{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T19:58:57Z","timestamp":1772827137363,"version":"3.50.1"},"reference-count":66,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The aim of this study was to investigate the responsiveness of the mental health T-score (MHT) and physical health T-score (PHT) of the Patient-Reported Outcomes Measure Information System Global Health-10 Survey (PROMIS-10) compared with the Oswestry Disability Index (ODI) and to determine if the patient-reported outcome measures (PROMs) provided a similar assessment of patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A total of 379 patients who underwent 1- or 2-level lumbar fusions between June 2021 and June 2023 were analyzed in this retrospective study. All patients completed their preoperative PROMs as well as their 3-, 6-, and 12-month follow-up PROMs. A responsiveness analysis to assess floor and ceiling effects, the correlation between the PHT and ODI as well as the MHT and ODI, and effect size indices (ESIs) was conducted to determine the responsiveness and construct validation of the MHT and PHT compared with the ODI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Neither the ODI nor the MHT or PHT demonstrated a floor effect; however, up to 16% of the study cohort showed a ceiling effect with the PROMIS, whereas no patients reached the maximum score for the ODI. The PHT was strongly correlated with the ODI score at all time points with the correlation coefficients ranging between \u22120.71 and \u22120.82, while the MHT showed weak to moderate correlation (r = 0.48\u20130.67). The ESI demonstrated that the ODI was the most responsive of the tools assessed followed by the PHT; the MHT was noted to show limited responsiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The PROMIS-10 PHT provided similar responsiveness and construct validity as seen with the ODI at detecting functional changes after elective lumbar fusion. The PROMIS-10 MHT provides valuable insight into the patient\u2019s current mental health but was not overly responsive to change. The ODI remains the most responsive and accurate tool to assess low back function and postoperative improvement, but the PROMIS-10 can provide additional meaningful data that could be used to augment information gained from the ODI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2025.2.spine241315","type":"journal-article","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T22:23:00Z","timestamp":1747434180000},"page":"205-210","source":"Crossref","is-referenced-by-count":1,"title":["Responsiveness of the PROMIS Global Health-10 Survey compared with the Oswestry Disability Index in patients undergoing 1- and 2-level lumbar fusions"],"prefix":"10.3171","volume":"43","author":[{"given":"Matthew J.","family":"Solomito","sequence":"first","affiliation":[{"name":"Orthopedic Research, Hartford HealthCare Bone and Joint Institute, Hartford; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heeren","family":"Makanji","sequence":"additional","affiliation":[{"name":"Orthopedic Research, Hartford HealthCare Bone and Joint Institute, Hartford; and"},{"name":"Spine Surgery, Orthopaedic Associates of Hartford, Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"J Spine Surg","first-page":"752","article-title":"Trends in lumbar spinal fusion\u2014a literature review","volume":"6","author":"Reisener MJ","year":"2020","unstructured":"Reisener MJ, Pumberger M, Shue J, Girardi FP, Hughes AP. Trends in lumbar spinal fusion\u2014a literature review. J Spine Surg. 2020;6(4):752\u2013761."},{"issue":"5","key":"b2","series-title":"Spine (Phila Pa 1976)","first-page":"369","article-title":"Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015.","volume":"44","author":"Martin BI","year":"2019","unstructured":"Martin BI, Mirza SK, Spina N, Spiker WR, Lawrence B, Brodke DS. Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015.Spine (Phila Pa 1976). 2019;44(5):369\u2013376."},{"issue":"2","key":"b3","series-title":"PLoS One","first-page":"e0298135","article-title":"Hospital-level variation in hospitalization costs for spinal fusion in the United States","volume":"19","author":"Curry J","year":"2024","unstructured":"Curry J, Cho NY, Nesbit S,  Hospital-level variation in hospitalization costs for spinal fusion in the United States. PLoS One. 2024;19(2):e0298135."},{"issue":"4","key":"b4","series-title":"Health Aff (Millwood)","first-page":"105","article-title":"The most expensive medical conditions in America","volume":"21","author":"Druss BG","year":"2002","unstructured":"Druss BG, Marcus SC, Olfson M, Pincus HA. The most expensive medical conditions in America. Health Aff (Millwood). 2002;21(4):105\u2013111."},{"issue":"10","key":"b5","series-title":"N Engl J Med","first-page":"707","article-title":"A strategy for quality assurance in Medicare","volume":"322","author":"Lohr KN","year":"1990","unstructured":"Lohr KN, Schroeder SA. A strategy for quality assurance in Medicare. N Engl J Med. 1990;322(10):707\u2013712."},{"issue":"3","key":"b6","series-title":"Healthc Exec","first-page":"10","article-title":"Financial planning in a value-based world","volume":"29","author":"May EL","year":"2014","unstructured":"May EL. Financial planning in a value-based world. Healthc Exec. 2014;29(3):10-12, 14,16-18."},{"issue":"163","key":"b7","series-title":"Fed Regist","first-page":"49853","article-title":"Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2015 rates; quality reporting requirements for specific providers; reasonable compensation equivalents for physician services in excluded hospitals and certain teaching hospitals; provider administrative appeals and judicial review; enforcement provisions for organ transplant centers; and electronic health record (EHR) incentive program. Final rule","volume":"79","year":"2014","unstructured":"Centers for Medicare and Medicaid Services (CMS), HHS. Medicare program; hospital inpatient prospective payment systems for acute care hospitals and the long-term care hospital prospective payment system and fiscal year 2015 rates; quality reporting requirements for specific providers; reasonable compensation equivalents for physician services in excluded hospitals and certain teaching hospitals; provider administrative appeals and judicial review; enforcement provisions for organ transplant centers; and electronic health record (EHR) incentive program. Final rule. Fed Regist. 2014;79(163):49853\u201350536."},{"issue":"17","key":"b8","series-title":"Spine (Phila Pa 1976)","first-page":"1331","article-title":"Need for two-year patient-reported outcomes scores for lumbar spine surgery is procedure-specific","volume":"42","author":"Kim EJ","year":"2017","unstructured":"Kim EJ, Chotai S, Archer KR, Bydon M, Asher AL, Devin CJ. Need for two-year patient-reported outcomes scores for lumbar spine surgery is procedure-specific. Spine (Phila Pa 1976). 2017;42(17):1331\u20131338."},{"issue":"22)(suppl 1","key":"b9","series-title":"Spine (Phila Pa 1976)","first-page":"S117","article-title":"Role of prospective registries in defining the value and effectiveness of spine care","volume":"39","author":"McGirt MJ","year":"2014","unstructured":"McGirt MJ, Parker SL, Asher AL, Norvell D, Sherry N, Devin CJ. Role of prospective registries in defining the value and effectiveness of spine care. Spine (Phila Pa 1976). 2014;39(22)(suppl 1):S117\u2013S128."},{"issue":"2","key":"b10","series-title":"J Neurosurg Spine","first-page":"170","article-title":"Inadequacy of 3-month Oswestry Disability Index outcome for assessing individual longer-term patient experience after lumbar spine surgery","volume":"25","author":"Asher AL","year":"2016","unstructured":"Asher AL, Chotai S, Devin CJ,  Inadequacy of 3-month Oswestry Disability Index outcome for assessing individual longer-term patient experience after lumbar spine surgery. J Neurosurg Spine. 2016;25(2):170\u2013180."},{"issue":"5","key":"b11","series-title":"J Neurosurg Spine","first-page":"486","article-title":"Changes in the Oswestry Disability Index that predict improvement after lumbar fusion","volume":"17","author":"Djurasovic M","year":"2012","unstructured":"Djurasovic M, Glassman SD, Dimar JR II, Crawford CH III, Bratcher KR, Carreon LY. Changes in the Oswestry Disability Index that predict improvement after lumbar fusion. J Neurosurg Spine. 2012;17(5):486\u2013490."},{"issue":"4","key":"b12","series-title":"J Chiropr Med","first-page":"161","article-title":"Psychometric properties and clinical usefulness of the Oswestry Disability Index","volume":"7","author":"Vianin M","year":"2008","unstructured":"Vianin M. Psychometric properties and clinical usefulness of the Oswestry Disability Index. 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A comparison of PROMIS Global Health-Mental and legacy orthopedic outcome measures for evaluating preoperative mental health status. J Orthop. 2019;19:98\u2013101."},{"issue":"2","key":"b18","series-title":"Iowa Orthop J","first-page":"90","article-title":"Does the Patient-Reported Outcomes Measurement Information System correlate to legacy scores in measuring mental health in young total hip arthroplasty patients?","volume":"42","author":"Abu-Amer W","year":"2022","unstructured":"Abu-Amer W, Lawrie CM, Nepple JJ, Clohisy JC, Thapa S. Does the Patient-Reported Outcomes Measurement Information System correlate to legacy scores in measuring mental health in young total hip arthroplasty patients?. Iowa Orthop J. 2022;42(2):90\u201397."},{"issue":"7","key":"b19","series-title":"Qual Life Res","first-page":"873","article-title":"Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items","volume":"18","author":"Hays RD","year":"2009","unstructured":"Hays RD, Bjorner JB, Revicki DA, Spritzer KL, Cella D. Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Qual Life Res. 2009;18(7):873\u2013880."},{"issue":"10","key":"b20","series-title":"J Gen Intern Med","first-page":"1511","article-title":"U.S. general population estimate for \"excellent\" to \"poor\" self-rated health item","volume":"30","author":"Hays RD","year":"2015","unstructured":"Hays RD, Spritzer KL, Thompson WW, Cella D. U.S. general population estimate for \"excellent\" to \"poor\" self-rated health item. J Gen Intern Med. 2015;30(10):1511\u20131516."},{"key":"b21","article-title":"HealthMeasures","unstructured":"PROMIS\u00ae Score Cut Points. HealthMeasures. Accessed March 6, 2025. https:\/\/www.healthmeasures.net\/score-and-interpret\/interpret-scores\/promis\/promis-score-cut-points"},{"issue":"6","key":"b22","series-title":"J Arthroplasty","first-page":"1540","article-title":"Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Short Forms demonstrate responsiveness in patients undergoing knee arthroplasty","volume":"35","author":"Khalil LS","year":"2020","unstructured":"Khalil LS, Darrith B, Franovic S, Davis JJ, Weir RM, Banka TR. Patient-Reported Outcomes Measurement Information System (PROMIS) Global Health Short Forms demonstrate responsiveness in patients undergoing knee arthroplasty. 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The Oswestry Disability Index in Elective Single level Lumbar Fusion: Is 3 month follow up enough?. N Am Spine Soc J. 2024:20:100571."},{"issue":"11","key":"b29","series-title":"J Am Acad Orthop Surg","first-page":"744","article-title":"PROMIS for orthopaedic outcomes measurement","volume":"24","author":"Brodke DJ","year":"2016","unstructured":"Brodke DJ, Saltzman CL, Brodke DS. PROMIS for orthopaedic outcomes measurement. J Am Acad Orthop Surg. 2016;24(11):744\u2013749."},{"issue":"24","key":"b30","series-title":"Spine (Phila Pa 1976)","first-page":"1737","article-title":"The PROMIS-10 Mental Health T-Score: an independent predictor of recovery for up to 1 year following elective lumbar spine fusion","volume":"49","author":"Solomito MJ","year":"2024","unstructured":"Solomito MJ, Kostyun RO, Makanji H. The PROMIS-10 Mental Health T-Score: an independent predictor of recovery for up to 1 year following elective lumbar spine fusion. 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Spine J. 2022;22(8):1309\u20131317."},{"issue":"11","key":"b33","series-title":"Orthop J Sports Med","first-page":"2325967119884543","article-title":"Impact of patient demographic factors on preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function, pain interference, and depression computer adaptive testing scores in patients undergoing shoulder and elbow surgery","volume":"7","author":"Meldau JE","year":"2019","unstructured":"Meldau JE, Borowsky P, Blanchett J,  Impact of patient demographic factors on preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) physical function, pain interference, and depression computer adaptive testing scores in patients undergoing shoulder and elbow surgery. 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