Utility of Anxiety/Depression Domain of EQ-5D to Define Psychological Distress in Spine Surgery.

Autor: Chotai S; Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Khan I; Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Nian H; Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA., Archer KR; Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Harrell FE; Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA., Weisenthal BM; Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Bydon M; Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA., Asher AL; Department of Neurological Surgery, Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina, USA., Devin CJ; Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Electronic address: clintondevin@gmail.com.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2019 Jun; Vol. 126, pp. e1075-e1080. Date of Electronic Publication: 2019 Mar 14.
DOI: 10.1016/j.wneu.2019.02.211
Abstrakt: Background: Prospective patient-reported outcomes (PROs) registries are central to emerging evidence-driven reform models. These registries entail significant operator and responder burden to capture PROs data. It is important to limit the number of PROs administered. We sought to determine whether the anxiety/depression domain of EQ-5D could be used to define preoperative psychological distress in patients undergoing elective spine surgery.
Methods: Patients undergoing elective spine surgery and enrolled into a prospective registry were analyzed. The 12-Item Short-Form Health Survey Mental Component Summary, Zung depression scale, Modified Somatic Perception Questionnaire, and EQ-5D were completed. The anxiety/depression domain of EQ-5D was used to define psychological distress; responses were captured as 1) not anxious or depressed, 2) moderately anxious or depressed, or 3) extremely anxious or depressed. Univariate correlation and proportional odds logistic regression analyses were conducted.
Results: Of 2470 included patients undergoing elective spine surgery, 45% (n = 1109) reported no psychological distress, 47% (n = 1168) reported moderate psychological distress, and 8% (n = 193) reported extreme psychological distress on EQ-5D. Psychological distress on EQ-5D had positive correlation with Zung depression scale (P < 0.0001, r = 0.620) and Modified Somatic Perception Questionnaire (P < 0.0001, r = 0.450) and negative correlation with 12-Item Short-Form Health Survey Mental Component Summary (P < 0.0001, r = -0.662). In proportional odds logistic regression models, EQ-5D psychological distress had significant correlations with 12-Item Short-Form Health Survey Mental Component Summary (P < 0.0001, C-index = 0.831), Zung depression scale (P < 0.0001, C-index = 0.802), and Modified Somatic Perception Questionnaire (P < 0.0001, C-index = 0.711).
Conclusions: The anxiety/depression domain of EQ-5D could be used to categorize preoperative psychological distress. Spine registries could use this information to potentially limit the number of validated PROs administered.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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