PMID- 34465014
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220913
IS  - 1976-1902 (Print)
IS  - 1976-7846 (Electronic)
IS  - 1976-1902 (Linking)
VI  - 16
IP  - 4
DP  - 2022 Aug
TI  - Meeting Patient Expectations or Achieving a Minimum Clinically Important 
      Difference: Predictors of Satisfaction among Lumbar Fusion Patients.
PG  - 478-485
LID - 10.31616/asj.2021.0138 [doi]
AB  - STUDY DESIGN: Retrospective cohort. PURPOSE: To investigate the impact of meeting 
      a patient's preoperative expectations for back or leg pain or the achievement of 
      minimum clinically important difference (MCID) on patient satisfaction following 
      lumbar fusion. OVERVIEW OF LITERATURE: Few studies have compared if MCID 
      achievement or meeting preoperative expectations for pain reduction affects 
      patient satisfaction. METHODS: A surgical database was reviewed for eligible 
      patients who underwent lumbar fusion. Patient satisfaction and Visual Analog 
      Scale (VAS) for back and leg pain were the outcomes of interest. Meeting 
      expectations was calculated as a difference of </=0 between preoperative 
      expectations and postoperative VAS scores. MCID achievement was calculated by 
      comparing changes in VAS scores with established values. Meeting preoperative 
      expectations or MCID achievement as predictors of patient satisfaction was 
      evaluated using regression analysis. RESULTS: A total of 134 patients were 
      included in this study. Patients demonstrated significant improvements in VAS 
      back and VAS leg (p<0.001). At 1 year, 56.4% of patients had their VAS back 
      expectations met compared with 59.5% for VAS leg. Similarly, at 1 year, 77.3% and 
      71.3% of patients achieved MCID for VAS back and leg, respectively. Meeting 
      expectations for VAS back was significantly associated with patient satisfaction 
      at all postoperative timepoints; however, MCID achievement only demonstrated a 
      significant association with patient satisfaction at 6 and 12 weeks (all, 
      p</=0.024). Meeting VAS leg expectations and MCID achievement both demonstrated a 
      significant association with patient satisfaction at all postoperative timepoints 
      (all, p</=0.02). No differences between MCID achievement and meeting expectations 
      as predictors of satisfaction were noted. CONCLUSIONS: The majority of patients 
      achieved MCID and had their back and leg pain expectations met by 1 year. Both 
      measures were significant predictors of patient satisfaction and suggest that 
      MCID achievement may act as a suitable substitute for patient satisfaction.
FAU - Cha, Elliot D K
AU  - Cha EDK
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Lynch, Conor P
AU  - Lynch CP
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Jadczak, Caroline N
AU  - Jadczak CN
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Mohan, Shruthi
AU  - Mohan S
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Geoghegan, Cara E
AU  - Geoghegan CE
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20210902
PL  - Korea (South)
TA  - Asian Spine J
JT  - Asian spine journal
JID - 101314177
PMC - PMC9441433
OTO - NOTNLM
OT  - Minimal clinically important difference
OT  - Patient reported outcome measures
OT  - Spinal fusion
COIS- Conflict of Interest No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2021/09/02 06:00
MHDA- 2021/09/02 06:01
PMCR- 2022/08/01
CRDT- 2021/09/01 00:33
PHST- 2021/04/08 00:00 [received]
PHST- 2021/06/03 00:00 [accepted]
PHST- 2021/09/02 06:00 [pubmed]
PHST- 2021/09/02 06:01 [medline]
PHST- 2021/09/01 00:33 [entrez]
PHST- 2022/08/01 00:00 [pmc-release]
AID - asj.2021.0138 [pii]
AID - asj-2021-0138 [pii]
AID - 10.31616/asj.2021.0138 [doi]
PST - ppublish
SO  - Asian Spine J. 2022 Aug;16(4):478-485. doi: 10.31616/asj.2021.0138. Epub 2021 Sep 
      2.