PMID- 36161064
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230912
IS  - 0976-5662 (Print)
IS  - 2213-3445 (Electronic)
IS  - 0976-5662 (Linking)
VI  - 34
DP  - 2022 Nov
TI  - Workers compensation patients experiencing depression report meaningful 
      improvement in mental health scores after anterior cervical discectomy and 
      fusion.
PG  - 102020
LID - 10.1016/j.jcot.2022.102020 [doi]
LID - 102020
AB  - BACKGROUND: Mental health has been demonstrated to affect postoperative outcomes. 
      No prior literature has reported the relationship between preoperative mental 
      health on outcomes following anterior cervical discectomy and fusion (ACDF) in 
      the Workers Compensation (WC) population. METHODS: WC claimants who underwent 
      primary ACDF were identified from a single-surgeon retrospective database. 
      Patients were separated by SF-12 MCS score into Depressed (<45.6) or Not 
      Depressed (ND) (>/=45.6) cohorts. Patient-reported Outcome Measurement Information 
      System Physical Function (PROMIS PF), SF-12 Physical Component Score (SF-12 PCS), 
      SF-12 MCS, visual analog scale (VAS) neck/arm pain, and Neck Disability Index 
      (NDI) were collected and compared within and between groups. Minimum clinically 
      important difference (MCID) achievement rates were compared between groups. 
      RESULTS: Depressed patients had greater length of stay (p = 0.007) and 
      postoperative narcotic consumption (p = 0.026). Depressed patients improved at 
      12-week to 2-year PROMIS PF, 6-month SF-12 PCS, 6-week to 6-month SF-12 MCS, 
      6-week to 6-month and 2-year VAS neck, all VAS arm, and 6-month NDI (p </= 0.045, 
      all). ND patients improved at 12-week to 1-year PROMIS PF, 6-month to 2-year 
      SF-12 PCS, 12-week to 1-year VAS neck, 6-week to 1-year VAS arm, and 12-week to 
      1-year NDI (p </= 0.044, all). Between groups, ND patients reported superior PROMIS 
      PF, SF-12 MCS, VAS neck, VAS arm, and NDI scores at two or more periods 
      (p </= 0.045, all). MCID achievement rate regarding SF-12 MCS was greater in the 
      Depressed cohort at all postoperative points up to 1 year (p </= 0.020, all). 
      CONCLUSION: Depressed patients tended to have a greater length of stay and 
      postoperative narcotic consumption immediately after surgery. Not depressed 
      patients reported more favorable physical and mental function, pain, and 
      disability scores preoperatively and postoperatively. Depressed patients reported 
      greater MCID achievement in mental function following surgery. Depressed patients 
      with WC have a greater likelihood of reporting tangible improvement in mental 
      health scores following ACDF.
CI  - (c) 2022 Delhi Orthopedic Association. All rights reserved.
FAU - Hartman, Timothy J
AU  - Hartman TJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Nie, James W
AU  - Nie JW
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Zheng, Eileen
AU  - Zheng E
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Singh, Kern
AU  - Singh K
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
LA  - eng
PT  - Journal Article
DEP - 20220911
PL  - India
TA  - J Clin Orthop Trauma
JT  - Journal of clinical orthopaedics and trauma
JID - 101559469
PMC - PMC9490096
OTO - NOTNLM
OT  - ACDF
OT  - MCID
OT  - Mental health
OT  - PROMs
OT  - Workers' compensation
EDAT- 2022/09/27 06:00
MHDA- 2022/09/27 06:01
PMCR- 2023/09/11
CRDT- 2022/09/26 18:00
PHST- 2022/07/05 00:00 [received]
PHST- 2022/08/01 00:00 [revised]
PHST- 2022/09/07 00:00 [accepted]
PHST- 2022/09/26 18:00 [entrez]
PHST- 2022/09/27 06:00 [pubmed]
PHST- 2022/09/27 06:01 [medline]
PHST- 2023/09/11 00:00 [pmc-release]
AID - S0976-5662(22)00256-9 [pii]
AID - 102020 [pii]
AID - 10.1016/j.jcot.2022.102020 [doi]
PST - epublish
SO  - J Clin Orthop Trauma. 2022 Sep 11;34:102020. doi: 10.1016/j.jcot.2022.102020. 
      eCollection 2022 Nov.