PMID- 36898631
OWN - NLM
STAT- MEDLINE
DCOM- 20230517
LR  - 20230517
IS  - 1878-8769 (Electronic)
IS  - 1878-8750 (Linking)
VI  - 173
DP  - 2023 May
TI  - Does Symptom Duration Prior to Anterior Cervical Discectomy and Fusion for Disc 
      Herniation Influence Patient-Reported Outcomes in a Workers' Compensation 
      Population?
PG  - e748-e754
LID - S1878-8750(23)00303-0 [pii]
LID - 10.1016/j.wneu.2023.03.008 [doi]
AB  - OBJECTIVE: To evaluate the influence of symptom duration before anterior cervical 
      discectomy and fusion (ACDF) on patient-reported outcomes (PROs) in workers' 
      compensation patients. METHODS: A prospective registry was searched for workers' 
      compensation patients who underwent ACDF for herniated disc. Two cohorts based on 
      symptom duration were formed: lesser duration (LD) (<6 months) and prolonged 
      duration (PD) (>/=6 months). PROs were collected preoperatively and at 6 weeks, 12 
      weeks, 6 months, and 1 year postoperatively. PROs were compared within and 
      between groups. Rates of minimum clinically important difference (MCID) were 
      compared between groups. RESULTS: The study included 63 patients. The LD cohort 
      reported improvement in Patient-Reported Outcomes Measurement Information 
      System-Physical Function (PROMIS-PF), Neck Disability Index (NDI), and visual 
      analog scale (VAS) neck at 12 weeks and 6 months and VAS arm at all periods (all 
      P </= 0.036). The LD cohort reported improvement in NDI at 12 weeks and 6 months 
      and VAS arm at 6 weeks, 12 weeks, and 6 months (all P </= 0.037). Between groups, 
      the LD cohort demonstrated superior scores in PROMIS-PF at 6 weeks, 12 weeks, and 
      6 months; NDI preoperatively and at 6 weeks, 12 weeks, and 6 months; VAS neck at 
      12 weeks; and 9-item Patient Health Questionnaire (PHQ-9) at 6 months (all P </= 
      0.045). The LD group was more likely to achieve MCID in PROMIS-PF at 12 weeks 
      (P = 0.012). The PD group was more likely to achieve MCID in PHQ-9 at 6 months 
      (P = 0.023). CONCLUSIONS: Regardless of length of symptom duration before ACDF in 
      workers' compensation patients, the patients demonstrated improvements in 
      disability and arm pain. Patients with LD also demonstrated improvements in 
      physical function and neck pain. Patients with LD demonstrated superior scores in 
      physical function, pain, disability, and mental health and were more likely to 
      achieve clinically significant improvement in physical function. Patients with PD 
      were more likely to achieve clinically significant improvement in mental health.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Hartman, Timothy J
AU  - Hartman TJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Nie, James W
AU  - Nie JW
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Federico, Vincent P
AU  - Federico VP
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 - Oyetayo, Omolabake O
AU  - Oyetayo OO
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 - Massel, Dustin H
AU  - Massel DH
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Sayari, Arash J
AU  - Sayari AJ
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 - 20230309
PL  - United States
TA  - World Neurosurg
JT  - World neurosurgery
JID - 101528275
SB  - IM
MH  - Humans
MH  - *Intervertebral Disc Displacement/surgery
MH  - Workers' Compensation
MH  - Cervical Vertebrae/surgery
MH  - Diskectomy
MH  - Neck Pain/surgery
MH  - Patient Reported Outcome Measures
MH  - *Spinal Fusion
MH  - Treatment Outcome
OTO - NOTNLM
OT  - ACDF
OT  - Disc herniation
OT  - PROs
OT  - Workers' compensation
EDAT- 2023/03/11 06:00
MHDA- 2023/05/17 06:42
CRDT- 2023/03/10 19:29
PHST- 2023/01/27 00:00 [received]
PHST- 2023/02/28 00:00 [revised]
PHST- 2023/03/02 00:00 [accepted]
PHST- 2023/05/17 06:42 [medline]
PHST- 2023/03/11 06:00 [pubmed]
PHST- 2023/03/10 19:29 [entrez]
AID - S1878-8750(23)00303-0 [pii]
AID - 10.1016/j.wneu.2023.03.008 [doi]
PST - ppublish
SO  - World Neurosurg. 2023 May;173:e748-e754. doi: 10.1016/j.wneu.2023.03.008. Epub 
      2023 Mar 9.