PMID- 37688649
OWN - NLM
STAT- MEDLINE
DCOM- 20231106
LR  - 20231112
IS  - 0942-0940 (Electronic)
IS  - 0001-6268 (Linking)
VI  - 165
IP  - 11
DP  - 2023 Nov
TI  - Effect of baseline veterans RAND-12 physical composite score on postoperative 
      patient-reported outcome measures following lateral lumbar interbody fusion.
PG  - 3531-3537
LID - 10.1007/s00701-023-05763-8 [doi]
AB  - PURPOSE: To determine the prognostic value of preoperative Veterans RAND-12 
      (VR-12) Physical Composite Score (PCS) scores on postoperative clinical outcomes 
      in patients undergoing lateral lumbar interbody fusion (LLIF). METHODS: LLIF 
      patients were separated into 2 cohorts based on preoperative VR-12 PCS scores: 
      VR-12 PCS < 30 (lesser physical function) and VR-12 PCS >/= 30 (greater physical 
      function). Patient-reported outcome measures (PROMs) of VR-12 PCS, VR-12 Mental 
      Composite Score (MCS), Short Form-12 (SF-12) PCS, SF-12 MCS, Patient-Reported 
      Outcomes Measurement Information System Physical Function (PROMIS-PF), Patient 
      Health Questionnaire-9 (PHQ-9), Visual Analog Scale (VAS) Back Pain (VAS-BP), VAS 
      Leg Pain (VAS-LP), and Oswestry Disability Index (ODI) were collected at 
      preoperative and up to 2-year postoperative time points. Mean postoperative 
      follow-up time was 16.69 +/- 8.53 months. Minimum clinically important difference 
      (MCID) achievement was determined by comparing ∆PROM to previously established 
      thresholds. RESULTS: Seventy-eight patients were included, with 38 patients with 
      lesser preoperative physical function scores. Patients with lesser physical 
      function reported significantly inferior preoperative PROM scores in all domains, 
      except for SF-12 MCS and VAS-LP. At the 6-week postoperative time point, patients 
      with lesser physical function reported significantly inferior VR-12 PCS, VR-12 
      MCS, SF-12 PCS, PROMIS-PF, and PHQ-9. At the final postoperative time point, 
      patients with lesser physical function reported significantly inferior VR-12 PCS, 
      VR-12 MCS, PROMIS-PF, PHQ-9, and ODI. Magnitude of 6-week postoperative 
      improvement was significantly higher in the lesser physical function cohort for 
      VR-12 PCS. CONCLUSION: Patients undergoing LLIF with worse baseline VR-12 PCS 
      scores reported inferior postoperative physical function, mental health, and 
      disability outcomes. At the final postoperative follow-up, magnitude of 
      postoperative improvement and MCID achievement did not significantly differ. 
      Baseline VR-12 PCS scores may indicate inferior postoperative clinical outcomes 
      in physical function, mental health, and disability in patients undergoing LLIF; 
      however, baseline VR-12 PCS does not limit the magnitude of postoperative 
      improvement.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, 
      part of Springer Nature.
FAU - Oyetayo, Omolabake O
AU  - Oyetayo OO
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
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, USA.
FAU - Hartman, Timothy J
AU  - Hartman TJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - MacGregor, Keith R
AU  - MacGregor KR
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Zheng, Eileen
AU  - Zheng E
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Anwar, Fatima N
AU  - Anwar FN
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Roca, Andrea M
AU  - Roca AM
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Federico, Vincent P
AU  - Federico VP
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Massel, Dustin H
AU  - Massel DH
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Lopez, Gregory D
AU  - Lopez GD
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Sayari, Arash J
AU  - Sayari AJ
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA.
FAU - Singh, Kern
AU  - Singh K
AUID- ORCID: 0000-0002-6118-7273
AD  - Department of Orthopaedic Surgery, Rush University Medical Center, 1611 W. 
      Harrison St. Suite #300, Chicago, IL, 60612, USA. kern.singh@rushortho.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230909
PL  - Austria
TA  - Acta Neurochir (Wien)
JT  - Acta neurochirurgica
JID - 0151000
SB  - IM
MH  - Humans
MH  - Treatment Outcome
MH  - *Veterans
MH  - Prognosis
MH  - Back Pain/surgery
MH  - *Spinal Fusion
MH  - Patient Reported Outcome Measures
MH  - Lumbar Vertebrae/surgery
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Lateral lumbar interbody fusion
OT  - Patient-reported outcome measures
OT  - Physical function
OT  - Veterans RAND-12
EDAT- 2023/09/09 21:42
MHDA- 2023/11/06 06:42
CRDT- 2023/09/09 11:05
PHST- 2023/05/10 00:00 [received]
PHST- 2023/08/07 00:00 [accepted]
PHST- 2023/11/06 06:42 [medline]
PHST- 2023/09/09 21:42 [pubmed]
PHST- 2023/09/09 11:05 [entrez]
AID - 10.1007/s00701-023-05763-8 [pii]
AID - 10.1007/s00701-023-05763-8 [doi]
PST - ppublish
SO  - Acta Neurochir (Wien). 2023 Nov;165(11):3531-3537. doi: 
      10.1007/s00701-023-05763-8. Epub 2023 Sep 9.