{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:01:55Z","timestamp":1787025715093,"version":"build-2736575974"},"reference-count":60,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2009,10]]},"abstract":"\n Object<\/jats:title>\n In this study, the authors assessed the construct validity and the reliability of the World Health Organization Quality of Life\u2013Bref (WHOQOL-Bref) questionnaire in patients with cervical spondylotic myelopathy (CSM) and compared the performance of the WHOQOL-Bref and the 36-Item Short Form Health Survey (SF-36) in assessing quality of life (QOL) in patients with CSM.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this prospective study, 70 patients with CSM were assessed preoperatively and again 1 year after central corpectomy using the Nurick scale, the SF-36, and the WHOQOL-Bref. Construct validity and reliability of the WHOQOL-Bref, its responsiveness compared with that of the SF-36, and the correlations between the 2 scales were studied.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The WHOQOL-Bref was found to be valid (p < 0.001, Cuzick test for trend between the physical domain of the WHOQOL-Bref and Nurick grade) and reliable (Cronbach \u03b1 > 0.7). It had smaller floor and ceiling effects (ranges 1.4\u20137.1% and 0\u20137.1%, respectively) than the SF-36 (ranges 2.9\u201371.4% and 0\u201314.1%, respectively). There was significant postoperative improvement in patient scores on all the SF-36 scales (p < 0.001) and the physical, psychological, and environment domains of the WHOQOL-Bref (p < 0.001). The SF-36 scales were more responsive to change (relative efficiency range 0.24\u20131) than the WHOQOL-Bref domains (relative efficiency range 0.002\u20130.73). Among scales measuring similar concepts, only the physical functioning and bodily pain scales of the SF-36 had a moderate correlation (r = 0.57 and 0.53, respectively; p < 0.001) with the physical domain of WHOQOL-Bref. Many of the scales of these 2 QOL instruments unexpectedly had a fair correlation with one another (r range = 0.2\u20130.4).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The WHOQOL-Bref, like the SF-36, is valid and reliable in assessing outcome in patients with CSM. It measures impairment in CSM in a more uniform manner than the SF-36, but its domains are less responsive to postoperative changes. Because the WHOQOL-Bref measures different constructs and has additive value, it should be used along with the SF-36 for QOL assessment in patients with CSM.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2009.4.spine08749","type":"journal-article","created":{"date-parts":[[2011,2,23]],"date-time":"2011-02-23T16:42:23Z","timestamp":1298479343000},"page":"402-412","source":"Crossref","is-referenced-by-count":23,"title":["Quality of life assessment after central corpectomy for cervical spondylotic myelopathy: comparative evaluation of the 36-Item Short Form Health Survey and the World Health Organization Quality of Life\u2013Bref"],"prefix":"10.3171","volume":"11","author":[{"given":"Sumit","family":"Thakar","sequence":"first","affiliation":[{"name":"Departments of Neurological Sciences and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon","family":"Christopher","sequence":"additional","affiliation":[{"name":"Biostatistics, Christian Medical College, Vellore, 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