PMID- 35948231
OWN - NLM
STAT- MEDLINE
DCOM- 20230217
LR  - 20230217
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 167
DP  - 2022 Nov
TI  - Impact of Ambulatory Setting for Workers' Compensation Patients Undergoing 
      One-Level Minimally Invasive Transforaminal Lumbar Interbody Fusion and Review of 
      the Literature.
PG  - e251-e267
LID - S1878-8750(22)01091-9 [pii]
LID - 10.1016/j.wneu.2022.07.136 [doi]
AB  - OBJECTIVE: To compare perioperative characteristics and patient-reported outcome 
      measures (PROMs) in workers' compensation (WC) patients undergoing minimally 
      invasive transforaminal lumbar interbody fusion (MIS-TLIF) in either the 
      inpatient/outpatient setting. METHODS: Patients with WC undergoing 1-level 
      MIS-TLIF were included. Patients were separated into inpatient/outpatient groups 
      and demographically propensity score matched. PROMs included visual analog scale 
      (VAS) back/VAS leg/Oswestry Disability Index (ODI)/12-item Short Form Physical 
      Composite Score (SF-12 PCS)/Patient-Reported Outcomes Measurement Information 
      System Physical Function (PROMIS-PF) preoperatively and 6 weeks, 12 weeks, 6 
      months, and 1 year postoperatively. Results were compared preoperatively and 
      postoperatively and between cohorts. Minimum clinically important difference 
      (MCID) achievement was determined through comparison with values established in 
      the literature. RESULTS: A total of 216 patients were included (184 inpatient). 
      The inpatient cohort (IC) showed worse perioperative outcomes in multiple 
      measures (P < 0.034; all). The IC improved in all PROMs (P < 0.038; all), besides 
      ODI at 6 weeks, SF-12 PCS at 6 weeks/6 months/1 year, and PROMIS-PF at 6 weeks. 
      The outpatient cohort (OC) improved in VAS back at all time points and VAS leg at 
      6 months (P < 0.033; all). Between cohorts, the OC showed better scores with VAS 
      leg/ODI/SF-12 PCS/PROMIS-PF at multiple time points (P < 0.031; all). Most of the 
      IC achieved MCID, aside from ODI, whereas the OC achieved MCID in SF-12 PCS. MCID 
      achievement between cohorts was higher in the IC at PROMIS-PF at 1 year and VAS 
      back overall (P < 0.034; all). CONCLUSIONS: Despite more comorbidities and worse 
      perioperative measures, the IC showed improved PROMs from preoperative to >/=1 
      follow-up visit, whereas the OC had improvement with only VAS back and leg. The 
      IC showed multiple MCID achievements, whereas the OC showed MCID in only SF-12 
      PCS. These findings may help guide a surgeon's decision making between 
      inpatient/outpatient lumbar surgery in the WC population.
CI  - Copyright (c) 2022 Elsevier Inc. All rights reserved.
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 - 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 - Oyetayo, Omolabake O
AU  - Oyetayo OO
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
PT  - Review
DEP - 20220807
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Humans
MH  - *Lumbar Vertebrae/surgery
MH  - Workers' Compensation
MH  - Treatment Outcome
MH  - Disability Evaluation
MH  - *Spinal Fusion/methods
MH  - Minimally Invasive Surgical Procedures/methods
OTO - NOTNLM
OT  - Inpatient
OT  - MCID
OT  - MIS-TLIF
OT  - Outpatient
OT  - PROM
OT  - WC
OT  - Workers' Compensation
EDAT- 2022/08/11 06:00
MHDA- 2023/02/18 06:00
CRDT- 2022/08/10 19:26
PHST- 2022/05/24 00:00 [received]
PHST- 2022/07/27 00:00 [revised]
PHST- 2022/07/28 00:00 [accepted]
PHST- 2022/08/11 06:00 [pubmed]
PHST- 2023/02/18 06:00 [medline]
PHST- 2022/08/10 19:26 [entrez]
AID - S1878-8750(22)01091-9 [pii]
AID - 10.1016/j.wneu.2022.07.136 [doi]
PST - ppublish
SO  - World Neurosurg. 2022 Nov;167:e251-e267. doi: 10.1016/j.wneu.2022.07.136. Epub 
      2022 Aug 7.