Are patient-reported outcomes predictive of affected person satisfaction 5 years after anterior cervical backbone surgical procedure?
Backbone J. 2017 Jul;17(7):943-952
Authors: Schroeder GD, Coric D, Kim HJ, Albert TJ, Radcliff KE
BACKGROUND CONTEXT: Affected person satisfaction is changing into an rising frequent proxy for surgical high quality; nevertheless, the correlation between affected person satisfaction and surgical outcomes 2 and 5 years after anterior cervical surgical procedure has not been evaluated.
PURPOSE: The examine aimed to find out if affected person satisfaction is predicted by enchancment in patient-reported outcomes (PRO) 2 and 5 years after anterior cervical backbone surgical procedure.
STUDY DESIGN: This can be a retrospective evaluation of prospectively collected knowledge.
PATIENT SAMPLE: The pattern included sufferers enrolled within the Meals and Drug Administration investigational gadget exemption scientific trial evaluating whole disc substitute with Mobi-C cervical synthetic disc and anterior cervical discectomy and fusion.
OUTCOME MEASURES: The end result measures have been visible analog scale (VAS) neck ache rating, Neck Incapacity Index (NDI), and Brief-Type 12-Merchandise scores, in addition to affected person satisfaction.
METHODS: Receiver working attribute curves have been used to find out if enchancment in several PRO metrics can precisely determine affected person satisfaction. Moreover, a logistic regression evaluation was carried out on the outcomes at 24 months and 60 months to determine unbiased predictors of affected person satisfaction. This analysis was supported by LDR (Zimmer Biomet) 13785 Analysis Boulevard – Suite 200 Austin, TX 78750.
RESULTS: Information have been out there for 512 sufferers at 60 months. At 24 months postoperatively, NDI rating enchancment (space below the curve [AUC]=zero.806), absolute NDI rating (AUC=zero.823), and absolute VAS neck ache rating (AUC=zero.808) have been all wonderful predictors of affected person satisfaction. At 60 months postoperatively, NDI rating enchancment (AUC=zero.815), absolute NDI rating (AUC=zero.839), VAS neck ache rating enchancment (AUC=zero.803), and absolute VAS neck ache rating (AUC=zero.861) have been all wonderful predictors of affected person satisfaction.
CONCLUSIONS: In sufferers present process one- and two-level anterior cervical backbone surgical procedure, between 2 and 5 years postoperatively, affected person satisfaction is considerably predicted by PROs, together with the VAS neck rating and the NDI.
PMID: 28254671 [PubMed – indexed for MEDLINE]