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Development of a new patient-reported outcome measure assessing activities and participation in people with lumbar spinal stenosis: the cochin spinal stenosis 19-item questionnaire.

Abstract：

BACKGROUND:Lumbar spinal stenosis (LSS) is the leading cause of spinal surgery in people over 65-years old. In people with LSS, generic self-administered questionnaires are the most commonly used PROs to assess health-related quality of life, global activity limitation, and low back pain-located activity limitation. AIM:To develop of a new patient-reported outcome measure assessing activities and participation in people with LSS. DESIGN:Observation, prospective and qualitative study. SETTING:For the qualitative study, enrolled in- and outpatients with LSS from 2 French tertiary care centers (Department of PRM of Cochin Hospital and Department of Rheumatology of Limoges Hospital). For the Internet E-survey, screened the electronic medical records of the Department of PRM of Cochin Hospital. POPULATION:Enrolled from February to April 2018, patients older than 50-years and symptomatic LSS. METHODS:We used a 2 step approach. In a first step, we conducted a qualitative study using in-depth semi-structured interviews in 20 patients with LSS to collect meaningful concepts and to develop a provisional questionnaire. In a second step, using the provisional questionnaire, we conducted an Internet E-survey in an independent sample of 200 patients with LSS. RESULTS:Concepts collected from patients generated a 48-item provisional questionnaire. Overall, 63/200 (31.5%) patients completed the provisional questionnaire. Item reduction resulted in a 19-item questionnaire, the Cochin Spinal Stenosis 19-item (CSS-19) questionnaire. Principal component analysis extracted 3 factors. In confirmatory analysis, factor 1 influenced all items. We found convergent validity with low back pain, LSS-specific disability and divergent validity with mental health-related quality of life. Cronbach α coefficient (95% CI) was 0.96 (0.94;0.97). ICC was 0.90 (0.70;0.97). Bland and Altman analysis found no systematic trend for test-retest. CONCLUSIONS:CSS-19 is a new patient-reported outcome measure assessing activities and participation in people with LSS. Its construction prioritized patients' perspectives at all stages. Its content and construct validities are good. CLINICAL REHABILITATION IMPACT:Instruments able to capture specific needs of people with LSS in terms of activities and participation are lacking.

journal_name

Eur J Phys Rehabil Med

journal_title

European journal of physical and rehabilitation medicine

authors

Masi C,Couraud G,Daste C,Jouffriault J,Poiraudeau S,Lefevre-Colau MM,Rannou F,Nguyen C

doi

10.23736/S1973-9087.20.06189-4

subject

Has Abstract

pub_date

2020-10-28 00:00:00

eissn

1973-9087

issn

1973-9095

pii

S1973-9087.20.06189-4

pub_type

杂志文章

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Development of a new patient-reported outcome measure assessing activities and participation in people with lumbar spinal stenosis: the cochin spinal stenosis 19-item questionnaire.