背景:Oswestry残疾指数(ODI)被广泛用作患者报告结果(PRO)工具,用于评估患有下腰痛(LBP)和胸腰椎脊柱手术后的患者。尚无主要研究计算出不同美国人群ODI值的基线范围。在美国人口中建立ODI的年龄调整标准值对于评估治疗策略的效用至关重要。
目的:本研究的目的是描述通过ODI在美国人群中测量的功能性腰背残疾的基线范围。
方法:横断面观察研究。
方法:2024年1月,CloudResearch使用Connect和PrimePanel平台的组合从美国招募了1214名参与者,以完成在RedCap在线数据库上管理的调查。调查包括10个人口统计问题和10个ODI调查问题。调查的分布旨在获得以下每个年龄组的约100名受访者:18-29、30-39、40-49、50-59、60-69、70-79和80-89。样本的分布类似地设计为与美国人口普查种族数据相匹配,白人占78.1%,13.9%黑色,其他7.9%。
方法:Oswestry残疾指数(ODI)。
方法:使用名为Cloudresearch的众包平台,通过回答Oswestry残疾问卷(ODQ)的问题来收集美国人口的代表性样本,一个10个问题的调查。
结果:最终样本量为797名参与者,其中男性386名(48.4%),女性411名(51.6%);未完成调查的169名参与者被排除在外,另外248名因注意力检查问题失败而被排除在外。合并年龄组的总平均ODI评分为14.35(95%CI[13.33,15.37])。平均ODI分数随着年龄的增长而增加,70-79岁的平均ODI最高,为18.0(95%CI[14.76,21.24])。在18-29岁年龄段,女性参与者的平均ODI得分高于男性(P=0.01),50-59岁年龄组(P=0.01),60-69岁年龄组(P=0.02)。此外,体重指数(BMI)与ODI评分之间呈弱正相关(r=0.22,P<.001)。
结论:我们的研究结果表明,残疾随着年龄增长有明显的趋势。这项研究描述了美国人群功能性腰背痛残疾的基线范围。通过定义这些参数,医疗保健专业人员可以更好地定制针对年龄和性别的干预措施,以管理美国老龄化人口的残疾,最终改善LBP相关胸腰椎病变的患者护理以及手术和非手术治疗计划。
BACKGROUND: The Oswestry Disability Index (ODI) is widely utilized as a patient reported outcome (PRO) tool to assess patients presenting with low back pain (LBP) and following thoracolumbar spine surgery. No primary study has calculated the baseline range of ODI values in the diverse American population. Establishing age-adjusted normative values for ODI in the American population is crucial for assessing the utility of treatment strategies.
OBJECTIVE: The purpose of this study is to describe the baseline range of functional low back disability as measured by the ODI in an American population.
METHODS: Cross-Sectional Observational Study.
METHODS: A total of 1214 participants were recruited from the United States in January 2024 using a combination of the Connect and PrimePanel platforms by CloudResearch to complete a survey administered on a RedCap online database. The survey consisted of 10 demographic questions and the 10 ODI survey questions. The distribution of the survey was designed to obtain approximately 100 respondents in each of the following age groups: 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, and 80-89. The distribution of the sample was similarly designed to match the US Census racial data with 78.1% White, 13.9% Black, and 7.9% other.
METHODS: Oswestry Disability Index (ODI).
METHODS: A crowd-sourcing platform called Cloudresearch was used to collect a representative sample of the US population by answering questions of the Oswestry Disability Questionnaire (ODQ), a 10-question survey.
RESULTS: The final sample size was 797 participants including 386 (48.4%) males and 411 (51.6%) females; 169 participants were excluded that did not complete the survey and an additional 248 were excluded for failing attention check questions. The overall mean ODI score for the combined age groups was 14.35 (95% CI [13.33, 15.37]). The mean ODI scores increased with age, with the highest mean ODI in ages 70-79 at 18.0 (95% CI [14.76, 21.24]). Female participants reported higher mean ODI scores than their male counterparts in the 18-29 age group (P = .01), 50-59 age group (P = .01), and 60-69 age group (P = .02). Additionally, a weak positive correlation was found between Body Mass Index (BMI) and ODI scores (r = 0.22, P < .001).
CONCLUSIONS: Our findings demonstrate a clear trend of increased disability with age. This study describes the baseline range of functional low back pain disability in the US population. By defining these parameters, healthcare professionals can better tailor age and sex-specific interventions to manage disability in the aging U.S. population, ultimately improving patient care and both operative and non-operative treatment plans for LBP-related thoracolumbar pathology.