{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T12:55:43Z","timestamp":1776603343161,"version":"3.51.2"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Although decompressive laminectomy (DL) for lumbar spinal stenosis (LSS) is a common procedure among older adults, it is unclear whether surgical definitions of success translate into patient-defined success. Using goal attainment scaling (GAS) to compare goal achievement between individuals, we investigated the relationship between surgical-defined functional recovery and achievement of personalized goals in patients who underwent DL for LSS.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>Twenty-eight community-dwelling veterans scheduled to undergo DL.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants were interviewed over the phone to set 1-year post-DL goals within 30\u2009days before undergoing DL. Brigham Spinal Stenosis (BSS) score, comorbidities, cognitive function, and psychological factors also were assessed. GAS and BSS were repeated 1 year after DL. GAS scores were transformed into GAS-T scores (T-score transformation) to standardize achievement between patients and GAS-T change scores to compare study variables.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Seventeen of 28 participants had successful DL outcomes by BSS standards, though none of the participants achieved all of their GAS goals, with follow-up GAS-T scores averaging 44.5\u2009\u00b1\u200916.8. All three BSS scales positively correlated with GAS-T change scores: severity change r\u2009=\u20090.52, P\u2009=\u20090.005; physical function change r\u2009=\u20090.51, P\u2009=\u20090.006; and satisfaction r\u2009=\u20090.70, P\u2009&amp;lt;\u20090.001. Covariate analysis revealed a negative correlation between GAS-T change score and fear-avoidance beliefs: r\u2009=\u2009-0.41, P\u2009=\u2009-0.029.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>There was congruent validity between GAS and the BSS in older veterans undergoing DL for LSS. Given the need for patient-centered care in older adults, future investigations exploring GAS in larger studies that target additional pain conditions and include participants with greater demographic diversity are warranted.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnaa406","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T19:13:03Z","timestamp":1603307583000},"page":"829-835","source":"Crossref","is-referenced-by-count":2,"title":["Validating Goal Attainment in Veterans Undergoing Decompressive Laminectomy: A Preliminary Study"],"prefix":"10.1093","volume":"22","author":[{"given":"Keelin","family":"Moehl","sequence":"first","affiliation":[{"name":"School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dave","family":"Newman","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education and Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subashan","family":"Perera","sequence":"additional","affiliation":[{"name":"Department of Medicine (Geriatric Medicine)"},{"name":"Department of Biostatistics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela E","family":"Toto","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra K","family":"Weiner","sequence":"additional","affiliation":[{"name":"Geriatric Research, Education and Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA"},{"name":"Department of Medicine (Geriatric Medicine)"},{"name":"Department of Psychiatry"},{"name":"Department of Anesthesiology"},{"name":"Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, 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