Evidence map›Paper›PMID 33646141›Full record

ArticleJournal of back and musculoskeletal rehabilitation2021

Are the Roland Morris Disability Questionnaire and Oswestry Disability Index interchangeable in patients after lumbar spinal fusion?

R F M R Kersten, J Fikkers, N Wolterbeek, F C Öner, S M van Gaalen

Registry-linked trialAbstract read
In one paragraph

Article in Journal of back and musculoskeletal rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07458776 (Effects of Muscle Energy Technique and Pilates Exercises on Pain and Physical Function in Patients With Nonspecific Low Back Pain), which is not on this 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.

NCT07458776 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of Muscle Energy Technique and Pilates Exercises on Pain and Physical Function in Patients With Nonspecific Low Back Pain: A Randomized Clinical Trial

TypeinterventionalSponsorUniversity of LahoreRan2025 to 2025Enrolled72ConditionsNonspecific Low Back PainArmsMuscle Energy Technique, Pilates Exercises
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. How Well Do Seven Self-Report Measures Represent Underlying Back Pain Impact?Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Non-specific spondylodiscitis: a new perspective for surgical treatment.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 · 2022
    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

5 authors.

R F M R KerstenClinical Orthopedic Research Center - midden Nederland (CORC-mN), Department of Orthopedics, Diakonessenhuis Utrecht/Zeist, The Netherlands.
J FikkersDepartment of Orthopedics, University Medical Center Utrecht, Utrecht University, The Netherlands.
N WolterbeekDepartment of Orthopedics, St. Antonius Hospital, Utrecht/Nieuwegein/Woerden, The Netherlands.
F C ÖnerDepartment of Orthopedics, University Medical Center Utrecht, Utrecht University, The Netherlands.
S M van GaalenInternational Spine Center, Department of Orthopedics, Acibadem International Medical Center, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the different scoring systems of these outcome measures makes comparison of treatment results difficult.

objectiveAim of this study was to determine if the RMDQ and ODI could be used exchangeable by assessing the correlation and comparing different measurement properties between the questionnaires.

methodsClinical data from patients who participated in a multicenter RCT with 2 year follow-up after lumbar spinal fusion were used. Outcome measures were the RMDQ, ODI, Short Form 36 - Health Survey (SF-36), leg pain and back pain measured on a 0-100 mm visual analogue scale (VAS). Cronbach's alpha coefficients, Spearman correlation coefficients, multiple regression analysis and Bland-Altman plots were calculated.

resultsthree hundred and seventy-six completed questionnaires filled out by 87 patients were used. The ODI and RMDQ had both a good level of internal consistency. There was a very strong correlation between the RMDQ and the ODI (r= 0.87; p< 0.001), and between the VAS and both the ODI and RMDQ. However, the Bland-Altman plot indicated bad agreement between the ODI and RMDQ.

conclusionsThe RMDQ and ODI cannot be used interchangeably, nor is there a possibility of converting the score from one questionnaire to the other. However, leg pain and back pain seemed to be predictors for both the ODI and the RMDQ.

Indexed as

Spinal FusionAgedDisability EvaluationFemaleHumansLow Back PainLumbar VertebraeMaleMiddle AgedSurveys and QuestionnairesTreatment Outcomeclinical outcomecorrelationslow back painOswestry Disability Indexpatient reported outcome measuresRoland Morris Disability Questionnaire

Identifiers

PMID33646141
PMCPMC8385504

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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.