PMID- 35108646 OWN - NLM STAT- MEDLINE DCOM- 20220405 LR - 20220823 IS - 1878-8769 (Electronic) IS - 1878-8750 (Linking) VI - 160 DP - 2022 Apr TI - Influence of Self-Identified Gender on Clinical Outcomes and Postoperative Patient Satisfaction After Lumbar Decompression: Cohort-Matched Analysis. PG - e616-e627 LID - S1878-8750(22)00119-X [pii] LID - 10.1016/j.wneu.2022.01.105 [doi] AB - OBJECTIVE: We compared the patient-reported outcomes (PROs), minimal clinically important difference (MCID) achievement, and perceived postoperative satisfaction after minimally invasive lumbar decompression of patients stratified by self-identified gender. METHODS: Patients who had undergone single minimally invasive lumbar decompression were identified. The PRO measures were administered preoperatively and postoperatively and included the PRO measurement information system-physical function, visual analog scale (VAS) for back and leg pain, Oswestry disability index (ODI), and 12-item short form physical and mental component scores. The patients were grouped by self-identified gender. Propensity score matching was performed. The mean PROs and postoperative satisfaction scores were compared between cohorts using a 2-sample t test. The postoperative PRO improvement within each cohort was calculated using a paired t test. MCID achievement was determined by comparison to previously established threshold values. The MCID achievement rates were compared among the groups using simple logistic regression. RESULTS: A total of 128 propensity score-matched patients were included: 44 in the female group and 84 in the male group. The male group demonstrated worse VAS scores for back pain at 12 weeks and a worse ODI at 6 weeks (P < 0.046 for all). The female cohort had achieved greater rates of a MCID for the ODI at 6 months (P < 0.049). Patients in the self-identified female group demonstrated higher levels of postoperative satisfaction for the VAS score for leg pain at 6 and 12 weeks), the VAS score for back pain at 12 weeks, and the ODI at 6 and 12 weeks (P < 0.028 for all). Additionally, patients in the self-identified female group demonstrated greater levels of satisfaction for lifting at 6 and 12 weeks (P < 0.014 for all). CONCLUSIONS: Despite the similar preoperative baseline values, postoperative improvement, and clinical outcomes, our results suggest that the self-identified male patients will have poorer short-term satisfaction for disability, leg pain, back pain, and lifting versus patients in the self-identified female group. Self-identified gender might influence patient satisfaction and could be attributed to differing preoperative expectations at baseline for short-term recovery. CI - Published by Elsevier Inc. FAU - Jacob, Kevin C AU - Jacob KC AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Patel, Madhav R AU - Patel MR AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Park, Grant J AU - Park GJ AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Ribot, Max A AU - Ribot MA AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Parsons, Alexander W AU - Parsons AW AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Vanjani, Nisheka N AU - Vanjani NN AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Pawlowski, Hanna AU - Pawlowski H AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA. FAU - Prabhu, Michael C AU - Prabhu MC 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 - 20220130 PL - United States TA - World Neurosurg JT - World neurosurgery JID - 101528275 SB - IM MH - Back Pain/surgery MH - Decompression MH - Disability Evaluation MH - Female MH - Humans MH - Lumbar Vertebrae/surgery MH - Male MH - *Patient Satisfaction MH - *Spinal Fusion/methods MH - Treatment Outcome OTO - NOTNLM OT - Gender OT - Lumbar decompression OT - Patient satisfaction OT - Patient-reported outcome measures EDAT- 2022/02/03 06:00 MHDA- 2022/04/06 06:00 CRDT- 2022/02/02 20:06 PHST- 2021/12/21 00:00 [received] PHST- 2022/01/24 00:00 [accepted] PHST- 2022/02/03 06:00 [pubmed] PHST- 2022/04/06 06:00 [medline] PHST- 2022/02/02 20:06 [entrez] AID - S1878-8750(22)00119-X [pii] AID - 10.1016/j.wneu.2022.01.105 [doi] PST - ppublish SO - World Neurosurg. 2022 Apr;160:e616-e627. doi: 10.1016/j.wneu.2022.01.105. Epub 2022 Jan 30.