Single item self-rated general health : SF-36 based observations from 16,910 spine surgery procedures
(2022) In Quality of Life Research 31(6). p.1819-1828- Abstract
Purpose: In spine surgery single item patient-reported outcome assessment has been used for many years. Items 1 and 2 of SF-36 are used for assessment of general health. We used these items to explore single item, self-rated, general health assessment after spine surgery. Methods: Patients operated for lumbar disc herniation or lumbar spinal stenosis between 2007 and 2017, were recruited from the national Swedish spine register. A total of 16,910 procedures were eligible for analysis. The responsiveness of the SF-36 general health assessment items to surgical treatment was evaluated with the standardized response mean (SRM). Improvement in self-rated general health was used to dichotomize SF-36 profiles and EQ VAS distributions.... (More)
Purpose: In spine surgery single item patient-reported outcome assessment has been used for many years. Items 1 and 2 of SF-36 are used for assessment of general health. We used these items to explore single item, self-rated, general health assessment after spine surgery. Methods: Patients operated for lumbar disc herniation or lumbar spinal stenosis between 2007 and 2017, were recruited from the national Swedish spine register. A total of 16,910 procedures were eligible for analysis. The responsiveness of the SF-36 general health assessment items to surgical treatment was evaluated with the standardized response mean (SRM). Improvement in self-rated general health was used to dichotomize SF-36 profiles and EQ VAS distributions. Results: For disc herniation, 5852 (83%) patients reported improvement in general health 1 year after surgery. For spinal stenosis, the corresponding numbers were 6,482 (66%). The additional improvement after year 1 was small. The responsiveness of the SF-36 item 2 (the health transition item) to surgical treatment of disc herniation or spinal stenosis was substantial. There was a clear association between improvement in SF-36 item 2 and improvements in all domains of SF-36. Conclusions: Surgery for disc herniation or spinal stenosis improve patients’ perception of general health 1 year after surgery. The improvement in general health after year 1 is limited. The SF-36 item 2 is a responsive measure of self-rated general health that may be used for dichotomization of SF-36 and EQ VAS data when evaluating surgical outcome in spine surgery.
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- author
- Joelson, Anders ; Strömqvist, Fredrik LU ; Sigmundsson, Freyr Gauti LU and Karlsson, Jan
- organization
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Disc herniation, EQ VAS, EQ-5D, Health transition item, Health-related quality of life, Responsiveness, SF-36, Single item self-rated general health, Spinal stenosis
- in
- Quality of Life Research
- volume
- 31
- issue
- 6
- pages
- 1819 - 1828
- publisher
- Springer
- external identifiers
-
- pmid:34825299
- scopus:85119868703
- ISSN
- 0962-9343
- DOI
- 10.1007/s11136-021-03048-0
- language
- English
- LU publication?
- yes
- id
- 30b384a8-dfe3-4646-a97d-28a13be3b58a
- date added to LUP
- 2021-12-14 15:15:03
- date last changed
- 2024-11-03 13:07:21
@article{30b384a8-dfe3-4646-a97d-28a13be3b58a,
abstract = {{<p>Purpose: In spine surgery single item patient-reported outcome assessment has been used for many years. Items 1 and 2 of SF-36 are used for assessment of general health. We used these items to explore single item, self-rated, general health assessment after spine surgery. Methods: Patients operated for lumbar disc herniation or lumbar spinal stenosis between 2007 and 2017, were recruited from the national Swedish spine register. A total of 16,910 procedures were eligible for analysis. The responsiveness of the SF-36 general health assessment items to surgical treatment was evaluated with the standardized response mean (SRM). Improvement in self-rated general health was used to dichotomize SF-36 profiles and EQ VAS distributions. Results: For disc herniation, 5852 (83%) patients reported improvement in general health 1 year after surgery. For spinal stenosis, the corresponding numbers were 6,482 (66%). The additional improvement after year 1 was small. The responsiveness of the SF-36 item 2 (the health transition item) to surgical treatment of disc herniation or spinal stenosis was substantial. There was a clear association between improvement in SF-36 item 2 and improvements in all domains of SF-36. Conclusions: Surgery for disc herniation or spinal stenosis improve patients’ perception of general health 1 year after surgery. The improvement in general health after year 1 is limited. The SF-36 item 2 is a responsive measure of self-rated general health that may be used for dichotomization of SF-36 and EQ VAS data when evaluating surgical outcome in spine surgery.</p>}},
author = {{Joelson, Anders and Strömqvist, Fredrik and Sigmundsson, Freyr Gauti and Karlsson, Jan}},
issn = {{0962-9343}},
keywords = {{Disc herniation; EQ VAS; EQ-5D; Health transition item; Health-related quality of life; Responsiveness; SF-36; Single item self-rated general health; Spinal stenosis}},
language = {{eng}},
number = {{6}},
pages = {{1819--1828}},
publisher = {{Springer}},
series = {{Quality of Life Research}},
title = {{Single item self-rated general health : SF-36 based observations from 16,910 spine surgery procedures}},
url = {{http://dx.doi.org/10.1007/s11136-021-03048-0}},
doi = {{10.1007/s11136-021-03048-0}},
volume = {{31}},
year = {{2022}},
}