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Patient-Reported Outcome Measures: Utility for Predicting Spinal Surgery in an Integrated Spine Practice.

James R Babington1,2,3,4,5,6, Alicia Edwards1,2,3,4,5,6, Anna K Wright1,2,3,4,5,6

  • 1Neuroscience Institute, Section of Physical Medicine and Rehabilitation, Virginia Mason Medical Center, 1100 Ninth Ave, G2-HRB, Seattle, WA 98101.

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PubMed
Summary
This summary is machine-generated.

Patient-reported outcome measures (PROMs) did not predict spinal surgery decisions. Male gender and older age were associated with increased likelihood of surgery, contrary to initial hypotheses.

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Area of Science:

  • Spine surgery decision-making
  • Patient-reported outcome measures (PROMs)
  • Physiatry

Background:

  • Spinal surgery is often elective, with decisions influenced by pain, function, and physician recommendations.
  • Understanding patient decision-making is crucial for improving care and outcomes.
  • Factors influencing the choice for spinal surgery require further investigation.

Purpose of the Study:

  • To examine the link between initial patient-reported outcome measures (PROMs) and the decision for spinal surgery.
  • To determine if functional, pain, or mental health PROMs predict surgical intervention.
  • To test the hypothesis that PROMs can identify patients opting for surgery.

Main Methods:

  • Retrospective chart review of 395 patients at a tertiary hospital's physiatry spine clinic.
  • Collected baseline PROMs including GAD-7, PHQ-8, Oswestry Disability Index (ODI), and PROMIS.
  • Analyzed the association between PROMs and surgical intervention within 18 months using logistic regression.

Main Results:

  • Baseline PROMs were collected for 94% of patients; 395 were analyzed after exclusions.
  • Male gender and older age were associated with a higher likelihood of undergoing spinal surgery.
  • No significant relationship was found between PROMs and the decision to pursue spinal surgery.

Conclusions:

  • Patient-reported outcome measures (PROMs) alone are insufficient to predict spinal surgery decisions.
  • Male gender and increasing age are correlated with the decision for later spinal surgery.
  • Further research is needed to identify reliable predictors for spinal surgery selection.