The international spine registry SPINE TANGO: status quo and first results

Melloh, Markus; Staub, Lukas; Aghayev, Emin; Zweig, Thomas; Barz, Thomas; Theis, Jean‐Claude; Chavanne, A; Grob, Dieter; Aebi, Max; Roeder, C.

doi:10.1007/s00586-008-0693-y

Cited by 17 publications

(21 citation statements)

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“…Additional medical history and surgical variables describing the study group were extracted from the Spine Tango Spine Surgery Registry [17]. …”

Section: Questionnaire Batterymentioning

confidence: 99%

“…The questions evaluated the dimensions pain (axial and radiating pain), function, symptom-specific well-being, and disability (social and work). This core set showed excellent psychometric characteristics in patients with back pain undergoing either surgical or conservative management [15,16] and multilingual versions were adopted for use in the Spine Tango system, the international spine surgery registry of Eurospine, the Spine Society of Europe (SSE) [17].…”

Section: Introductionmentioning

confidence: 99%

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Validity and responsiveness of the Core Outcome Measures Index (COMI) for the neck

et al. 2011

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Purpose Patient-orientated outcome questionnaires are essential to evaluate treatment success. To compare different treatments, hospitals, and surgeons, standardised questionnaires are required. The present study examined the validity and responsiveness of the Core Outcome Measurement Index for neck pain (COMI-neck), a short, multidimensional outcome instrument. Methods Questionnaires were completed by patients with degenerative problems of the cervical spine undergoing cervical disc arthroplasty before (N = 89) and 3 months after (N = 75) surgery. The questionnaires comprised the EuroQol-Five Dimension (EQ-5D), the North American Spine Society Cervical Spine Outcome Assessment Instrument (NASS-cervical) and the COMI-neck. Results The COMI and NASS-cervical scores displayed no notable floor or ceiling effects at any time point whereas for the EQ-5D, the highest or lowest values were reached in around 32.5% of patients at follow-up. With one exception (symptom-specific well-being), the individual COMI items and the COMI summary score correlated to the expected extent (R = 0.4-0.8) with the scores of the chosen reference questionnaires. The area under the curve (AUC) generated by ROC analysis was significantly higher for the COMI (0.96) than for any other instrument/subscale when self reported treatment outcome was used as the external criterion, dichotomised as ''good'' (operation helped a lot/ helped) versus ''poor'' (operation helped only a little/didn't help/made things worse). The COMI had a high effect size (standardised response mean; SRM) (2.34) for the good global outcome group and a low SRM for the poor outcome group (0.34). The EQ-5D and the NASS-cervical lacked this ability to differentiate between the two groups, showing less distinct SRMs for good and poor outcome groups. Conclusions This study provides evidence that the COMI-neck is a valid and responsive questionnaire in the population of patients examined. Further investigations should examine its applicability in other patient groups with less severe neck pain or undergoing other treatment modalities.

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“…Additional medical history and surgical variables describing the study group were extracted from the Spine Tango Spine Surgery Registry [17]. …”

Section: Questionnaire Batterymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validity and responsiveness of the Core Outcome Measures Index (COMI) for the neck

et al. 2011

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“…The Spine Tango Registry in Europe, for example, reported a 33% rate of followup after collecting data from 6000 patients. 11 Despite problems with missing data, the Spine Tango Registry has had many successes to date, including the ability to compare data from individual sites to outcomes from the aggregate data set. 12 Perhaps more importantly, the Spine Tango Registry has been effective in risk-adjusted benchmarking, assessing complications data, and documenting the overall effectiveness of surgery for common spinal conditions such as lumbar spinal stenosis.…”

Section: Spinal Registriesmentioning

confidence: 99%

The efficacy of lumbar discectomy and single-level fusion for spondylolisthesis: results from the NeuroPoint-SD registry

Ghogawala

Shaffrey

Asher

et al. 2013

SPI

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Object. There is significant practice variation and considerable uncertainty among payers and other major stakeholders as to whether many surgical treatments are effective in actual US spine practice. The aim of this study was to establish a multicenter cooperative research group and demonstrate the feasibility of developing a registry to assess the efficacy of common lumbar spinal procedures using prospectively collected patient-reported outcome measures.Methods. An observational prospective cohort study was conducted at 13 US academic and community sites. Unselected patients undergoing lumbar discectomy or single-level fusion for spondylolisthesis were included. Patients completed the 36-item Short-Form Survey Instrument (SF-36), Oswestry Disability Index (ODI), and visual analog scale (VAS) questionnaires preoperatively and at 1, 3, 6, and 12 months postoperatively. Power analysis estimated a sample size of 160 patients: 125 patients with lumbar disc herniation, and 35 with lumbar spondylolisthesis. All patient data were entered into a secure Internet-based data management platform.Results. Of 249 patients screened, there were 198 enrolled over 1 year. The median age of the patients was 45.0 years (49% female) for lumbar discectomy (n = 148), and 58.0 years (58% female) for lumbar spondylolisthesis (n = 50). At 30 days, 12 complications (6.1% of study population) were identified. Ten patients (6.8%) with disc herniation and 1 (2%) with spondylolisthesis required reoperation. The overall follow-up rate for the collection of patient-reported outcome data over 1 year was 88.3%. At 30 days, both lumbar discectomy and single-level fusion procedures were associated with significant improvements in ODI, VAS, and SF-36 scores (p ≤ 0.0002), which persisted over the 1-year follow-up period (p < 0.0001). By the 1-year follow-up evaluation, more than 80% of patients in each cohort who were working preoperatively had returned to work.Conclusions. It is feasible to build a national spine registry for the collection of high-quality prospective data to demonstrate the effectiveness of spinal procedures in actual practice. Clinical trial registration no.: 01220921 (ClinicalTrials.gov). (http://thejns.org/doi/abs/10.3171/2013

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“…Hospitalisation times are a similar case. In order to highlight and explain why this type of variable cannot be compared in a similarly direct way as the input variables, we describe the comparison of ''raw'' proportions of dura lesions in posterior spinal fusion of seven selected Spine tango hospitals and how corrections of these proportions are performed by multiple regression analysis and modeling in order to allow adjusted comparisons [4]. Adjustment is made for all those input variables that have a statistically significant influence on the dura lesion.…”

Section: Pitfalls: Online Benchmarking Of Output Variablesmentioning

confidence: 99%

Benchmarking with Spine Tango: potentials and pitfalls

et al. 2009

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The newly released online statistics function of Spine Tango allows comparison of own data against the aggregated results of the data pool that all other participants generate. This comparison can be considered a very simple way of benchmarking, which means that the quality of what one organization does is compared with other similar organizations. The goal is to make changes towards better practice if benchmarking shows inferior results compared with the pool. There are, however, pitfalls in this simplified way of comparing data that can result in confounding. This means that important influential factors can make results appear better or worse than they are in reality and these factors can only be identified and neutralized in a multiple regression analysis performed by a statistical expert. Comparing input variables, confounding is less of a problem than comparing outcome variables. Therefore, the potentials and limitations of automated online comparisons need to be considered when interpreting the results of the benchmarking procedure.

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The international spine registry SPINE TANGO: status quo and first results

Abstract: This article was mistakenly published under the category ''Review Article''. The correct category is ''Original Article''.

Cited by 17 publications

References 0 publications

Validity and responsiveness of the Core Outcome Measures Index (COMI) for the neck

Validity and responsiveness of the Core Outcome Measures Index (COMI) for the neck

The efficacy of lumbar discectomy and single-level fusion for spondylolisthesis: results from the NeuroPoint-SD registry

Benchmarking with Spine Tango: potentials and pitfalls

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