Evidence map›Paper›PMID 29969730›Full record

ArticleThe spine journal : official journal of the North American Spine Society2019

Responsiveness of the Patient-Reported Outcomes Measurement Information System (PROMIS), Neck Disability Index (NDI) and Oswestry Disability Index (ODI) instruments in patients with spinal disorders.

Man Hung, Charles L Saltzman, Maren W Voss, Jerry Bounsanga, Richard Kendall, Ryan Spiker, Brandon Lawrence, Darrel Brodke

Abstract read
In one paragraph

Article in The spine journal : official journal of the North American Spine Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Preoperative PROMIS-10 global physical function T-Score is associated with 1-year post-operative outcomes following elective lumbar spine fusion.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 · 2026
    Article
  4. Review
  5. Patient-Reported Outcomes Measures in Spine Surgery.Current reviews in musculoskeletal medicine · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Linking Oswestry Disability Index to the PROMIS pain interference CAT with equipercentile methods.The spine journal : official journal of the North American Spine Society · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Man HungSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States. Electronic address: Man.Hung@hsc.utah.edu.
Charles L SaltzmanSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States.
Maren W VossSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States.
Jerry BounsangaSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States.
Richard KendallSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States.
Ryan SpikerSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States.
Brandon LawrenceSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States.
Darrel BrodkeSchool of Medicine, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, United States.

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Improving Patient-Reported Outcome Measures for Orthopaedic Research and PracticeU01AR067138 · NIAMS · UNIVERSITY OF UTAH · PI HUNG, MAN · 2014 to 2016
$590k
NCATS NIH HHS UL1 TR002538NIAMS NIH HHS U01 AR067138
6 · The paper itself

Abstract

background contextThe Patient-Reported Outcomes Information System (PROMIS) instruments are an important advancement in the use of PROs, but need to be evaluated with longitudinal data to determine whether they are responsive to change in specific clinical populations. PURPOSE: The purpose of this study was to assess the responsiveness of the PROMIS Physical Function (PF), PROMIS Pain Interference (PI), Neck Disability Index (NDI), and the Oswestry Disability Index (ODI). STUDY DESIGN/

settingThis study entailed prospective data collection from consecutive patients aged 18 and older, visiting a university-based orthopaedic spine clinic between October 2013 and January 2017. PATIENT SAMPLE: A total of 763 participants in the sample had a mean age of 58 (SD = 15) years and the sample was 50.2% male and 92.8% Caucasian. OUTCOME MEASURES: The PROMIS PF and PROMIS PI Computerized Adaptive Tests along with either the NDI or ODI instruments were administered on tablet computers before clinic visits. Global rating of change questions relating to pain and function levels was also administered.

methodsBaseline scores were compared with follow-up scores at four different time-points from 3-months to 6-months and beyond. Patient demographics, mean scores, paired-sample t tests, Standardized Response Mean (SRM), and Effect Size (ES) were analyzed to determine instrument responsiveness. This project was funded by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under award number U01AR067138 and the authors have no conflicts of interest to disclose.

resultsThe PROMIS instruments were strongly correlated with each other as well as with the NDI and ODI. Responsiveness was significant on all four instruments at every time-point assessed (paired sample t tests ranged from p < .001 to p = .049). SRM's were large and over 0.94 for every instrument at every time-point. Cohen's d ES were large and over 0.96 for all at all time-points, except for the NDI which had ES ranging from 0.74 to 0.83. This study showed large effect sizes and responsiveness of the PROMIS PF, PROMIS PI, NDI and ODI in a population of orthopaedic patients with spine pathologies.

conclusionThis study demonstrates strong responsiveness of the PROMIS PF and PROMIS PI in a spine clinic population.

Indexed as

Patient Reported Outcome MeasuresAdolescentAgedDisability EvaluationFemaleHumansMaleMiddle AgedPain MeasurementSpinal DiseasesNDIODIOrthopaedicsPatient-reported outcomesPROMISResponsivenessSpine

Identifiers

PMID29969730
PMCPMC6309663

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.