Evidence map›Paper›PMID 28070683›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017

Do we have the right PROMs for measuring outcomes in lumbar spinal surgery?

O M Stokes, A A Cole, L M Breakwell, A J Lloyd, C M Leonard, M Grevitt

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in 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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05070078 (The Single Assessment Numeric Evaluation), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05070078 recruitingnot on this mapstarted 2021, after this paper: background citation

The Single Assessment Numeric Evaluation (SANE): Is a Reliable Metric to Measure Clinically Significant Improvements After Lumbar Discectomy

TypeobservationalSponsorWindsor-Essex Compassionate Care CommunityRan2021 to 2028Enrolled400ConditionsLumbar Discectomy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. Prediction of Oswestry Disability Index (ODI) using PROMIS-29 in a national sample of lumbar spine surgery patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
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  20. Letter to the editor concerning "Do we have the right PROMs for measuring outcomes in lumbar spinal surgery?" by O.M. Stokes et al. Eur Spine J (2017) 26:816-824.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 · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

O M StokesExeter Spine Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK. oliverstokes@hotmail.com.
A A ColeSheffield Teaching Hospital NHS Foundation Trust, Sheffield, UK.
L M BreakwellSheffield Teaching Hospital NHS Foundation Trust, Sheffield, UK.
A J LloydICON PRO, Oxford, UK.
C M LeonardMedtronic Spine and Biologics, Watford, UK.
M GrevittNottingham University Hospitals NHS Trust, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatient-reported outcome measures (PROMs) have become an important part of routine auditing of outcomes in spinal surgery in the UK. PROMs can be used to help assess the quality of care provided by surgical units by determining the comparative health status of patients, before and after surgery. This study was designed to review the PROMs used to assess outcomes in spinal surgery and to determine if they are fit for the purpose.

methodsA systematic literature search was undertaken to identify studies that reported PROMs data following lumbar spinal surgery. The PROMs that were used in each study were recorded and a separate search was undertaken to determine the evidence regarding the validity of each measure.

resultsThe initial search identified 1142 abstracts, which were reduced through de-duplication, filtering and review to 58 articles, which were retrieved and reviewed in full. The search identified that the majority of studies used either the Oswestry Disability Index (ODI), SF-36, Roland-Morris Disability Questionnaire (RMDQ) and EQ-5D along with visual analogue scales or numeric rating scales for back and leg pain.

conclusionsThe consistent use of PROMs supports the comparison of outcomes from different studies, although there was minimal evidence regarding the specificity and sensitivity of these measures for use with lumbar spinal patients. Our review highlights the need to determine a consensus regarding the use and reporting of outcome measures within the lumbar spine literature.

Indexed as

Orthopedic ProceduresPatient Reported Outcome MeasuresHumansLumbar VertebraePostoperative ComplicationsTreatment OutcomeLumbar surgeryPatient outcome assessmentPatient-reported outcome measuresQuality of lifeSpinal surgery

Identifiers

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.