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• W2969607575 abstract "BACKGROUND CONTEXT Patient-reported outcome measures (PROMs) allow patients to validly self-report functional status, pain level and mental health in comparison with the greater population. Many patients with MVA insurance have concerns regarding causation of their injuries and may be prone to litigation. There is a concern that patients seeking spine care with MVA insurance or WC may report worse symptoms than the general spine population in order to gain external benefit. PURPOSE To determine whether Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF), Pain Interference (PI), and Depression scores at new patient spine visits differed based on whether a patient has Motor Vehicle Accident (MVA) insurance, suffered a workers compensation (WC) injury, or are part of the general population. STUDY DESIGN/SETTING Retrospective review of prospectively collected data at an urban, tertiary care, academic medical center spine clinic. PATIENT SAMPLE A total of 15,158 new patient visits to a spine clinic. OUTCOME MEASURES 1) Insurance type (Motor Vehicle Accident (MVA) Insurance vs. Workers Compensation vs. General Population/All Else); 2) Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function (PF), Pain Interference (PI), and Depression. METHODS Patients presenting to a tertiary academic spine clinic between 02/2015 and 01/2018 for a new patient visit completed PROMIS PF, PI and Depression CATs. Patients were divided into three groups: 1) MVA insurance, which may be used as a proxy for potential pending litigation; 2) WC; 3) all other patients. Bivariate analyses were used to: 1) compare patient characteristics; 2) compare mean PROMIS scores; and 3) compare PROMIS score floor effects across the 3 groups. RESULTS A total of 15,158 new patient visits (general pop: 14,452; WC: 336; MVA: 370) fit our inclusion criteria. Patients with MVA insurance or WC had worse PROMIS PF (37.0 vs WC: 36.7 vs general pop: 40.4), PI (65.7 vs WC: 65.9 vs general pop: 61.7), and Depression (55.1 vs. WC: 54.5 vs general pop: 50.8) scores than the general population. PROMIS Depression and PROMIS PI had lower floor effects in the MVA insurance and WC groups (Depression: MVA, 6.2% vs WC, 8.3% vs. general pop, 12.5%; PI: MVA, 0.5% vs WC, 0.3% vs general pop, 2.8%). All differences were statistically significant at p CONCLUSIONS Patients seeking spine care who have MVA insurance, which may represent potential pending litigation, or WC have worse self-reported physical function, pain coping mechanisms, and depression than the general spine population. This may be due to hopes of external gains, monetary or otherwise, or because injuries leading to such situations are genuinely more severe. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs." @default.
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• W2969607575 date "2019-09-01" @default.
• W2969607575 modified "2023-09-22" @default.
• W2969607575 title "P63. Comparing patient-reported outcome scores among spine patients: motor vehicle accident insurance versus workers compensation versus general population" @default.
• W2969607575 doi "https://doi.org/10.1016/j.spinee.2019.05.487" @default.
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