The P-mJOA: A Patient-derived, Self-reported Outcome Instrument for Evaluating Cervical Myelopathy
| Autor: | Anuj K. Patel, Kirk A. Easley, Weilong J. Shi, Mathew Cyriac, Jin Y Kim, Feifei Zhou, John M. Rhee |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty MEDLINE Outcome (game theory) Spinal Cord Diseases 03 medical and health sciences Myelopathy 0302 clinical medicine Surveys and Questionnaires Humans Medicine Orthopedics and Sports Medicine Patient Reported Outcome Measures Prospective cohort study 030222 orthopedics business.industry Background data Outcome measures Middle Aged medicine.disease Cervical spine Physical therapy Female Surgery Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Spine Surgery: A Spine Publication. 31:E115-E120 |
| ISSN: | 2380-0186 |
| DOI: | 10.1097/bsd.0000000000000591 |
| Popis: | Prospective Cohort Study.The objective of this study is to evaluate and validate a patient-derived version of the modified Japanese Orthopaedic Association (the "P-mJOA") that a patient can complete along with other patient-derived outcome measures.The modified Japanese Orthopaedic Association (mJOA) is a validated instrument widely used in the assessment of cervical myelopathy; however, it is not a patient-derived outcome. If available and reliable, a patient-derived version of the mJOA (P-mJOA) could facilitate research because the data would be immediately available upon patient completion and also remove any potential physician bias. Currently, there is no patient-derived myelopathy survey with the widespread acceptance of the mJOA.The P-mJOA was created by very slightly modifying the verbiage of the mJOA to make it possible for a patient to complete the instrument while maintaining the questionnaire's core structure. A total of 100 consecutive consenting patients with cervical myelopathy were enrolled. After the patient completed the P-mJOA, the mJOA was scored by a physician blinded to the P-mJOA result.The P-mJOA and the mJOA had identical mean scores of 14.7 (mean difference±SD: 0.0±1.5; P=0.89). Several measures of reliability demonstrated agreement between the 2 surveys, including strong agreement with the intraclass correlation coefficient and Spearman ρ (both 0.83) and moderate to substantial agreement with weighted κ values (0.55 to 0.66). In addition, 67% of patients preferred to fill out the P-mJOA themselves, suggesting low patient burden.The P-mJOA provided identical mean scores to the mJOA in assessing myelopathy with moderate to strong agreement. Comprised of the same 4 questions as the mJOA but slightly reworded for patient comprehension, the P-mJOA also demonstrated low patient burden in completing the survey. We believe the P-mJOA is a promising tool in cervical myelopathy research with the benefits of a patient-derived outcome measure and low patient burden.Level II. |
| Databáze: | OpenAIRE |
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