PMID- 35259504
OWN - NLM
STAT- MEDLINE
DCOM- 20220608
LR  - 20220831
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 162
DP  - 2022 Jun
TI  - Meeting Patient Expectations and Achieving a Minimal Clinically Important 
      Difference for Back Disability, Back Pain, and Leg Pain May Provide Predictive 
      Utility for Achieving Patient Satisfaction Among Lumbar Decompression Patients.
PG  - e328-e335
LID - S1878-8750(22)00283-2 [pii]
LID - 10.1016/j.wneu.2022.03.002 [doi]
AB  - OBJECTIVE: Our study evaluates minimum clinically important difference (MCID) 
      achievement for back pain/leg pain/disability and meeting preoperative 
      expectations as predictors of patient satisfaction after minimally invasive 
      lumbar decompression (MIS-LD) surgery. METHODS: Single/multilevel MIS-LD 
      procedures were identified. Patient-reported outcome measures 
      (preoperative/postoperative), expectations (preoperative), and satisfaction 
      (postoperative) were collected for visual analog scale (VAS) back/VAS 
      leg/Oswestry Disability Index (ODI). Student's t-test assessed patient-reported 
      outcome measure improvement from preoperative baseline. Correlations between 
      outcome and satisfaction scores were evaluated using the Pearson correlation 
      coefficient and categorized according to strength of relationship. MCID 
      achievement and meeting expectations were evaluated as predictors of 
      postoperative patient satisfaction with simple linear regression. Comparison of 
      meeting expectations or achieving MCID as predictors of satisfaction scores was 
      performed using a post hoc Suest test comparison of standardized beta-coefficients. 
      RESULTS: A total of 329 patients were included. All outcomes improved from 
      baselines (P < 0.001, all) at all postoperative time points and demonstrated 
      strong and negative correlations with satisfaction scores (P < 0.001, all). 
      Majority of patients had their expectations met for ODI/VAS back/VAS leg and 
      achieved MCID for ODI/VAS back/VAS leg at all time points and overall. Both MCID 
      achievement and meeting preoperative expectations demonstrated significant 
      associations with satisfaction scores at all time points for ODI/VAS back/VAS 
      leg. Post hoc analysis of predictors of patient satisfaction in pain and 
      disability demonstrated that MCID achievement was an equivalent predictor to 
      meeting patient preoperative expectations at all postoperative time points. 
      CONCLUSION: Pain/disability improved after MIS-LD; improvement was strongly 
      correlated with postoperative satisfaction. Meeting expectations/MCID achievement 
      is associated with satisfaction. MCID achievement was equivalent to meeting 
      expectations in predicting satisfaction at all postoperative time points for 
      pain/disability.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
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 - Collins, Andrew P
AU  - Collins AP
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 - Vanjani, Nisheka N
AU  - Vanjani NN
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 - Pawlowski, Hanna
AU  - Pawlowski H
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 - 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 - 20220305
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Back Pain/surgery
MH  - Decompression
MH  - Disability Evaluation
MH  - Humans
MH  - Leg/surgery
MH  - Lumbar Vertebrae/surgery
MH  - *Minimal Clinically Important Difference
MH  - Motivation
MH  - Patient Satisfaction
MH  - *Spinal Fusion/methods
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Back pain
OT  - Disability
OT  - Expectations
OT  - Leg pain
OT  - Lumbar decompression
OT  - Minimum clinically important difference
OT  - Satisfaction
EDAT- 2022/03/09 06:00
MHDA- 2022/06/09 06:00
CRDT- 2022/03/08 20:10
PHST- 2021/12/17 00:00 [received]
PHST- 2022/02/28 00:00 [revised]
PHST- 2022/03/01 00:00 [accepted]
PHST- 2022/03/09 06:00 [pubmed]
PHST- 2022/06/09 06:00 [medline]
PHST- 2022/03/08 20:10 [entrez]
AID - S1878-8750(22)00283-2 [pii]
AID - 10.1016/j.wneu.2022.03.002 [doi]
PST - ppublish
SO  - World Neurosurg. 2022 Jun;162:e328-e335. doi: 10.1016/j.wneu.2022.03.002. Epub 
      2022 Mar 5.