PMID- 35759781 OWN - NLM STAT- MEDLINE DCOM- 20230130 LR - 20230831 IS - 2380-0194 (Electronic) IS - 2380-0186 (Linking) VI - 36 IP - 1 DP - 2023 Feb 1 TI - The Influence of Presenting Physical Function on Postoperative Patient Satisfaction and Clinical Outcomes Following Minimally Invasive Lumbar Decompression. PG - E6-E13 LID - 10.1097/BSD.0000000000001360 [doi] AB - STUDY DESIGN: The study of retrospective cohort. OBJECTIVE: The aim was to compare patient-reported outcome measures (PROMs), satisfaction, and minimum clinically important difference (MCID) achievement following minimally invasive lumbar decompression (MIS-LD) in patients stratified by the preoperative patient-reported outcomes measurement information system physical function (PROMIS-PF) score. SUMMARY OF BACKGROUND DATA: Although prior studies have assessed the predictive utility of preoperative PROMIS-PF scores on patient outcomes in spinal fusion, its utility has not been studied for patients undergoing MIS-LD. METHODS: Primary, single/multilevel MIS-LD procedures were identified. PROMs were administered at preoperative/6-week/12-week/6-month/1-year/2-year time points and included PROMIS-PF/visual analog scale (VAS) back and leg/Oswestry Disability Index (ODI). Satisfaction scores were collected postoperatively. The patients were grouped by preoperative PROMIS-PF score (35), with higher scores indicating improved physical function. Demographic/perioperative characteristics were compared using chi 2 /Student t test. Mean PROMs/postoperative satisfaction was compared utilizing 2-sample t test. Postoperative PROM improvement from preoperative was calculated with paired t tests. MCID achievement rates were compared using simple logistic regression. RESULTS: Two hundred and sixteen patients were included, 58 PROMIS-PF35. Ethnicity/insurance differed ( P 35 ( P =0.042). All preoperative mean PROMs significantly differed except for VAS Back. Several postoperative mean PROMs differed: PROMIS-PF at 6 weeks/12 weeks/6 months/1 year, SF-12 PCS at 6 weeks/12 weeks/1 year, VAS Back at 6 weeks/12 weeks, VAS leg at 6 weeks/12 weeks, and ODI at 6 weeks/12 weeks ( P <0.050, all). All PROMs significantly improved from preoperative at all postoperative time points ( P <0.003, all). The MCID achievement rates differed only for VAS back for 6 weeks, favoring PROMIS-PF>35 cohort ( P =0.001). Postoperative satisfaction was greater in PROMIS-PF>35 cohort for VAS leg at 6 weeks/12 weeks/6 months/2 years, VAS back at 6-weeks/12-weeks, and ODI at all time points ( P <0.037, all). Postoperative satisfaction was greater in PROMIS-PF>35 cohort for individual ODI categories: sleep at 6-weeks/12-weeks/1-year/2-years, lifting, walking, standing, and travel at all time points, and sexual at 6-weeks/12-weeks/1-year/2-years ( P <0.030, all). CONCLUSION: Poorer preoperative PROMIS-PF scores were associated with worse postoperative clinical outcomes and satisfaction. By stratifying patients with preoperative PROMIS-PF scores, surgeons may better predict postoperative clinical improvement and seek to manage patient expectations. CI - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Jacob, Kevin C AU - Jacob KC AD - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL. FAU - Patel, Madhav R AU - Patel MR FAU - Park, Grant A AU - Park GA FAU - Gheewala, Jessica R AU - Gheewala JR FAU - Vanjani, Nisheka N AU - Vanjani NN FAU - Pawlowski, Hanna AU - Pawlowski H FAU - Prabhu, Michael C AU - Prabhu MC FAU - Singh, Kern AU - Singh K LA - eng PT - Journal Article DEP - 20220627 PL - United States TA - Clin Spine Surg JT - Clinical spine surgery JID - 101675083 SB - IM MH - Humans MH - *Patient Satisfaction MH - Retrospective Studies MH - Lumbar Vertebrae/surgery MH - Patient Reported Outcome Measures MH - *Spinal Fusion/methods MH - Decompression MH - Treatment Outcome COIS- The authors declare no conflict of interest. EDAT- 2022/06/28 06:00 MHDA- 2023/01/31 06:00 CRDT- 2022/06/27 17:13 PHST- 2022/02/24 00:00 [received] PHST- 2022/05/18 00:00 [accepted] PHST- 2022/06/28 06:00 [pubmed] PHST- 2023/01/31 06:00 [medline] PHST- 2022/06/27 17:13 [entrez] AID - 01933606-202302000-00007 [pii] AID - 10.1097/BSD.0000000000001360 [doi] PST - ppublish SO - Clin Spine Surg. 2023 Feb 1;36(1):E6-E13. doi: 10.1097/BSD.0000000000001360. Epub 2022 Jun 27.