An outcome measure for patients with cervical myelopathy: Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): Part 1

Mitsuru Fukui, Kazuhiro Chiba, Mamoru Kawakami, Shin Ichi Kikuchi, Shin Ichi Konno, Masabumi Miyamoto, Atsushi Seichi, Tadashi Shimamura, Osamu Shirado, Toshihiko Taguchi, Kazuhisa Takahashi, Katsushi Takeshita, Toshikazu Tani, Yoshiaki Toyama, Eiji Wada, Kazuo Yonenobu, Takashi Tanaka, Yoshio Hirota

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Background. An outcome measure to evaluate the neurological function of cervical myelopathy was proposed by the Japanese Orthopaedic Association in 1975 (JOA score), and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. The purpose of this study was to develop a new outcome measure for patients with cervical myelopathy. Methods. This study was conducted in eight university hospitals and their affiliated hospitals from February to May 2002. The questionnaire included 77 items. Forty-one questions, which were originally listed by the authors, were for evaluation of the physical function of the cervical spine and spinal cord. The Medical Outcome Study Short-Form 36-Item Health Survey (SF-36) was used to examine health-related quality of life (QOL). Patients with cervical myelopathy and healthy volunteers were recruited at each institution. After analysis of the answers from patients and volunteers, irrelevant questions using the following criteria were excluded: (1) a question 80% of answers for which were concentrated on one choice, (2) a question whose answer was highly correlated with that of other questions, (3) a question that could be explained by other questions, and (4) a question for which the distribution of the answers obtained from the patients was not different from that obtained from the normal volunteers. Results. The patients comprised 164 men and 86 women, and the healthy volunteers 96 men and 120 women. Thirteen items from the questions about the physical functions of the cervical spine and the spinal cord and 11 items from SF-36 remained as candidates that should be included in the final outcome measure questionnaire. Conclusion. Twenty-four questions remained as candidates for the final questionnaire. This new self-administered questionnaire might be used to evaluate the outcomes in patients with cervical myelopathy more efficiently.

Original languageEnglish
Pages (from-to)227-240
Number of pages14
JournalJournal of Orthopaedic Science
Volume12
Issue number3
DOIs
Publication statusPublished - 2007 May
Externally publishedYes

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Spinal Cord Diseases
Outcome Assessment (Health Care)
Healthy Volunteers
Spine
Health Surveys
Patient Satisfaction
Surveys and Questionnaires
Volunteers
Japan
Quality of Life
Health

ASJC Scopus subject areas

  • Surgery

Cite this

An outcome measure for patients with cervical myelopathy : Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): Part 1. / Fukui, Mitsuru; Chiba, Kazuhiro; Kawakami, Mamoru; Kikuchi, Shin Ichi; Konno, Shin Ichi; Miyamoto, Masabumi; Seichi, Atsushi; Shimamura, Tadashi; Shirado, Osamu; Taguchi, Toshihiko; Takahashi, Kazuhisa; Takeshita, Katsushi; Tani, Toshikazu; Toyama, Yoshiaki; Wada, Eiji; Yonenobu, Kazuo; Tanaka, Takashi; Hirota, Yoshio.

In: Journal of Orthopaedic Science, Vol. 12, No. 3, 05.2007, p. 227-240.

Research output: Contribution to journalArticle

Fukui, M, Chiba, K, Kawakami, M, Kikuchi, SI, Konno, SI, Miyamoto, M, Seichi, A, Shimamura, T, Shirado, O, Taguchi, T, Takahashi, K, Takeshita, K, Tani, T, Toyama, Y, Wada, E, Yonenobu, K, Tanaka, T & Hirota, Y 2007, 'An outcome measure for patients with cervical myelopathy: Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): Part 1', Journal of Orthopaedic Science, vol. 12, no. 3, pp. 227-240. https://doi.org/10.1007/s00776-007-1118-1
Fukui, Mitsuru ; Chiba, Kazuhiro ; Kawakami, Mamoru ; Kikuchi, Shin Ichi ; Konno, Shin Ichi ; Miyamoto, Masabumi ; Seichi, Atsushi ; Shimamura, Tadashi ; Shirado, Osamu ; Taguchi, Toshihiko ; Takahashi, Kazuhisa ; Takeshita, Katsushi ; Tani, Toshikazu ; Toyama, Yoshiaki ; Wada, Eiji ; Yonenobu, Kazuo ; Tanaka, Takashi ; Hirota, Yoshio. / An outcome measure for patients with cervical myelopathy : Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): Part 1. In: Journal of Orthopaedic Science. 2007 ; Vol. 12, No. 3. pp. 227-240.
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abstract = "Background. An outcome measure to evaluate the neurological function of cervical myelopathy was proposed by the Japanese Orthopaedic Association in 1975 (JOA score), and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. The purpose of this study was to develop a new outcome measure for patients with cervical myelopathy. Methods. This study was conducted in eight university hospitals and their affiliated hospitals from February to May 2002. The questionnaire included 77 items. Forty-one questions, which were originally listed by the authors, were for evaluation of the physical function of the cervical spine and spinal cord. The Medical Outcome Study Short-Form 36-Item Health Survey (SF-36) was used to examine health-related quality of life (QOL). Patients with cervical myelopathy and healthy volunteers were recruited at each institution. After analysis of the answers from patients and volunteers, irrelevant questions using the following criteria were excluded: (1) a question 80{\%} of answers for which were concentrated on one choice, (2) a question whose answer was highly correlated with that of other questions, (3) a question that could be explained by other questions, and (4) a question for which the distribution of the answers obtained from the patients was not different from that obtained from the normal volunteers. Results. The patients comprised 164 men and 86 women, and the healthy volunteers 96 men and 120 women. Thirteen items from the questions about the physical functions of the cervical spine and the spinal cord and 11 items from SF-36 remained as candidates that should be included in the final outcome measure questionnaire. Conclusion. Twenty-four questions remained as candidates for the final questionnaire. This new self-administered questionnaire might be used to evaluate the outcomes in patients with cervical myelopathy more efficiently.",
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AU - Fukui, Mitsuru

AU - Chiba, Kazuhiro

AU - Kawakami, Mamoru

AU - Kikuchi, Shin Ichi

AU - Konno, Shin Ichi

AU - Miyamoto, Masabumi

AU - Seichi, Atsushi

AU - Shimamura, Tadashi

AU - Shirado, Osamu

AU - Taguchi, Toshihiko

AU - Takahashi, Kazuhisa

AU - Takeshita, Katsushi

AU - Tani, Toshikazu

AU - Toyama, Yoshiaki

AU - Wada, Eiji

AU - Yonenobu, Kazuo

AU - Tanaka, Takashi

AU - Hirota, Yoshio

PY - 2007/5

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N2 - Background. An outcome measure to evaluate the neurological function of cervical myelopathy was proposed by the Japanese Orthopaedic Association in 1975 (JOA score), and has been widely used in Japan. However, the JOA score does not include patients' satisfaction, disability, handicaps, or general health, which can be affected by cervical myelopathy. The purpose of this study was to develop a new outcome measure for patients with cervical myelopathy. Methods. This study was conducted in eight university hospitals and their affiliated hospitals from February to May 2002. The questionnaire included 77 items. Forty-one questions, which were originally listed by the authors, were for evaluation of the physical function of the cervical spine and spinal cord. The Medical Outcome Study Short-Form 36-Item Health Survey (SF-36) was used to examine health-related quality of life (QOL). Patients with cervical myelopathy and healthy volunteers were recruited at each institution. After analysis of the answers from patients and volunteers, irrelevant questions using the following criteria were excluded: (1) a question 80% of answers for which were concentrated on one choice, (2) a question whose answer was highly correlated with that of other questions, (3) a question that could be explained by other questions, and (4) a question for which the distribution of the answers obtained from the patients was not different from that obtained from the normal volunteers. Results. The patients comprised 164 men and 86 women, and the healthy volunteers 96 men and 120 women. Thirteen items from the questions about the physical functions of the cervical spine and the spinal cord and 11 items from SF-36 remained as candidates that should be included in the final outcome measure questionnaire. Conclusion. Twenty-four questions remained as candidates for the final questionnaire. This new self-administered questionnaire might be used to evaluate the outcomes in patients with cervical myelopathy more efficiently.

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