PMID- 36524819
OWN - NLM
STAT- MEDLINE
DCOM- 20230419
LR  - 20230506
IS  - 1524-4040 (Electronic)
IS  - 0148-396X (Linking)
VI  - 92
IP  - 5
DP  - 2023 May 1
TI  - The Effect of Preoperative Symptom Duration on Patient-Reported Outcomes After 
      Anterior Cervical Discectomy and Fusion in Nonmyelopathic Patients: Analyses From 
      the Michigan Spine Surgery Improvement Collaborative (MSSIC).
PG  - 955-962
LID - 10.1227/neu.0000000000002295 [doi]
AB  - BACKGROUND: The effect of preoperative symptom duration (PSD) on patient-reported 
      outcomes (PROs) in anterior cervical discectomy and fusion (ACDF) for 
      radiculopathy is unclear. OBJECTIVE: To determine whether PSD is a predictor for 
      PRO after ACDF for radiculopathy. METHODS: The Michigan Spine Surgery Improvement 
      Collaborative registry was queried between March, 2014, and July, 2019, for 
      patients who underwent ACDF without myelopathy and PROs (baseline, 90 days, 1 
      year, 2 years). PROs were measured by numerical rating scales for neck/arm pain, 
      Patient-Reported Outcomes Measurement Information System Short Form-Physical 
      Function (PROMIS-PF), EuroQol-5D (EQ5D), and North American Spine Society 
      satisfaction. Univariate analyses were used to evaluate the proportion of 
      patients reaching minimal clinically important differences (MCID). PSD was <3 
      months, 3 month-1 year, or >1 years. Multiple logistic regression models were 
      used to estimate the association between PSD and PRO reaching MCID. The 
      discriminative ability of the model was evaluated by receiver operating 
      characteristic curve. RESULTS: We included 2233 patients who underwent ACDF with 
      PSD <3 months (278, 12.4%), 3 month-1 year (669, 30%), and >1 years (1286, 
      57.6%). Univariate analyses demonstrated a greater proportion of patients 
      achieving MCID in <3-month cohort for arm numerical rating scales, PROMIS-PF, 
      EQ5D, and North American Spine Society Satisfaction. Multivariable analyses 
      demonstrated using <3 months PSD as a reference, PSD >1 years was associated with 
      decreased odds of achieving MCID for EQ5D (odds ratio 0.5, CI 0.32-0.80, P = 
      .004). Private insurance and increased baseline PRO were associated with 
      significantly higher odds for achieving PROMIS-PF MCID and EQ5D-MCID. CONCLUSION: 
      Preoperative symptom duration greater than 1 year in patients who underwent ACDF 
      for radiculopathy was associated with worse odds of achieving MCID for multiple 
      PROs.
CI  - Copyright (c) Congress of Neurological Surgeons 2022. All rights reserved.
FAU - Lawless, Michael H
AU  - Lawless MH
AUID- ORCID: 0000-0001-6874-9307
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Tong, Doris
AU  - Tong D
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Claus, Chad F
AU  - Claus CF
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Hanson, Connor
AU  - Hanson C
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Li, Chenxi
AU  - Li C
AD  - Department of Epidemiology and Biostatistics, Michigan State University, East 
      Lansing, Michigan, USA.
FAU - Park, Paul
AU  - Park P
AD  - Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.
FAU - Chang, Victor W
AU  - Chang VW
AD  - Department of Neurosurgery, Henry Ford Hospital, Detroit, Michigan, USA.
FAU - Abdulhak, Muwaffak M
AU  - Abdulhak MM
AD  - Department of Neurosurgery, Henry Ford Hospital, Detroit, Michigan, USA.
FAU - Houseman, Clifford M
AU  - Houseman CM
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Bono, Peter L
AU  - Bono PL
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Carr, Daniel A
AU  - Carr DA
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Richards, Boyd F
AU  - Richards BF
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Kelkar, Prashant S
AU  - Kelkar PS
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
FAU - Soo, Teck M
AU  - Soo TM
AD  - Division of Neurosurgery, Ascension Providence Hospital, Michigan State 
      University, College of Human Medicine, Southfield, Michigan, USA.
LA  - eng
PT  - Journal Article
DEP - 20221216
PL  - United States
TA  - Neurosurgery
JT  - Neurosurgery
JID - 7802914
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - *Radiculopathy/surgery
MH  - Michigan/epidemiology
MH  - Patient Reported Outcome Measures
MH  - Neck Pain/surgery
MH  - Diskectomy
MH  - *Spinal Fusion
MH  - Cervical Vertebrae/surgery
MH  - Retrospective Studies
EDAT- 2022/12/17 06:00
MHDA- 2023/04/19 06:41
CRDT- 2022/12/16 09:03
PHST- 2022/04/26 00:00 [received]
PHST- 2022/10/05 00:00 [accepted]
PHST- 2023/04/19 06:41 [medline]
PHST- 2022/12/17 06:00 [pubmed]
PHST- 2022/12/16 09:03 [entrez]
AID - 00006123-202305000-00007 [pii]
AID - 10.1227/neu.0000000000002295 [doi]
PST - ppublish
SO  - Neurosurgery. 2023 May 1;92(5):955-962. doi: 10.1227/neu.0000000000002295. Epub 
      2022 Dec 16.