Preoperative Mental Health is not Predictive of Patient-reported Outcomes Following a Minimally Invasive Lumbar Discectomy
| Autor: | Ankur S. Narain, Kern Singh, Daniel D. Bohl, Benjamin C. Mayo, Dustin H. Massel, Krishna D. Modi, William W. Long, Gregory D. Lopez, Fady Y. Hijji |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual Analog Scale Visual analogue scale MEDLINE Cohort Studies Disability Evaluation 03 medical and health sciences 0302 clinical medicine Humans Minimally Invasive Surgical Procedures Medicine Orthopedics and Sports Medicine Patient Reported Outcome Measures 030212 general & internal medicine Spinal Cord Injuries Pain Measurement Lumbar Vertebrae business.industry Retrospective cohort study Evidence-based medicine Middle Aged Mental health humanities Oswestry Disability Index Mental Health Treatment Outcome Quartile Preoperative Period Physical therapy Female Surgery Neurology (clinical) business 030217 neurology & neurosurgery Diskectomy Cohort study |
| Zdroj: | Clinical Spine Surgery: A Spine Publication. 30:E1388-E1391 |
| ISSN: | 2380-0186 |
| DOI: | 10.1097/bsd.0000000000000466 |
| Popis: | STUDY DESIGN This is a retrospective cohort study. OBJECTIVE To determine if preoperative mental health is associated with patient-reported outcomes (PROs) following a minimally invasive lumbar discectomy. SUMMARY OF BACKGROUND DATA PROs are commonly used to quantify a patient's perceived health status. Recently, mental health has been theorized to directly affect patients' perception of their disability and pain after spine surgery. MATERIALS AND METHODS A registry of patients who underwent a primary, single-level minimally invasive lumbar discectomy was reviewed. The association between preoperative Short-Form Health Survey mental composite score (MCS) and change in PROs [Oswestry Disability Index, back and leg visual analog scale (VAS) pain scores] from preoperative to postoperative (6-week, 12-week, 6-month) timepoints was assessed using multivariate regression controlling for patient demographics and the respective preoperative PRO. Patients in the top and bottom quartiles of preoperative MCS were compared regarding achievement of minimum clinically important difference for each PRO. RESULTS A total of 110 patients were included in the analysis. Better preoperative mental health was associated with lower preoperative disability and decreased preoperative back VAS (P |
| Databáze: | OpenAIRE |
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