PMID- 36823703
OWN - NLM
STAT- MEDLINE
DCOM- 20230627
LR  - 20230831
IS  - 2380-0194 (Electronic)
IS  - 2380-0186 (Linking)
VI  - 36
IP  - 6
DP  - 2023 Jul 1
TI  - Impact of Preoperative 12-item Short Form Mental Composite Scores on Clinical 
      Outcomes in Cervical Disc Replacement.
PG  - E263-E270
LID - 10.1097/BSD.0000000000001441 [doi]
AB  - STUDY DESIGN: Retrospective cohort study. OBJECTIVE: We aim to examine the 
      effects of preoperative mental health status on demographic, perioperative 
      characteristics, and postoperative outcomes in patients undergoing cervical disc 
      replacement (CDR). SUMMARY OF BACKGROUND DATA: The effect of preoperative mental 
      health status has not been widely studied in CDR. METHODS: Patients undergoing 
      primary CDR were retrospectively collected and stratified into 2 cohorts by 
      12-item Short Form Survey Mental Composite Score (SF-12 MCS) >/=48.9. Patients 
      without preoperative SF-12 MCS scores or diagnosis of infection, malignancy, or 
      trauma were excluded. Demographic information, perioperative characteristic, and 
      patient reported outcome measures (PROMs) were collected. Patient reported 
      outcome measurement information system physical function (PROMIS-PF)/SF-12 
      Physical Component Score (PCS)/SF-12 MCS/visual analog scale (VAS) neck/VAS 
      leg/neck disability index (NDI) were collected preoperatively and 6 weeks/12 
      weeks/6 months/1 year postoperatively. RESULTS: Eighty-seven patients were 
      included, (47 having SF-12 MCS>/=48.9). For PROMs, both cohorts had significant 
      improvement from preoperative baseline, besides SF-12 PCS/MCS at 1 year for the 
      depressed cohort and SF-12 MCS at all time points. The non-depressed cohort 
      demonstrated significantly higher PROMIS-PF preoperatively and at 12 weeks, SF-12 
      PCS at 12 weeks, SF-12 MCS at all time points, decreased VAS neck at 12 weeks and 
      NDI preoperatively and at 12 weeks, overall minimal clinically important 
      difference (MCID) in most patients in all PROMs besides SF-12 MCS, and higher 
      MCID for PROMIS-PF at 12 weeks. The depressed cohort demonstrated overall MCID in 
      most patients with PROMIS-PF/SF-12 MCS/VAS neck/NDI, and a higher MCID for 6 
      weeks/12 weeks/6 months postoperatively and overall SF-12 PCS. CONCLUSION: 
      Whereas both cohorts demonstrated significantly improved PROMs from baseline, the 
      non-depressed cohort demonstrated better physical function, mental health, 
      decreased pain, and disability at various time points, whereas the depressed 
      cohort demonstrated higher mental health MCID achievement at every time point 
      except 1 year. These findings may be useful in managing expectations for patients 
      undergoing cervical surgery.
CI  - Copyright (c) 2023 Wolters Kluwer Health, Inc. All rights reserved.
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.
FAU - Hartman, Timothy J
AU  - Hartman TJ
FAU - Zheng, Eileen
AU  - Zheng E
FAU - MacGregor, Keith R
AU  - MacGregor KR
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
FAU - Singh, Kern
AU  - Singh K
LA  - eng
PT  - Journal Article
DEP - 20230220
PL  - United States
TA  - Clin Spine Surg
JT  - Clinical spine surgery
JID - 101675083
SB  - IM
MH  - Humans
MH  - Retrospective Studies
MH  - *Cervical Vertebrae/surgery
MH  - *Neck
MH  - Pain
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
COIS- The authors declare no conflict of interest.
EDAT- 2023/02/25 06:00
MHDA- 2023/06/27 06:42
CRDT- 2023/02/24 01:05
PHST- 2022/11/09 00:00 [received]
PHST- 2023/01/25 00:00 [accepted]
PHST- 2023/06/27 06:42 [medline]
PHST- 2023/02/25 06:00 [pubmed]
PHST- 2023/02/24 01:05 [entrez]
AID - 01933606-202307000-00012 [pii]
AID - 10.1097/BSD.0000000000001441 [doi]
PST - ppublish
SO  - Clin Spine Surg. 2023 Jul 1;36(6):E263-E270. doi: 10.1097/BSD.0000000000001441. 
      Epub 2023 Feb 20.