The article published in BMJ Open aims to examine the associations between general health expectations and patient satisfaction in two common spine surgery procedures: diskectomy for lumbar disk herniation (LDH) and decompression for lumbar spinal stenosis (LSS). The study utilized data from the national Swedish spine register, Swespine, and included 9,929 patients between the ages of 20 and 85 who underwent surgery between 2007 and 2016. The researchers assessed future health expectations, present health perceptions, and satisfaction with treatment using established measures. The results showed that patients with negative future health expectations preoperatively were significantly less satisfied with treatment compared to those with positive expectations. These findings have important implications for patients and surgeons when considering surgery as a treatment option for LSS or LDH
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated sugical centre in London
Published article
CONCLUSIONS: Patients operated for the common lumbar spine diseases LSS or LDH, with negative future general health expectations, were significantly less satisfied with treatment than patients with positive expectations with regard to future general health. These findings are important for patients, and for the surgeons who counsel them, when surgery is a treatment option for LSS or LDH.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
BMJ Open. 2023 Sep 25;13(9):e074072. doi: 10.1136/bmjopen-2023-074072.ABSTRACTOBJECTIVE: This study aimed to investigate the associations between general health expectations and patient satisfaction with treatment for the two common spine surgery procedures diskectomy for lumbar disk herniation (LDH) and decompression for lumbar spinal stenosis (LSS).DESIGN: Register study with prospectively collected preoperative and 1-year postoperative data.SETTING: National outcome,
BMJ Open. 2023 Sep 25;13(9):e074072. doi: 10.1136/bmjopen-2023-074072.
ABSTRACT
OBJECTIVE: This study aimed to investigate the associations between general health expectations and patient satisfaction with treatment for the two common spine surgery procedures diskectomy for lumbar disk herniation (LDH) and decompression for lumbar spinal stenosis (LSS).
DESIGN: Register study with prospectively collected preoperative and 1-year postoperative data.
SETTING: National outcome data from Swespine, the national Swedish spine register.
PARTICIPANTS: A total of 9929 patients, aged between 20 and 85 years, who were self-reported non-smokers, and were operated between 2007 and 2016 for one-level LSS without degenerative spondylolisthesis, or one-level LDH, were identified in the national Swedish spine register (Swespine). We used SF-36 items 11c and 11d to assess future health expectations and present health perceptions. Satisfaction with treatment was assessed using the Swespine satisfaction item.
INTERVENTIONS: One-level diskectomy for LDH or one-level decompression for LSS.
PRIMARY OUTCOME MEASURES: Satisfaction with treatment.
RESULTS: For LSS, the year 1 satisfaction ratio among patients with negative future health expectations preoperatively was 60% (95% CI 58% to 63%), while it was 75% (95% CI 73% to 76%) for patients with positive future health expectations preoperatively. The corresponding numbers for LDH were 73% (95% CI 71% to 75%) and 84% (95% CI 83% to 85%), respectively.
CONCLUSIONS: Patients operated for the common lumbar spine diseases LSS or LDH, with negative future general health expectations, were significantly less satisfied with treatment than patients with positive expectations with regard to future general health. These findings are important for patients, and for the surgeons who counsel them, when surgery is a treatment option for LSS or LDH.
PMID:37748852 | DOI:10.1136/bmjopen-2023-074072
The London Spine Unit : best rated sugical centre in London
Read the original publication:
Associations between future health expectations and patient satisfaction after lumbar spine surgery: a longitudinal observational study of 9929 lumbar spine surgery procedures
