Use of the PROMIS-10 global health in patients with chronic low back pain in outpatient physical therapy: a retrospective cohort study

Abstract

Background Although evidence-based guidelines for physical therapy for patients with chronic low back pain (cLBP) are available, selecting patient-reported outcome measures to capture complexity of health status and quality of life remains a challenge. PROMIS-10 Global Health (GH) may be used to screen for impactful health risks and enable patient-centered care. The purpose of this study was to investigate the interrelationships between PROMIS-10 GH scores and patient demographics, health status, and healthcare utilization in patients with cLBP who received physical therapy. Methods A retrospective review of de-identified electronic health records of patients with cLBP was performed. Data were collected for 328 patients seen from 2017 to 2020 in three physical therapy clinics. Patients were grouped into HIGH and LOW initial assessment scores on the PROMIS-10 Global Physical Health (PH) and Global Mental Health (MH) measures. Outcomes of interest were patient demographics, health status, and healthcare utilization. Mann–Whitney U and chi-square tests were used to determine differences between groups, and binary logistic regression was used to calculate odds ratios (OR) to determine predictors of PH-LOW and MH-LOW group assignments. Results The PH-LOW and MH-LOW groups contained larger proportions of patients who were African American, non-Hispanic, and non-commercially insured compared to PH-HIGH and MH-HIGH groups (p < .05). The PH-LOW and MH-LOW groups also had a higher Charlson comorbidity index (CCI), higher rates of diabetes and depression, and more appointment cancellations or no-shows (p < .05). African American race (OR 2.54), other race (2.01), having Medi-Cal insurance (OR 3.37), and higher CCI scores (OR 1.55) increased the likelihood of being in the PH-LOW group. African American race (OR 3.54), having Medi-Cal insurance (OR 2.19), depression (OR 3.15), kidney disease (OR 2.66), and chronic obstructive pulmonary disease (OR 1.92) all increased the likeihood of being in the MH-LOW group. Conclusions Our study identified groups of patients with cLBP who are more likely to have lower PH and MH scores. PROMIS-10 GH provides an opportunity to capture and identify quality of life and global health risks in patients with cLBP. Using PROMIS-10 in physical therapy practice could help identify psychosocial factors and quality of life in the population with cLBP.

Functional medicine health coaching improved elimination diet compliance and patient-reported health outcomes: Results from a randomized controlled trial

“…The PROMIS GH measures health status across several physical and mental health areas. [50] The PROMIS GH has been validated extensively, including for online data collection as was performed in this study. [51][52][53] The physical and mental health domains of the PROMIS GH are scored and reported separately.…”

Matched vs Nonmatched Placebos in a Randomized Trial of COVID-19 Treatments

“…Acknowledging that there may be a differential impact of outcome types with respect to between-placebo differences, we also explored 2 patient-reported outcomes. In the substudies involving fluvoxamine, fluvoxamine plus budesonide, ivermectin, pegylated interferon lambda, and metformin, we assessed the PROMIS Global-10 score, a 10-item questionnaire whose items are all 5-point individual T scores gauging health care–related quality of life 14 and the EuroQol 5-Dimension 5-level (EQ-5D-5L) questionnaire, consisting of five 5-level items, was conducted, covering mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. These questionnaires were conducted on multiple occasions throughout the trial, and we analyzed the day 28 results of both.…”

Woman-Centered Care: Standardized Outcomes Measure

“…The questionnaire yields two summary scores: the Global Physical Health Score and the Global Mental Health Score, which are standardized using T-scores. Higher scores indicate better health [ 23 ].…”