PMID- 35509017
OWN - NLM
STAT- MEDLINE
DCOM- 20221103
LR  - 20230831
IS  - 2380-0194 (Electronic)
IS  - 2380-0186 (Linking)
VI  - 35
IP  - 9
DP  - 2022 Nov 1
TI  - Influence of Preoperative Depressive Burden on Achieving a Minimal Clinically 
      Important Difference Following Lumbar Decompression.
PG  - E693-E697
LID - 10.1097/BSD.0000000000001345 [doi]
AB  - STUDY DESIGN: This was a retrospective cohort study. OBJECTIVE: This study 
      evaluates the association of preoperative mental health with the rate of 
      achieving minimal clinically important difference (MCID) in patient-reported 
      outcomes following lumbar decompression (LD). SUMMARY OF BACKGROUND DATA: 
      Research is scarce regarding the influence of preoperative depression on the rate 
      of achieving MCID for mental health, physical function, and pain among LD 
      patients. METHODS: A surgical registry was retrospectively reviewed for primary 
      LD surgeries. Patients were grouped by depressive symptom severity according to 
      the preoperative Patient Health Questionnaire 9 score. The association of Patient 
      Health Questionnaire 9 subgroups with demographic and surgical variables was 
      analyzed, and differences among subgroups were assessed. Achievement rates of 
      MCID for physical function, pain, disability, and mental health were compared 
      among groups at each time point using previously established MCID thresholds. 
      RESULTS: Of the 321 subjects, 69.8% were male, and 170 subjects had minimal 
      preoperative depressive symptoms, 86 had moderate, and 65 had severe. Patients in 
      moderate and severe groups demonstrated a significantly greater rate of MCID 
      achievement for disability at 6 weeks and 3 months postoperatively. The severe 
      group demonstrated a significantly higher rate of achieving MCID for mental 
      health at the 1-year time point. CONCLUSIONS: Patients with any range of 
      preoperative depressive symptom severity had a similar rate of achieving MCID for 
      pain and physical function throughout 1 year following LD. The severe depressive 
      symptom group had a higher rate of MCID achievement with disability at 6 weeks 
      and with mental health at 1 year. This study demonstrates that patients with any 
      preoperative depressive symptom severity have an indistinguishable ability to 
      attain MCID by 1 year following LD. LEVEL OF EVIDENCE: Level III.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Lynch, Conor P
AU  - Lynch CP
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.
FAU - Cha, Elliot D K
AU  - Cha EDK
FAU - Jenkins, Nathaniel W
AU  - Jenkins NW
FAU - Parrish, James M
AU  - Parrish JM
FAU - Nolte, Michael T
AU  - Nolte MT
FAU - Geoghegan, Cara E
AU  - Geoghegan CE
FAU - Jadczak, Caroline N
AU  - Jadczak CN
FAU - Mohan, Shruthi
AU  - Mohan S
FAU - Singh, Kern
AU  - Singh K
LA  - eng
PT  - Journal Article
DEP - 20220505
PL  - United States
TA  - Clin Spine Surg
JT  - Clinical spine surgery
JID - 101675083
SB  - IM
MH  - Humans
MH  - Male
MH  - Female
MH  - *Minimal Clinically Important Difference
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - *Pain
MH  - Decompression
COIS- The authors declare no conflict of interest.
EDAT- 2022/05/06 06:00
MHDA- 2022/11/04 06:00
CRDT- 2022/05/05 00:06
PHST- 2020/10/27 00:00 [received]
PHST- 2022/04/09 00:00 [accepted]
PHST- 2022/05/06 06:00 [pubmed]
PHST- 2022/11/04 06:00 [medline]
PHST- 2022/05/05 00:06 [entrez]
AID - 01933606-202211000-00010 [pii]
AID - 10.1097/BSD.0000000000001345 [doi]
PST - ppublish
SO  - Clin Spine Surg. 2022 Nov 1;35(9):E693-E697. doi: 10.1097/BSD.0000000000001345. 
      Epub 2022 May 5.