AO Spine Adult Spinal Deformity Patient Profile: A Paradigm Shift in Comprehensive Patient Evaluation in Order to Optimize Treatment and Improve Patient Care

dc.contributor.authorNaresh-Babu, J.
dc.contributor.authorKwan, Kenny Yat Hong
dc.contributor.authorWu, Yabin
dc.contributor.authorYilgor, Caglar
dc.contributor.authorAlanay, Ahmet
dc.contributor.authorCheung, Kenneth M. C.
dc.contributor.authorPolly Jr., David W.
dc.contributor.authorPark, Jong-Beom
dc.contributor.authorIto, Manabu
dc.contributor.authorLenke, Lawrence G.
dc.contributor.authorvan Hooff, Miranda L.
dc.contributor.authorde Kleuver, Marinus
dc.contributor.authorDeformity, A.O. Spine Knowledge Forum
dc.date.accessioned2023-02-21T12:40:46Z
dc.date.available2023-02-21T12:40:46Z
dc.date.issued2022-01-01
dc.description.abstractStudy Design: Modified Delphi study. Objective: Adult spinal deformity (ASD) is an increasingly recognized condition, comprising a spectrum of pathologies considerably impacting patients' health and functional status. Patients present with a combination of pain, disability, comorbidities and radiological deformity. The study aims to propose a systematic approach of gathering information on the factors that drive decision-making by developing a patient profile. Methods: The present study comprises of 3 parts. Part 1: Development of prototype of patient profile: The data from the Core Outcome Study on SCOlisis (COSSCO) by Scoliosis Research Society (SRS) was categorized into a conceptual framework. Part 2: Modified Delphi study: Items reaching >70\% agreement were included in a 4 round iterative process with 51 panellists across the globe. Part 3: Pilot testing-feasibility: Content validity and usability were evaluated quantitatively. Results: The profile consisted of 4 domains. 1. General health with demographics and comorbidities, 2.Spine-specific health with spine related health and neurological status, 3. Imaging with radiographic and MRI parameters and 4. Deformity type. Each domain consisted of 1 or 2 components with various factors and their measuring instruments. Profile was found to have an excellent content validity (1-CVIr 0.78-1.00
dc.description.abstractAve-CVI 0.92) appropriateness, relevance and usefulness. Conclusions: The present study, is first to provide a universally applicable multimodal ASD patient profile to methodically describe patients. Physicians are encouraged to assess ASD patients holistically using this profile and not just based on radiographic findings.
dc.identifier.doi10.1177/21925682211037935
dc.identifier.urihttps://hdl.handle.net/11443/2649
dc.identifier.urihttp://dx.doi.org/10.1177/21925682211037935
dc.identifier.wosWOS:000686600900001
dc.publisherSAGE PUBLICATIONS LTD
dc.relation.ispartofGLOBAL SPINE JOURNAL
dc.subjectadult spinal deformity
dc.subjectpatient profile
dc.subjectDelphi process
dc.subjectcontent validity
dc.subjectusability
dc.subjectclassification
dc.titleAO Spine Adult Spinal Deformity Patient Profile: A Paradigm Shift in Comprehensive Patient Evaluation in Order to Optimize Treatment and Improve Patient Care
dc.typeArticle

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