PROMIS CAT Outperforms Legacy Measures and Demonstrates Patient Health Domain Normalization at Minimum Two-Year Follow-Up After Adult Spine Deformity Surgery

作者：Shay Bess, Breton Line, Virginie Lafage, Renaud Lafage, Robert K. Eastlack, Michael P. Kelly, Munish C. Gupta, Gregory M. Mundis, Jeffrey L. Gum, Richard A. Hostin, Eric O. Klineberg, Bassel G. Diebo, Lawrence G. Lenke, Christopher P. Ames, Douglas C. Burton, Stephen M. Lewis, Alan H. Daniels, Themistocles S. Protopsaltis, Kojo Hamilton, David O. Okonkwo, Khaled M. Kebaish, Han Jo Kim, Peter G. Passias, Frank J. Schwab, Christopher I. Shaffrey, Justin S. Smith, and the International Spine Study Group (ISSG) · 发表于：Spine · 年份：2025 · DOI：10.1097/brs.0000000000005522 · 被引用次数：2 · 研究领域：Scoliosis diagnosis and treatment、Spine and Intervertebral Disc Pathology、Total Knee Arthroplasty Outcomes

STUDY DESIGN: Prospective, multicenter analysis. OBJECTIVE: Evaluate preoperative and minimum two-year postoperative health-related quality of life (HRQOL) outcomes for adult spine deformity (ASD) using legacy HRQOL measures and computer adaptive testing (CAT) version of the patient-reported outcome measurement information system (PROMIS). SUMMARY OF BACKGROUND DATA: PROMIS is the NIH recommended measure for patient-reported outcomes. No data exists evaluating minimum two-year ASD surgical outcomes using PROMIS CAT compared with legacy HRQOL measures. MATERIALS AND METHODS: ASD patients above 18 years of age were enrolled into a prospective, multicenter, observational study. Patients were administered legacy HRQOLs (SRS-22r, ODI, NRS back and leg pain, VR-12) and PROMIS CAT for Pain Interference, Physical Function, Satisfaction with Participation in Social Roles, Satisfaction with Participation in Discretionary Social Activities, Depression, and Anxiety. Preoperative and minimum two-year postoperative HRQOL scores were compared and ASD PROMIS scores were compared with general population PROMIS values. RESULTS: One hundred forty-four of 190 patients had complete data at minimum two-year follow-up. Mean preoperative values included: age=62.6 years, scoliosis=34.2°, SVA=74.2 mm, PI-LL=16.7. At mean 2.3-year follow-up surgical treatment improved spine alignment (scoliosis=14.7°, SVA=34.5 mm, and PI-LL=4.5°; P <0.0001). All legacy HRQOL and PROMIS scores improved from preoperative...