Skip to main content

Measurement Properties of the Oswestry Disability Index in Recipients of Lumbar Spine Surgery.

Publication ,  Journal Article
Cook, CE; Garcia, AN; Wright, A; Shaffrey, C; Gottfried, O
Published in: Spine (Phila Pa 1976)
January 15, 2021

STUDY DESIGN: This is an observational study on the measurement properties of the Oswestry Disability Index (ODI) version 1.0. OBJECTIVES: To (1) determine the construct validity of the tool, specifically structural validity; (2) analyze the criterion validity of the tool, specifically concurrent validity against proxy measures of pain, function, and quality of life and predictive validity of each item to proxy measures of disability; and (3) reliability of the tool, specifically internal consistency. SUMMARY OF BACKGROUND DATA: We endeavored to investigate the measurement properties of the ODI on a spine surgery population to test the assumption that a more disabled population may influence the properties of the tool. METHODS: Data were pulled from the Quality Outcomes Database (QOD) Spine Registry. A total of 57,199 participants who underwent primary or revision lumbar spine surgeries were included. Structural validity was assessed by exploratory and confirmatory factor analysis, concurrent validity, predictive validity by odds ratios, and internal consistency by Cronbach alpha. The Visual Analog Scale for back pain, two standard open questions, and the EuroQol 5 Dimension/Visual Analogue Scale were included as proxy measures of pain, function, and quality of life, respectively. Hospital readmission, return to operating room for treatment and revision surgery (all within 30 days) were included as proxy measures of disability to assess the predictive validity of each ODI item. RESULTS: The ODI demonstrated a two-factor structural solution, which explained 54.9% of the total variance. Fair internal consistency (0.74-0.77), and fair criterion validity (concurrent) and significant findings with predictive validity (P < 0.01) substantiated the use of each item of the ODI as well as the summary score and ODI thresholds. CONCLUSIONS: Our study lends value to a burgeoning repository of evidence that suggests the ODI is a useful tool for capturing outcomes in clinical practice. We recommend its continued use in clinical practice.Level of Evidence: 4.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

January 15, 2021

Volume

46

Issue

2

Start / End Page

E118 / E125

Location

United States

Related Subject Headings

  • Visual Analog Scale
  • Surveys and Questionnaires
  • Reproducibility of Results
  • Quality of Life
  • Psychometrics
  • Patient Readmission
  • Pain Measurement
  • Orthopedics
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Cook, C. E., Garcia, A. N., Wright, A., Shaffrey, C., & Gottfried, O. (2021). Measurement Properties of the Oswestry Disability Index in Recipients of Lumbar Spine Surgery. Spine (Phila Pa 1976), 46(2), E118–E125. https://doi.org/10.1097/BRS.0000000000003732
Cook, Chad E., Alessandra N. Garcia, Alexis Wright, Christopher Shaffrey, and Oren Gottfried. “Measurement Properties of the Oswestry Disability Index in Recipients of Lumbar Spine Surgery.Spine (Phila Pa 1976) 46, no. 2 (January 15, 2021): E118–25. https://doi.org/10.1097/BRS.0000000000003732.
Cook CE, Garcia AN, Wright A, Shaffrey C, Gottfried O. Measurement Properties of the Oswestry Disability Index in Recipients of Lumbar Spine Surgery. Spine (Phila Pa 1976). 2021 Jan 15;46(2):E118–25.
Cook, Chad E., et al. “Measurement Properties of the Oswestry Disability Index in Recipients of Lumbar Spine Surgery.Spine (Phila Pa 1976), vol. 46, no. 2, Jan. 2021, pp. E118–25. Pubmed, doi:10.1097/BRS.0000000000003732.
Cook CE, Garcia AN, Wright A, Shaffrey C, Gottfried O. Measurement Properties of the Oswestry Disability Index in Recipients of Lumbar Spine Surgery. Spine (Phila Pa 1976). 2021 Jan 15;46(2):E118–E125.

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

January 15, 2021

Volume

46

Issue

2

Start / End Page

E118 / E125

Location

United States

Related Subject Headings

  • Visual Analog Scale
  • Surveys and Questionnaires
  • Reproducibility of Results
  • Quality of Life
  • Psychometrics
  • Patient Readmission
  • Pain Measurement
  • Orthopedics
  • Middle Aged
  • Male