Document Detail


Development and psychometric properties of the Vertebral Compression Fracture Pain and Functional Disability Questionnaire.
MedLine Citation:
PMID:  16961082     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECT: Vertebral compression fractures (VCFs) result in severe and disabling pain, diminished quality of life, and substantial medical costs. There exists no standard instrument with which to measure pain and functional status before and after treatment of VCFs. METHODS: A questionnaire was specifically developed to assess pain and disability in patients with VCFs before and after undergoing percutaneous polymethylmethacrylate-augmented vertebroplasty. The first section of the baseline questionnaire (before treatment) contains 11 items that address the patient's previous and current levels of back pain and distress. The second section of the baseline questionnaire lists 24 activities of daily living (ADLs), each measured on a four-point scale ranging from "able to do without pain" to "cannot do because of pain." The follow-up questionnaire (after treatment) is similar in format. Among 72 vertebroplasty-treated patients, the internal consistency reliability of the 24 ADLs ranged from 0.87 to 0.98, with similar results observed before and after treatment. Correlations of 0.29 to 0.72 were observed among the 24 ADLs and the internal measures of pain and distress measured on both visual analog and adjectival scales. Similar correlations (range 0.35-0.63) were observed between the questionnaire and 10 dimensions of the Oswestry Disability Index's low-back pain questionnaire, an external instrument used to assess criterion-referenced validity. Evidence in support of the validity of the questionnaire was present before and after treatment. CONCLUSIONS: The Vertebral Compression Fracture Pain and Functional Disability Questionnaire appears to be a reliable and valid instrument for assessing back pain and functional ability in patients before and after treatment for VCFs.
Authors:
Avery J Evans; Kevin E Kip; Selene M Boutin
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  5     ISSN:  1547-5654     ISO Abbreviation:  -     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-11     Completed Date:  2006-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  217-23     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Virginia Health System, Charlottesville, Virginia 22908-0170, USA. aje5u@hscmail.mcc.virginia.edu
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Aged
Back Pain / etiology,  psychology*
Female
Follow-Up Studies
Fracture Fixation
Fractures, Compression / complications*,  physiopathology,  surgery
Humans
Male
Middle Aged
Pain Measurement*
Polymethyl Methacrylate
Psychometrics
Questionnaires*
Reproducibility of Results
Spinal Fractures / complications*,  physiopathology,  surgery
Treatment Outcome
Chemical
Reg. No./Substance:
9011-14-7/Polymethyl Methacrylate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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