PMID- 35989505
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230304
IS  - 1976-1902 (Print)
IS  - 1976-7846 (Electronic)
IS  - 1976-1902 (Linking)
VI  - 17
IP  - 1
DP  - 2023 Feb
TI  - Does Baseline Mental Health Influence Outcomes among Workers' Compensation 
      Claimants Undergoing Minimally Invasive Transforaminal Lumbar Interbody Fusion?
PG  - 96-108
LID - 10.31616/asj.2021.0388 [doi]
AB  - STUDY DESIGN: This was a retrospective cohort study. PURPOSE: This study 
      investigated the influence of preoperative mental health on patient-reported 
      outcome measures (PROMs) and minimal clinically important difference (MCID) among 
      workers' compensation (WC) recipients undergoing minimally invasive 
      transforaminal lumbar interbody fusion (MIS TLIF). OVERVIEW OF LITERATURE: No 
      studies have evaluated the impact of preoperative mental functioning on outcomes 
      following MIS TLIF among WC claimants. METHODS: WC recipients undergoing 
      single-level MIS TLIF were identified. PROMs of Visual Analog Scale (VAS) for 
      back and leg pain, Oswestry Disability Index (ODI), 12-item Short Form Physical 
      and Mental Composite Scale (SF-12 PCS/MCS), and Patient-Reported Outcomes 
      Measurement Information System Physical Function evaluated subjects 
      preoperatively/postoperatively. Subjects were grouped according to preoperative 
      SF-12 MCS: <41 vs. >/=41. Demographic/perioperative variables, PROMs, and MCID were 
      compared using inferential statistics. Multiple regression was used to account 
      for differences in spinal pathology. RESULTS: The SF-12 MCS <41 and SF-12 MCS >/=41 
      groups included 48 and 45 patients, respectively. Significant differences in 
      DeltaPROMs were observed at SF-12 MCS at all timepoints, except at 6 months (p</=0.041, 
      all). The SF-12 MCS <41 group had worse preoperative to 6-months SF-12 MCS, 
      12-weeks/6-months VAS back, 12-week VAS leg, and preoperative to 6-months ODI 
      (p</=0.029, all). The SF-12 MCS <41 group had greater MCID achievement for overall 
      ODI and 6-weeks/1-year/overall SF-12 MCS (p</=0.043, all); the SF-12 MCS >/=41 group 
      had greater attainment for 6-month VAS back (p=0.004). CONCLUSIONS: Poorer mental 
      functioning adversely affected the baseline and intermediate postoperative 
      quality-of-life outcomes pertaining to mental health, back pain, and disability 
      among WC recipients undergoing lumbar fusion. However, outcomes did not differ 
      1-2 years after surgery. While MCID achievement for pain and physical function 
      was largely unaffected by preoperative mental health score, WC recipients with 
      poorer baseline mental health demonstrated higher rates of overall clinically 
      meaningful improvements for disability and mental health.
FAU - Patel, Madhav Rajesh
AU  - Patel MR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Jacob, Kevin Chacko
AU  - Jacob KC
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Amin, Kanhai S
AU  - Amin KS
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Ribot, Max A
AU  - Ribot MA
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Pawlowski, Hanna
AU  - Pawlowski H
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Prabhu, Michael C
AU  - Prabhu MC
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Vanjani, Nisheka Navin
AU  - Vanjani NN
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20220823
PL  - Korea (South)
TA  - Asian Spine J
JT  - Asian spine journal
JID - 101314177
PMC - PMC9977979
OTO - NOTNLM
OT  - 12-Item Short Form Mental Composite Scale
OT  - Minimal clinically important difference
OT  - Patientreported outcome measures
OT  - Transforaminal lumbar interbody fusion
OT  - Workers' compensation
COIS- Conflict of Interest No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2022/08/23 06:00
MHDA- 2022/08/23 06:01
PMCR- 2023/02/01
CRDT- 2022/08/22 01:59
PHST- 2021/09/21 00:00 [received]
PHST- 2022/03/17 00:00 [accepted]
PHST- 2022/08/23 06:00 [pubmed]
PHST- 2022/08/23 06:01 [medline]
PHST- 2022/08/22 01:59 [entrez]
PHST- 2023/02/01 00:00 [pmc-release]
AID - asj.2021.0388 [pii]
AID - asj-2021-0388 [pii]
AID - 10.31616/asj.2021.0388 [doi]
PST - ppublish
SO  - Asian Spine J. 2023 Feb;17(1):96-108. doi: 10.31616/asj.2021.0388. Epub 2022 Aug 
      23.