IOWA BACK INSTITUTE — OUTCOMES PORTAL 563-421-4370
Patient outcomes portal

Ten minutes that make your care measurable.

Before and after spine surgery, we track how you actually feel and function — the same validated assessments used by the American Spine Registry and national quality programs. Answer honestly. There are no wrong answers.

Runs entirely on your device Nothing is stored or sent Print the summary · bring it to your visit
Step 1 — Which area are we assessing?
Step 2 — Where are you in your care?
Or run a single measure (quick mode)
Prefer fewer questions with research-grade precision?Adaptive tests — PROMIS CAT →
−90 dSurgery+30+150 d
Assessment0 of 0
Before anything else — you matter.

You marked having thoughts of being better off dead or of hurting yourself. This page can't respond the way a person can, and you deserve real support today.

Call or text 988 — Suicide & Crisis Lifeline, 24/7
Call our team: 563-421-4370 (Mon–Fri 8–5)
If you are in immediate danger, call 911 or go to the nearest ER

Please still finish and print this assessment — your answers help us take care of the whole you.

A few questions are still unanswered — we've highlighted the first one above.
Your scores

Here's where you stand today.

These numbers are a snapshot, not a verdict. Their real power is comparison — against your own scores before surgery, and at each follow-up.

Optional — for the printout only
Your name and birth date appear only on the printed sheet so clinic staff can match it to your chart. They are never stored or transmitted by this page.
Phone tip: tap Print, then choose “Save as PDF” for a permanent copy. You can upload that PDF — or paste the copied scores — into any patient portal or second-opinion intake system your care involves.
Measure library

Every instrument the American Spine Registry accepts.

Our outcomes program implements the registry's complete catalogue in tiers: live on this page today (each also runs standalone in quick mode), adaptive testing through a secure engine, and licensed instruments as permissions clear.

Live
Numeric Rating Scales — back, leg, neck, arm
Territorial pain, 0–10, past-week average. The registry's spine-specific pain standard.
Live
Oswestry Disability Index (ODI v2.1a)
Ten-domain lumbar function — the reference standard since 1980. Also runs standalone via quick mode above.
Live
Neck Disability Index (NDI)
The cervical counterpart: function, reading, headaches, driving.
Live
PROMIS® Global-10
General physical and mental health on the national T-metric. Also runs standalone via quick mode above.
Live
PHQ-9 & GAD-7 — mood and anxiety screens
Depression and anxiety travel with recovery — screened with a crisis-safe pathway.
Live
mJOA — myelopathy check (self-report)
Spinal-cord function for cervical myelopathy: hands, gait, sensation, bladder.
Adaptive · CAT
PROMIS Physical Function · Pain Interference · Depression · Anxiety
Computer-adaptive tests: 4–7 questions, research-grade precision. Open the adaptive testing module →
Live · registered
EQ-5D-5L — health utility
Five dimensions, EQ VAS, and a US value-set index for health-economic outcomes. © EuroQol Research Foundation, registered non-commercial use — runs in quick mode above.
Licensing pending
PROMIS-29 · VR-12 · ZCQ
PROMIS-29 pending HEAP; VR-12 pending steward permission; ZCQ available on request to its stewards.
Live · with permission
SRS-22r — spinal deformity
Five domains across function, pain, self-image, mental health, and satisfaction. © Scoliosis Research Society, used with permission — runs in quick mode above.
Standard
Capture windows
Pre-op within 90 days before surgery · post-op 30–150 days after · optional 6- and 12-month durability checks.

How this fits your care

These are the same instruments our team reports through the American Spine Registry, the joint quality registry of the American Association of Neurological Surgeons and the American Academy of Orthopaedic Surgeons. Completing one assessment in the 90 days before surgery and another 30–150 days after is the national standard of measurement for spine surgery quality. Your printed summary lets our staff record your scores accurately at your visit.

This tool is educational and informational — it is not a diagnosis, does not create a physician–patient relationship, and never replaces talking with your care team. If you have new loss of bladder or bowel control, numbness in the groin or inner thighs, or rapidly progressing weakness, call 563-421-4370 or seek emergency care now.

Instrument credits — Oswestry Disability Index © Jeremy Fairbank et al., distributed by Mapi Research Trust · Neck Disability Index © Howard Vernon · PROMIS® Global-10 © Northwestern University / HealthMeasures, free for clinical use (electronic administration subject to HealthMeasures HEAP permission — filing in progress) · PHQ-9 and GAD-7 developed by Drs. Spitzer, Kroenke, Williams & Löwe (Pfizer), no permission required · mJOA per Benzel et al., patient-derived adaptation · SRS-22r © Scoliosis Research Society, used with permission · EQ-5D-5L © EuroQol Research Foundation (EQ-5D™ is a trade mark of the EuroQol Research Foundation), registered non-commercial use. Adaptive (CAT) versions run through a licensed HealthMeasures engine — see the adaptive testing module. Scores are calculated in your browser; this website stores and transmits nothing.
Questions about your assessment?

One number reaches the team.

563-421-4370
Mon–Fri 8:00–5:00 · bring your printed summary to every visit