PMID- 34023465
OWN - NLM
STAT- MEDLINE
DCOM- 20211019
LR  - 20211019
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 152
DP  - 2021 Aug
TI  - Achievement of a Minimum Clinically Important Difference for Back Disability Is a 
      Suitable Predictor of Patient Satisfaction Among Lumbar Fusion Patients.
PG  - e94-e100
LID - S1878-8750(21)00731-2 [pii]
LID - 10.1016/j.wneu.2021.05.036 [doi]
AB  - OBJECTIVE: Meeting patient expectations is believed to impact satisfaction 
      scores; however, the influence of achieving a minimum clinically important 
      difference (MCID) is scarcely reported. This study aims to evaluate meeting 
      patient expectations or MCID achievement for pain and disability as predictors of 
      patient satisfaction. METHODS: A retrospective review of single or multilevel 
      lumbar fusion patients was performed. Patients with missing preoperative Oswestry 
      Disability Index (ODI) expectation questionnaires were excluded. Preoperative 
      expectations and postoperative satisfaction scores for visual analog scale (VAS) 
      back, VAS leg, and ODI were collected. Meeting expectations was defined as scores 
      less than or equal to preoperative expectations. Achievement of MCID was 
      evaluated. Improvement of all outcomes and correlations with satisfaction scores 
      were evaluated using the Student's t-test and Pearson coefficient. Achievement of 
      MCID or meeting expectations as predictors of satisfaction were evaluated and 
      compared using linear regression and Suest test. RESULTS: The study included 144 
      patients. All outcomes significantly improved and demonstrated significant 
      correlations with satisfaction scores (P < 0.001, all). Patients reported a mean 
      expectation of 17.7 (ODI), 1.7 (VAS back), and 0.9 (VAS leg). The majority had 
      their expectations met and achieved MCID. Meeting expectations and MCID 
      achievement demonstrated significant associations with satisfaction scores for 
      all outcomes and time points. Achievement of MCID was a stronger predictor of 
      satisfaction for ODI and VAS back. CONCLUSIONS: Meeting preoperative expectations 
      and achievement of an MCID for pain and disability measures was significantly 
      associated with satisfaction. Achievement of MCID may be a more consistent and 
      suitable replacement as a predictor of satisfaction over meeting patient 
      expectations.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Geoghegan, Cara E
AU  - Geoghegan CE
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Mohan, Shruthi
AU  - Mohan S
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Cha, Elliot D K
AU  - Cha EDK
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Lynch, Conor P
AU  - Lynch CP
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Jadczak, Caroline N
AU  - Jadczak CN
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA. Electronic address: kern.singh@rushortho.com.
LA  - eng
PT  - Journal Article
DEP - 20210521
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Adult
MH  - Back Pain/diagnosis/psychology/*surgery
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Lumbar Vertebrae/*surgery
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Pain Measurement/*methods/psychology
MH  - *Patient Satisfaction
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - Retrospective Studies
MH  - Spinal Fusion/*methods/psychology
OTO - NOTNLM
OT  - Disability
OT  - Expectations
OT  - Lumbar fusion
OT  - Minimum clinically important difference
OT  - Satisfaction
EDAT- 2021/05/24 06:00
MHDA- 2021/10/21 06:00
CRDT- 2021/05/23 20:40
PHST- 2021/03/10 00:00 [received]
PHST- 2021/05/10 00:00 [revised]
PHST- 2021/05/11 00:00 [accepted]
PHST- 2021/05/24 06:00 [pubmed]
PHST- 2021/10/21 06:00 [medline]
PHST- 2021/05/23 20:40 [entrez]
AID - S1878-8750(21)00731-2 [pii]
AID - 10.1016/j.wneu.2021.05.036 [doi]
PST - ppublish
SO  - World Neurosurg. 2021 Aug;152:e94-e100. doi: 10.1016/j.wneu.2021.05.036. Epub 
      2021 May 21.