Evidence map›Paper›PMID 32815075›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Reliability, validity and responsiveness of the Dutch version of the AOSpine PROST (Patient Reported Outcome Spine Trauma).

Said Sadiqi, Marcel W Post, Allard J Hosman, Marcel F Dvorak, Jens R Chapman, Lorin M Benneker, Frank Kandziora, S Rajasekaran, Klaus J Schnake, Alexander R Vaccaro and 1 more

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In one paragraph

Article 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Observational
  2. Article
  3. Validating Patient-Reported Outcomes and Surveys in Other Languages.Current reviews in musculoskeletal medicine · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Validation of the AO Spine CROST (Clinician Reported Outcome Spine Trauma) in the clinical setting.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 · 2024
    Article
  9. Review
  10. Article
  11. 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

11 authors.

Said SadiqiDepartment of Orthopaedics, University Medical Center Utrecht, HP G05.228, P.O. Box 85500, 3508GA, Utrecht, The Netherlands. s.sadiqi-3@umcutrecht.nl.
Marcel W PostRehabilitation Center 'De Hoogstraat', Utrecht, The Netherlands.
Allard J HosmanDepartment of Orthopaedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Marcel F DvorakDepartment of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.
Jens R ChapmanSwedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.
Lorin M BennekerDepartment of Traumatology and Orthopaedic Surgery, Inselspital University of Bern, Bern, Switzerland.
Frank KandzioraCenter for Spinal Surgery, BGU-Hospital, Frankfurt, Germany.
S RajasekaranDepartment of Orthopaedic and Spine Surgery, Ganga Hospital, Coimbatore, India.
Klaus J SchnakeCenter for Spinal Surgery, Schön Klinik Nürnberg Fürth, Fürth, Germany.
Alexander R VaccaroDepartment of Orthopaedics, Thomas Jefferson University, Philadelphia, PA, USA.
F Cumhur OnerDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo validate the Dutch version of AOSpine PROST (Patient Reported Outcome Spine Trauma).

methodsPatients were recruited from two level-1 trauma centers from the Netherlands. Next to the AOSpine PROST, patients also filled out SF-36 for concurrent validity. Descriptive statistics were used to analyze the characteristics. Content validity was assessed by evaluating the number of inapplicable or missing questions. Also floor and ceiling effects were analyzed. Internal consistency was assessed by calculating Cronbach's α and item-total correlation coefficients (itcc). Spearman correlation tests were performed within AOSpine PROST items and in correlation with SF-36. Test-retest reliability was analyzed using Intraclass Correlation Coefficients (ICC). Responsiveness was assessed by calculating effect sizes (ES) and standardized response mean (SRM). Factor analysis was performed to explore any dimensions within AOSpine PROST.

resultsOut of 179 enrolled patients, 163 (91.1%) were included. Good results were obtained for content validity. No floor or ceiling effects were seen. Internal consistency was excellent (Cronbach's α = 0.96, itcc 0.50-0.86), with also good Spearman correlations (0.25-0.79). Compared to SF-36, the strongest correlation was seen for physical functioning (0.79; p < .001). Also test-retest reliability was excellent (ICC = 0.92). Concerning responsiveness analysis, very good results were seen with ES = 1.81 and SRM = 2.03 (p < 0.001). Factor analysis revealed two possible dimensions (Eigenvalues > 1), explaining 65.4% of variance.

conclusionsVery satisfactory results were obtained for reliability, validity and responsiveness of the Dutch version of AOSpine PROST. Treating surgeons are encouraged to use this novel and validated tool in clinical setting and research to contribute to evidence-based and patient-centered care.

Indexed as

Spinal InjuriesZygote Intrafallopian TransferHumansNetherlandsPatient Reported Outcome MeasuresReproducibility of ResultsAOSpine PROSTFunctionHealthOutcome instrumentPatient perspectiveSpine trauma

Identifiers

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Registered trials

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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.