PMID- 36334716
OWN - NLM
STAT- MEDLINE
DCOM- 20230103
LR  - 20230111
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 169
DP  - 2023 Jan
TI  - Pain Interference Influence on Postoperative Clinical Trajectory in Patients 
      Undergoing Lumbar Decompression.
PG  - e270-e278
LID - S1878-8750(22)01539-X [pii]
LID - 10.1016/j.wneu.2022.10.122 [doi]
AB  - OBJECTIVE: Newer Patient-Reported Outcomes (PROs) may offer benefits over legacy 
      PROs in ease of administration and interpretation. We aim to study the influence 
      of preoperative pain interference (PI) using the Patient-Reported Outcomes 
      Measurement Information System (PROMIS) Pain Interference (PROMIS-PI) on 
      postoperative clinical outcomes in patients undergoing lumbar decompression. 
      METHODS: Patients undergoing lumbar decompression without fusion were separated 
      into 2 cohorts: PROMIS-PI < 64 (lesser PI) and PROMIS-PI >/= 64 (greater PI). PROs 
      included PROMIS physical function, PROMIS anxiety (PROMIS-A), PROMIS sleep 
      disturbance (PROMIS-SD), PROMIS-PI, Patient Health Questionnaire-9, Visual Analog 
      Scale (VAS) back, VAS leg, and Oswestry Disability Index (ODI) and were collected 
      at preoperative and postoperative time points. Demographics, perioperative 
      characteristics, PROs, and Minimum Clinically Important Difference (MCID) were 
      compared among groups through non-parametric inferential statistics. RESULTS: 
      One-hundred and seven patients were identified. Independent of preoperative PI, 
      patients reported significant postoperative improvement in PROMIS physical 
      function, PROMIS-A, PROMIS-PI, VAS back, VAS leg, and ODI. The greater PI cohort 
      reported significant postoperative improvement in Patient Health Questionnaire-9 
      and PROMIS-SD. The lesser PI cohort reported superior preoperative PROs in all 
      domains. Postoperatively, the lesser PI cohort reported superior 6-week PROMIS-A 
      and PROMIS-SD. MCID achievement rates were higher in the greater PI cohort for 
      PROMIS-PI, VAS back, VAS leg, and ODI. CONCLUSIONS: Patients with lower 
      preoperative PI reported superior postoperative anxiety and sleep disturbance. 
      Patients with greater preoperative PI had higher MCID achievement rates in PI, 
      pain, and disability. Patients with greater preoperative PI undergoing lumbar 
      decompression may demonstrate higher rates of clinically tangible improvement.
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 - Oyetayo, Omolabake O
AU  - Oyetayo OO
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Zheng, Eileen
AU  - Zheng E
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 - 20221109
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Humans
MH  - *Lumbar Vertebrae/surgery
MH  - Lumbosacral Region/surgery
MH  - Postoperative Period
MH  - Patient Reported Outcome Measures
MH  - *Spinal Fusion/adverse effects
MH  - Pain/etiology
MH  - Decompression
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Lumbar decompression
OT  - MCID
OT  - PROs
OT  - Pain
EDAT- 2022/11/06 06:00
MHDA- 2023/01/04 06:00
CRDT- 2022/11/05 20:24
PHST- 2022/09/26 00:00 [received]
PHST- 2022/10/30 00:00 [revised]
PHST- 2022/10/31 00:00 [accepted]
PHST- 2022/11/06 06:00 [pubmed]
PHST- 2023/01/04 06:00 [medline]
PHST- 2022/11/05 20:24 [entrez]
AID - S1878-8750(22)01539-X [pii]
AID - 10.1016/j.wneu.2022.10.122 [doi]
PST - ppublish
SO  - World Neurosurg. 2023 Jan;169:e270-e278. doi: 10.1016/j.wneu.2022.10.122. Epub 
      2022 Nov 9.