Are the results of patient reported outcome measures after spine surgery influenced by recall of preoperative scores? A randomized controlled trial

• Tipo: Artigo em Revista Científica Internacional
• Data: 2023

Autores

Aguiar, PV (Autor) Outra; Silva, PS (Autor) FMUP; Vaz, R (Autor) Outra; Paulo Pereira (Autor) FMUP

Revista

Título: Spine Journal

Vol. 23

Páginas: 369-378

ISSN: 1529-9430

Editora: Elsevier

Indexação

ISI Web of Knowledge - 0 Citações

Outras Informações

ID Authenticus: P-00X-FVM

DOI: 10.1016/j.spinee.2022.11.007

Abstract (EN): BACKGROUND CONTEXT: Patient reported outcome measures (PROMs) are of utmost impor-tance to clinical practice as they permit a patient-focused evaluation of surgical outcomes. How-ever, recall bias can limit an adequate interpretation of PROMs. PURPOSE: To assess the impact of recall bias of preoperative status on postoperative PROMs of patients submitted to surgery due to degenerative spine disease. STUDY DESIGN / SETTING: Randomized controlled trial in a tertiary care neurosurgical unit in Portugal PATIENT SAMPLE: All patients submitted to surgery at our institution from January 2019 to April 2020 due to degenerative lumbar or cervical spine disease with valid PROMs questionnaires were enrolled, and 2 computer generated randomized groups were created. OUTCOME MEASURES: The study's primary endpoint was the median postoperative Core Out-come Measure Index (COMI) score. METHODS: The intervention group was sent postoperative questionnaires including preoperative answers, while patients in the control group were sent the same PROMs without the preoperative answers. RESULTS: Randomization was applied to 236 patients (118 for each group) and valid results were obtained for 147 patients (81 lumbar, 44 from the intervention group; and 66 cervical, 29 from the intervention group), from which 88 (60%) were females, with a median age of 58 years. Both groups shared similar baseline clinical characteristics and preoperative scores. Median postoperative COMI scores and interquartile ranges (IQR) were 4.20 (IQR: 2.30-6.00) and 5.45 (IQR: 3.75-7.40) for the intervention and control groups, respectively (Wilcoxon, p=.02). This dif-ference was reached mainly due to cervical spine patients as median postoperative COMI score was 3.95 (IQR: 2.20-5.32) in the intervention group and 5.1 (IQR: 4.0-8.4) in the control group (Wilcoxon, p=.01). No significant difference was reached for lumbar patients. CONCLUSIONS: Better PROMs scores were obtained for degenerative cervical spine patients to whom the preoperative results were provided. Therefore, providing preoperative scores to patients upon postoperative PROMs fulfilment might influence postoperative results. Further research is necessary to increase the reliability of PROMs in clinical practice.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 10