ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2013
Changing values, changing outcomes: the influence of reprioritization response shift on outcome assessment after spine surgery.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Detection of response shift in health-related quality of life studies: a systematic review.Health and quality of life outcomes · 2022Pooled it
- Supportive Self-Management Program for People With Chronic Headaches and Migraine: A Randomized Controlled Trial and Economic Evaluation.Neurology · 2023Trial
- Long-term (> 10 years) clinical outcomes of instrumented posterolateral fusion for spondylolisthesis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Trial
- Emotional quality-of-life after chest masculinizing surgery among transgender persons aged under versus over 18 years: a comparative observational study.Journal of patient-reported outcomes · 2026Observational
- Accuracy of post-operative recall by degenerative cervical myelopathy patients using the modified Japanese Orthopaedic Association scale.Journal of clinical and translational research · 2022Article
- Norm-based comparison of the quality-of-life impact of ravulizumab and eculizumab in paroxysmal nocturnal hemoglobinuria.Orphanet journal of rare diseases · 2021Article
- Distinguishing appraisal and personality influences on quality of life in chronic illness: introducing the quality-of-life Appraisal Profile version 2.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Article
- [Patient perspective of pain assessment by nursing personnel : Qualitative cross-sectional study on use of the NRS].Schmerz (Berlin, Germany) · 2017Article
- Idiographic quality of life assessment before radical cystectomy.Psycho-oncology · 2017Article
- Response shift and disease activity in inflammatory bowel disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2016Article
- Evaluating quality of life and response shift from a couple-based perspective: a study among patients with colorectal cancer and their partners.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015Article
- Health-related quality of life in women referred for bone density assessment: relationships with bone mineral density, fracture and co-morbidity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015Article
- Identifying reprioritization response shift in a stroke caregiver population: a comparison of missing data methods.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015Observational
- Guidelines for secondary analysis in search of response shift.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013Article
- Life satisfaction in adult survivors of childhood brain tumors.Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology NursesArticle
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundWhen patients experience a substantial health state change, they may undergo changes in the underlying meaning of their self-report to standardized outcome measures. These response shifts can reflect changes in the patient's internal standards, values or conceptualization of quality of life. We investigated the presence of changing values (reprioritization response shift) in a longitudinal cohort of spine surgery patients.
methodsSpinal decompression surgery patients (mean age 52 years; 39 % female, 36 % working) provided visual analogue scale (VAS) back and leg pain items, the Short-Form-36 (SF-36v1), and the Oswestry Disability Index (ODI) data pre- and post-surgery (n pre = 169; n 6weeks = 102; n 3months = 106; n 6months = 68). Improved and No-Effect patient groups were compared using the VAS minimally important difference (±15 points) as a cutoff. Reprioritization response shift detection was based on change in the relative importance of the SF-36 domains for group discrimination pre- and post-surgery.
resultsThe Improved group evidenced significant post-surgery differences from the No-Effect group on bodily pain, general health, physical functioning, social functioning, vitality, and the ODI. The relative importance analysis showed a differential effect with bodily pain (p < 0.01) and physical functioning (p < 0.05) becoming more important, and role physical (p < 0.01) becoming less important post-surgery in distinguishing the Improved group as compared to the No-Effect group. The Improved patients also evidenced stronger associations between bodily pain and physical functioning, vitality and general health (p < 0.05). The No-Effect group evidenced increased inter-correlations of bodily pain with social functioning, mental health, and general health (p < 0.05).
conclusionsPatients who report clinically significant change in leg and back pain post-surgery using VAS pain scores are also distinguished by increased importance of bodily pain and physical functioning, and decreased importance of role physical. Bodily pain is primarily reflective of physical item response post-surgery among Improved patients, but reflects physical, social, and emotional item response among No-Effect patients. These changes in values may reflect a "moving goal post" in outcome assessment that complicates the interpretation of mean differences over time on standard spine outcome measures.
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