Asdrubal Falavigna1, Diego Cassol Dozza2, Alisson R Teles3, Chung Chek Wong4, Giuseppe Barbagallo5, Darrel Brodke6, Abdulaziz Al-Mutair7, Zoher Ghogawala8, K Daniel Riew9. 1. Department of Neurosurgery, Caxias do Sul University, Caxias do Sul, RS, Brazil. Electronic address: asdrubalmd@gmail.com. 2. Department of Neurosurgery, São Vicente de Paulo Hospital, Fronteira Sul Federal University, Passo Fundo, RS, Brazil. 3. Division of Neurosurgery, Department of Clinical Neurosciences, University of Calgary, Calgary, AB, Canada. 4. Sarawak General Hospital, Department of Orthopedic Surgery, Jalan Tun Ahmad Zaidi Adruce, Kuching, Malaysia. 5. Azienda Ospedaliero, Universitaria Policlinico Neurosurgery, Catania, Italy. 6. Spine Service, University of Utah Department of Orthopaedics, Salt Lake City, Utah, USA. 7. Alrazi Hospital, Ministry of Health/Kuwait Institute for Medical Specialization, Adailiya, Kuwait. 8. Alan and Jacqueline Stuart Spine Center, Department of Neurosurgery, Lahey Hospital and Medical Center, Burlington, Massachusetts, USA; Tufts University School of Medicine, Boston, Massachusetts, USA. 9. Department of Orthopedic Surgery, Columbia University, New York, New York, USA.
Abstract
OBJECTIVES: Patient-reported outcome measures (PROMs) are the most widely accepted means of measuring outcomes after spine procedures. We sought to determine the current status of worldwide use of PROMs in Latin America (LA), Europe (EU), Asia Pacific (AP), North America (NA), and Middle East (ME) to determine the barrier to its full implementation. METHODS: A questionnaire survey was sent by e-mail to members of AOSpine to evaluate their familiarity and use of PROMs instruments and to assess the barriers to their use in spine care practice in LA, EU, AP, NA, and ME. RESULTS: A total of 1634 AOSpine members from LA, EU, AP, NA, and ME answered the electronic questionnaire. The percentage of spine surgeons who were familiar with the generic health-related quality of life questionnaire was 71.7%. In addition, 31.9% of respondents did not use any PROMs routinely. The main barriers to implementing PROMs were lack of time to administer the questionnaires (57%) followed by lack of staff to assist in data collection (55%), and the long time to fill out the questionnaires (46%). The routine use of questionnaires was more frequent in NA and EU and less common in LA and ME (P < 0.001). CONCLUSIONS: We found that 31.9% of spine surgeons do not use the PROMs questionnaire routinely. This appears to occur because of lack of knowledge regarding their importance, absence of reimbursement for this extra work, minimal financial support for clinical research, the cost of implementation, and lack of concern among physicians.
OBJECTIVES:Patient-reported outcome measures (PROMs) are the most widely accepted means of measuring outcomes after spine procedures. We sought to determine the current status of worldwide use of PROMs in Latin America (LA), Europe (EU), Asia Pacific (AP), North America (NA), and Middle East (ME) to determine the barrier to its full implementation. METHODS: A questionnaire survey was sent by e-mail to members of AOSpine to evaluate their familiarity and use of PROMs instruments and to assess the barriers to their use in spine care practice in LA, EU, AP, NA, and ME. RESULTS: A total of 1634 AOSpine members from LA, EU, AP, NA, and ME answered the electronic questionnaire. The percentage of spine surgeons who were familiar with the generic health-related quality of life questionnaire was 71.7%. In addition, 31.9% of respondents did not use any PROMs routinely. The main barriers to implementing PROMs were lack of time to administer the questionnaires (57%) followed by lack of staff to assist in data collection (55%), and the long time to fill out the questionnaires (46%). The routine use of questionnaires was more frequent in NA and EU and less common in LA and ME (P < 0.001). CONCLUSIONS: We found that 31.9% of spine surgeons do not use the PROMs questionnaire routinely. This appears to occur because of lack of knowledge regarding their importance, absence of reimbursement for this extra work, minimal financial support for clinical research, the cost of implementation, and lack of concern among physicians.
Authors: Ayesha Quddusi; Hubert A J Eversdijk; Anita M Klukowska; Marlies P de Wispelaere; Julius M Kernbach; Marc L Schröder; Victor E Staartjes Journal: Eur Spine J Date: 2019-10-22 Impact factor: 3.134
Authors: Anne F Mannion; Franco M Impellizzeri; Michael Leunig; Dezsö Jeszenszy; Hans-Jürgen Becker; Daniel Haschtmann; Stefan Preiss; Tamas F Fekete Journal: Eur Spine J Date: 2018-02-19 Impact factor: 3.134
Authors: Victor E Staartjes; Holger Joswig; Marco V Corniola; Karl Schaller; Oliver P Gautschi; Martin N Stienen Journal: Global Spine J Date: 2020-12-17
Authors: Victor E Staartjes; Vittorio Stumpo; Julius M Kernbach; Anita M Klukowska; Pravesh S Gadjradj; Marc L Schröder; Anand Veeravagu; Martin N Stienen; Christiaan H B van Niftrik; Carlo Serra; Luca Regli Journal: Acta Neurochir (Wien) Date: 2020-08-18 Impact factor: 2.216