Utility of Anxiety/Depression Domain of EQ-5D to Define Psychological Distress in Spine Surgery
World Neurosurgery, ISSN: 1878-8750, Vol: 126, Page: e1075-e1080
2019
- 17Citations
- 30Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations17
- Citation Indexes17
- 17
- CrossRef5
- Captures30
- Readers30
- 30
Article Description
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. 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. 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). 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.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S1878875019306850; http://dx.doi.org/10.1016/j.wneu.2019.02.211; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85064202456&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/30880196; https://linkinghub.elsevier.com/retrieve/pii/S1878875019306850; https://dx.doi.org/10.1016/j.wneu.2019.02.211
Elsevier BV
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