Table 2

Patient-reported and clinical outcomes by preoperative PROMIS-PF disability level.

VariableMild
(n = 20)
Moderate
(n = 92)
Severe
(n = 32)
P
PROMIS-PF
 Baseline PF40.7 ± 7.1a 34.3 ± 2.8b 26.2 ± 3.7c <0.001
 Last (1 y) postoperative PF45.1 ± 7.3a 40.6 ± 7.9 a,b 38.4 ± 7.9b 0.011
 MCID
  Early5 (25.0)a 34 (37.0)a,b 19 (59.4)b 0.027
  Late4 (20.0)20 (21.7)3 (9.4)0.300
  Never11 (55.0)38 (41.3)10 (31.2)0.237
  Any MCID9 (45.0)54 (58.7)22 (68.8)0.237
  Days to MCID (achievers only)142.4 ± 70.0a 112.2 ± 76.4 a,b 72.8 ± 57.2 b 0.027
  Days to MCID (including censored non-achievers)248.3 ± 116.7a 194.1 ± 126.7 a,b 134.6 ± 119.0b 0.005
Clinical outcome
 LOS hours47.8 ± 29.8 a,b 50.8 ± 27.9b 68.0 ± 37.7a 0.016
 LOS days1.7 ± 1.2 a,b 1.8 ± 1.2b 2.5 ± 1.6a 0.018
 SNF discharge0 (0)a,b 0 (0)b 3 (9.4)a 0.013*
 30-d ED return1 (5.0)10 (10.9)0 (0)0.122
 30-d readmission0 (0)4 (4.3)5 (15.6)0.051
 Repeat 1-y fusion3 (15.0)7 (7.6)2 (6.2)0.494
 Other 1-y reoperation1 (5.0)5 (5.4)3 (9.4)0.708
  • Abbreviations: ED, emergency department; LOS, length of stay; MCID, minimal clinically important difference; PROMIS-PF, patient-reported outcomes measurement information system-physical function; SNF, skilled nursing facility.

  • Note: Data are presented as mean ± SD or n (%). Statistically significant values at P < 0.05 are in boldface.

  • Subscripts denote post-hoc Bonferroni-adjusted comparisons. Different letters denote significant differences between groups.

  • *Denote Fisher's Exact test