PMID- 35577207
OWN - NLM
STAT- MEDLINE
DCOM- 20220810
LR  - 20220830
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 164
DP  - 2022 Aug
TI  - Presenting Mental Health Influences Postoperative Clinical Trajectory and 
      Long-Term Patient Satisfaction After Lumbar Decompression.
PG  - e649-e661
LID - S1878-8750(22)00622-2 [pii]
LID - 10.1016/j.wneu.2022.05.024 [doi]
AB  - OBJECTIVE: To compare patient-reported outcomes (PROMs), postoperative 
      patient-reported satisfaction, and minimum clinically important difference (MCID) 
      achievement after minimally invasive surgery lumbar decompression (MIS-LD) in 
      patients stratified by their preoperative 12-Item Short-Form Mental Component 
      Score (SF-12 MCS). METHODS: Patients who underwent single-level/multilevel MIS-LD 
      were included. PROMs were administered preoperatively and 6 weeks/12 weeks/6 
      months/1 year postoperatively. Patients were grouped by preoperative SF-12 MCS. 
      Demographic/perioperative characteristics were compared among groups using a chi(2) 
      and Student t test for categorical and continuous variables, respectively. Mean 
      PROM and postoperative satisfaction scores were compared using an unpaired 
      Student t test. PROM improvement within cohorts was assessed with paired-samples 
      t test. MCID achievement rates were compared using chi(2) analysis. RESULTS: A 
      total of 297 patients were included: 111 patients in SF-12 MCS <48.9 and 186 
      patients in the SF-12 MCS >/=48.9 cohort. Cohorts showed mean postoperative 
      differences for visual analog scale (VAS) back score at 12 weeks, VAS leg score 
      at 6 weeks/12 weeks, Oswestry Disability Index (ODI) at 6 weeks/12 weeks, SF-12 
      MCS at all postoperative time points, and 12-Item Short-Form Physical Component 
      Score at 6 weeks/12 weeks (P < 0.022, all). Of patients in the SF-12 MCS <48.9 
      cohort, more achieved MCID for SF-12 MCS at all postoperative time points and ODI 
      at 1 year (P < 0.023, all). More patients in the SF-12 MCS >/=48.9 cohort achieved 
      MCID for VAS leg score at 12 weeks and 12-Item Short-Form Physical Component 
      Score at 6 weeks (P < 0.038). Patients in the SF-12 MCS <48.9 cohort showed 
      inferior postoperative satisfaction for VAS leg score at 6 weeks/12 weeks/1 year, 
      VAS back score at 12 weeks, and ODI at all postoperative time points. 
      CONCLUSIONS: Patients with inferior mental health preoperatively showed worse 
      mean short-term postoperative clinical outcome for leg/back pain, physical 
      function and disability, short-term and long-term postoperative satisfaction for 
      leg pain and disability, and long-term satisfaction for 
      sleeping/lifting/walking/standing/sex/travel.
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 - Nie, James W
AU  - Nie JW
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Hartman, Timothy J
AU  - Hartman TJ
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 - 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 - Vanjani, Nisheka N
AU  - Vanjani NN
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 - 20220513
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Decompression
MH  - Disability Evaluation
MH  - Humans
MH  - Lumbar Vertebrae/surgery
MH  - Mental Health
MH  - Pain
MH  - Pain Measurement
MH  - *Patient Satisfaction
MH  - *Spinal Fusion
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Lumbar decompression
OT  - Mental health
OT  - PROMs
OT  - Satisfaction
EDAT- 2022/05/17 06:00
MHDA- 2022/08/11 06:00
CRDT- 2022/05/16 19:35
PHST- 2022/03/01 00:00 [received]
PHST- 2022/05/06 00:00 [revised]
PHST- 2022/05/07 00:00 [accepted]
PHST- 2022/05/17 06:00 [pubmed]
PHST- 2022/08/11 06:00 [medline]
PHST- 2022/05/16 19:35 [entrez]
AID - S1878-8750(22)00622-2 [pii]
AID - 10.1016/j.wneu.2022.05.024 [doi]
PST - ppublish
SO  - World Neurosurg. 2022 Aug;164:e649-e661. doi: 10.1016/j.wneu.2022.05.024. Epub 
      2022 May 13.