PMID- 35718277
OWN - NLM
STAT- MEDLINE
DCOM- 20220922
LR  - 20221213
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 165
DP  - 2022 Sep
TI  - The Effect of the Preoperative Severity of Neck Pain on Patient-Reported Outcome 
      Measures and Minimum Clinically Important Difference Achievement After Anterior 
      Cervical Discectomy and Fusion.
PG  - e337-e345
LID - S1878-8750(22)00829-4 [pii]
LID - 10.1016/j.wneu.2022.06.044 [doi]
AB  - OBJECTIVE: To compare patient-reported outcome measure (PROM) scores and minimum 
      clinically important difference (MCID) achievement rates among patients 
      undergoing single-level anterior cervical discectomy and fusion (ACDF) in 
      patients with varying severity of preoperative visual analog scale (VAS) neck 
      score. METHODS: Patients with ACDF were grouped: severity of preoperative VAS 
      neck score </=8 or >8. Demographic/perioperative variables and PROMs 
      (Patient-Reported Outcomes Measurement Information System Physical Function 
      [PROMIS PF] score, 12-Item Short Form [SF-12] Mental Component Score [MCS], VAS 
      neck/arm score, and Neck Disability Index [NDI]) were collected 
      preoperatively/postoperatively. MCID attainment comparison by grouping was 
      evaluated using chi(2) analysis. RESULTS: A total of 137 patients were included 
      (103 VAS neck preoperative score </=8; 34 VAS neck preoperative score >8). The VAS 
      neck preoperative score </=8 cohort did not improve: 6 weeks PROMIS-PF score, 6 
      weeks SF-12 Physical Component Score [PCS], 12 weeks/1 year/2 years SF-12 MCS, 2 
      years VAS neck score, and 1 years/2 years VAS arm score (P </= 0.015, all). VAS 
      neck preoperative score >8 did not improve: 6 weeks/12 weeks/2 years PROMIS-PF 
      score, all time points SF-12 PCS, 6 weeks/12 weeks/1 year/2 years SF-12 MCS, and 
      2 years VAS arm score (P </= 0.013, all). VAS neck preoperative score >8 had 
      inferior PROMIS-PF scores all time points except 1 year (P </= 0.036, all), lower 
      SF-12 PCS 6 weeks/6 months (P </= 0.043, both), inferior SF-12 MCS at preoperative 
      to 6 months (P </= 006, all), higher VAS neck score from preoperative to 6 months 
      (P </= 0.018), higher VAS arm score preoperative/12 weeks/6 months (P </= 0.020, 
      all), and higher NDI at preoperative/12 weeks/6 months (P </= 0.030, all). MCID 
      attainment rates for VAS neck preoperative score >8 were greater for NDI 2 years 
      (P = 0.040), lower for PROMIS-PF score 2 years, and overall (P = 0.018), lower 
      for SF-12 MCS 12 weeks (P = 0.046), lower for VAS neck score 12 weeks to 1 year 
      and overall (P </= 0.032, all), and lower for VAS arm score 6 weeks/1 year (P </= 
      0.030, both). CONCLUSIONS: Patients with single-level ACDF presenting with 
      greater baseline neck pain showed poorer physical function/pain/disability/mental 
      health at preoperative/intermediate postoperative time points, but had comparable 
      long-term PROMs by 2 years. MCID attainment was lower among patients with greater 
      preoperative neck pain; MCID among the VAS neck score >8 cohort were only 
      significantly inferior for neck pain.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
FAU - Patel, Madhav R
AU  - Patel MR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Jacob, Kevin C
AU  - Jacob KC
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 - Vanjani, Nisheka
AU  - Vanjani N
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
AU  - Prabhu M
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Amin, Kanhai S
AU  - Amin KS
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 - 20220616
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Cervical Vertebrae/surgery
MH  - Diskectomy
MH  - Humans
MH  - *Neck Pain/surgery
MH  - Patient Reported Outcome Measures
MH  - *Spinal Fusion
MH  - Treatment Outcome
OTO - NOTNLM
OT  - ACDF
OT  - MCID
OT  - PROMs
OT  - VAS neck
EDAT- 2022/06/20 06:00
MHDA- 2022/09/23 06:00
CRDT- 2022/06/19 19:35
PHST- 2022/02/09 00:00 [received]
PHST- 2022/06/08 00:00 [revised]
PHST- 2022/06/09 00:00 [accepted]
PHST- 2022/06/20 06:00 [pubmed]
PHST- 2022/09/23 06:00 [medline]
PHST- 2022/06/19 19:35 [entrez]
AID - S1878-8750(22)00829-4 [pii]
AID - 10.1016/j.wneu.2022.06.044 [doi]
PST - ppublish
SO  - World Neurosurg. 2022 Sep;165:e337-e345. doi: 10.1016/j.wneu.2022.06.044. Epub 
      2022 Jun 16.