38 (41.8%)
    Smoking status, n (%)
     Nonsmoker80 (87.9%)
     Smoker11 (12.1%)
    Diabetes, n (%)
     Diabetic3 (3.3%)
     Nondiabetic88 (96.7%)
    ASA score, n (%)
     ≤230 (33.0%)
     >261 (67.0%)
    CCI score, n (%)
     <131 (34.1%)
     ≥160 (65.9%)
    VAS back
     <750 (54.9%)
     ≥741 (45.1%)
    VAS leg, n (%)
     <751 (56.0%)
     ≥740 (44.0%)
    Worker’s compensation, n (%)
     No83 (91.2%)
     Yes8 (8.8%)
    • ASA, American Society of Anesthesiologists; BMI, body mass index; CCI, Charlson Comorbidity Index; VAS, visual analog scale.

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    Table 2

    Operative characteristics of patients undergoing lumbar decompression (n = 91).

    Operative CharacteristicTotal
    (n = 91)
    Spinal pathology, n (%)
     Herniated nucleus pulposus76 (83.5%)
     Degenerative spondylolisthesis5 (5.5%)
     Isthmic spondylolisthesis2 (2.2%)
    Operative time (min), mean ± SE41.9 ± 11.8
    Estimated blood loss (mL), mean ± SE25.8 ± 6.6
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    Table 3

    Improvement in Patient-Reported Outcomes Measurement Information System physical function after lumbar decompression.

    Outcome MeasureMean ± SDnMCID Achievement P Valuea
    PROMIS-PF 
     Preoperative37.4 ± 6.891--
     6 wk43.4 ± 8.26464.8% <0.001
     12 wk50.3 ± 10.23984.8% <0.001
     6 mo43.8 ± 7.02068.4% 0.002
     1 y46.5 ± 9.02170.0% <0.001
    VAS back 
     Preoperative6.2 ± 2.576--
     6 wk2.7 ± 2.66272.6% <0.001
     12 wk1.7 ± 2.32588.0% <0.001
     6 mo2.9 ± 2.91776.5% <0.001
     1 y2.8 ± 3.01668.7% 0.023
    VAS leg 
     Preoperative6.0 ± 2.976-
     6 wk3.0 ± 2.96265.5% <0.001
     12 wk1.7 ± 2.62576.0% <0.001
     6 mo1.6 ± 2.01770.6% <0.001
     1 y2.6 ± 2.91662.5% 0.006
    TTC (sec)  P valueb
     Preoperative69.0 ± 61.787--
     6 wk66.8 ± 52.253-0.999
     12 wk72.0 ± 39.830-0.999
     6 mo55.0 ± 40.112-0.912
     1 y70.6 ± 23.617-0.999
    • aP values calculated using paired t test.

    • bP values calculated using 1-way ANOVA post hoc Tukey.

    • LD, lumbar decompression; MCID, minimum clinically important difference; PROMIS-PF, Patient-Reported Outcomes Measurement Information System physical function; TTC, time to complete; VAS, visual analog scale.

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    Table 4

    Correlations of Patient-Reported Outcomes Measurement Information System physical function (n = 91).

    Outcome MeasurePearson, |r| P Valuea
    TTC
     Preoperative0.0480.656
     6 wk0.2130.129
     12 wk0.1590.400
     6 mo0.0960.765
     1 y0.0580.823
    VAS back
     Preoperative0.477 <0.001
     6 wk0.512 <0.001
     12 wk0.593 0.006
     6 mo0.654 0.015
     1 y0.595 <0.001
    VAS leg
     Preoperative0.316 0.005
     6 wk0.528 <0.001
     12 wk0.577 0.007
     6 mo0.2730.365
     1 y0.5830.059
    • Boldface indicates statistically significant finding.

    • aP value calculated using Pearson coefficient.

    • TTC, time to complete; VAS, visual analog scale.

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Vol. 15, Issue 6
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Impact of Time to Complete PROMIS-PF Surveys on the Scores of Patients Undergoing Lumbar Decompression
Elliot D.K. Cha, Conor P. Lynch, Cara E. Geoghegan, Caroline N. Jadczak, Shruthi Mohan, Kern Singh
International Journal of Spine Surgery Dec 2021, 15 (6) 1060-1065; DOI: 10.14444/8191

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Impact of Time to Complete PROMIS-PF Surveys on the Scores of Patients Undergoing Lumbar Decompression
Elliot D.K. Cha, Conor P. Lynch, Cara E. Geoghegan, Caroline N. Jadczak, Shruthi Mohan, Kern Singh
International Journal of Spine Surgery Dec 2021, 15 (6) 1060-1065; DOI: 10.14444/8191
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Keywords

  • lumbar decompression
  • patient-reported outcomes
  • Patient-Reported Outcomes Measurement Information System
  • physical function
  • time to complete
  • outcomes

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