PMID- 36963809
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230510
IS  - 2211-4599 (Print)
IS  - 2211-4599 (Electronic)
IS  - 2211-4599 (Linking)
VI  - 17
IP  - 2
DP  - 2023 Apr
TI  - Patient-Reported Allergies Do Not Affect Long-Term Patient-Reported Outcome 
      Measures After Spine Surgery.
PG  - 190-197
LID - 10.14444/8420 [doi]
AB  - BACKGROUND: A gap in the literature exists regarding the association between 
      number of allergies and patient-reported outcomes measures (PROMs) for patients 
      undergoing spine surgery. METHODS: Consecutive cervical or lumbar spine surgery 
      patients were identified from a prospective registry from April 2017 to July 
      2020. Patients were grouped into those with 0, 1, 2, or >/=3 allergies. 
      Demographics were compared between the groups. PROMs included Neck Disability 
      Index, Oswestry Disability Index, visual analog scale (VAS) neck pain, VAS arm 
      pain, VAS back pain, VAS leg pain, short form 12 (SF-12) physical component 
      score, SF-12 mental component score, and patient-reported outcomes measurement 
      information system physical function (PROMIS-PF), and outcomes were compared 
      between the groups through multivariable analysis at up to 1-year follow-up. 
      Associations between number of allergies and achieving a minimal clinically 
      important difference (MCID) in the 9 aforementioned PROMs at 1-year follow-up 
      were assessed. RESULTS: This study included 148 cervical and 517 lumbar patients. 
      After controlling for demographic differences, a higher number of allergies was 
      associated with less improvement in VAS neck pain, SF-12 physical component 
      score, and PROMIS-PF at 12 weeks following cervical surgery and less improvement 
      in PROMIS-PF at 2 weeks following lumbar surgery (P < 0.05). However, these 
      associations failed to persist after 6 months and 12 weeks following surgery in 
      cervical and lumbar patients, respectively (P > 0.05). No association was 
      identified between number of allergies and achievement of MCID in any of the 9 
      studied PROMs at 1-year follow-up. CONCLUSIONS: The higher number of allergies 
      was associated with less improvement in PROMs in the early postoperative period 
      but not at longer-term follow-up. CLINICAL RELEVANCE: These findings provide data 
      that can be utilized while counseling patients and setting postoperative 
      expectations.
CI  - This manuscript is generously published free of charge by ISASS, the 
      International Society for the Advancement of Spine Surgery. Copyright (c) 2023 
      ISASS. To see more or order reprints or permissions, see http://ijssurgery.com.
FAU - Bovonratwet, Patawut
AU  - Bovonratwet P
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - Vaishnav, Avani S
AU  - Vaishnav AS
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - Mok, Jung Kee
AU  - Mok JK
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - Abdullah, Zamie
AU  - Abdullah Z
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - Abdullah, Mahie
AU  - Abdullah M
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - Sheha, Evan D
AU  - Sheha ED
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - McAnany, Steven J
AU  - McAnany SJ
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - Gang, Catherine H
AU  - Gang CH
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA.
FAU - Qureshi, Sheeraz A
AU  - Qureshi SA
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, 
      USA qureshi@hss.edu.
LA  - eng
PT  - Journal Article
DEP - 20230324
PL  - Netherlands
TA  - Int J Spine Surg
JT  - International journal of spine surgery
JID - 101579005
PMC - PMC10165637
OTO - NOTNLM
OT  - cervical
OT  - lumbar
OT  - minimal clinical important difference
OT  - patient-reported allergies
OT  - patient-reported outcome measures
OT  - spine surgery
COIS- Declaration of Conflicting Interests : The authors report no conflicts of 
      interest in this work.
EDAT- 2023/03/25 06:00
MHDA- 2023/03/25 06:01
PMCR- 2023/03/23
CRDT- 2023/03/24 21:02
PHST- 2023/03/25 06:01 [medline]
PHST- 2023/03/25 06:00 [pubmed]
PHST- 2023/03/24 21:02 [entrez]
PHST- 2023/03/23 00:00 [pmc-release]
AID - 8420 [pii]
AID - IJSSURGERY-D-22-00042 [pii]
AID - 10.14444/8420 [doi]
PST - ppublish
SO  - Int J Spine Surg. 2023 Apr;17(2):190-197. doi: 10.14444/8420. Epub 2023 Mar 24.