The Influence of Comorbidity on Postoperative Outcomes Following Lumbar Decompression
| Autor: | Cara E. Geoghegan, Nathaniel W. Jenkins, Nadia M Hrynewycz, Conor P. Lynch, Michael T. Nolte, Elliot D.K. Cha, James M. Parrish, Kern Singh, Shruthi Mohan, Caroline N. Jadczak |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Decompression
medicine.medical_specialty Visual analogue scale Comorbidity Physical function Lumbar medicine Humans Orthopedics and Sports Medicine Pain Measurement Retrospective Studies Lumbar Vertebrae business.industry Minimal clinically important difference Lumbosacral Region Perioperative medicine.disease humanities Oswestry Disability Index Treatment Outcome Physical therapy Surgery Neurology (clinical) business |
| Zdroj: | Clinical Spine Surgery: A Spine Publication. 34:E390-E396 |
| ISSN: | 2380-0186 |
| DOI: | 10.1097/bsd.0000000000001133 |
| Popis: | STUDY DESIGN Retrospective. OBJECTIVE Evaluate the association between comorbidity burden and reaching minimum clinically important difference (MCID) following lumbar decompression (LD). SUMMARY OF BACKGROUND DATA There is limited research on the influence of preoperative comorbidity burden on patient-reported outcome improvement following LD. METHODS A prospectively maintained surgical registry was retrospectively reviewed for eligible spine surgeries between 2015 and 2019. Inclusion criteria were primary, single, or multilevel LD. Patients were excluded for missing preoperative patient-reported outcome surveys. Stratification was based on Charlson Comorbidity Index (CCI) score: 0 points (no comorbidities), 1-2 points (low CCI), ≥3 points (high CCI). Demographics and perioperative characteristics were evaluated for differences. Linear regression assessed postoperative improvement for visual analogue scale (VAS) back, VAS leg, Oswestry disability index (ODI), Short Form-12 Physical Composite Score (SF-12 PCS), and Patient-Reported Outcomes Measurement Information System physical function (PROMIS-PF) scores through 1 year. Achievement rate of MCID was compared between groups and evaluated for significant predictors. RESULTS Three hundred fourteen patients were included (123 no comorbidities, 100 low CCI, 91 high CCI). Higher CCI patients were older, more likely to smoke, and have comorbid diseases (all P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|