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Change in Patient-Reported Outcome Measures as Predictors of Revision Lumbar Decompression Procedures Research Article

The London Spine Unit : innovative day surgery spinal centre in London

Published article

CONCLUSION: LD has been associated with reliable outcomes, but early identification of patients at risk for revision is critical. This study suggests that tools such as PROMIS-PF may serve a role in predicting who is at risk and the 6-month follow-up period may be valuable for counseling patients who are not experiencing improvement.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK

Neurospine. 2021 Dec;18(4):863-870. doi: 10.14245/ns.2142230.115. Epub 2021 Dec 31.

ABSTRACT

OBJECTIVE: To assess change in Patient-Reported Outcome Measures (PROM) as predictors for revision lumbar decompression (LD).

METHODS: Patients who underwent primary, single or multilevel LD were retrospectively reviewed. Patients were categorized according to whether or not they underwent revision LD within 2 years of the primary procedure. Visual analogue scale (VAS), Oswestry Disability Index (ODI), 12-item Short Form Health Survey and 12-item Veterans RAND physical component score (SF-12 PCS and VR-12 PCS), and Patient-Reported Outcome Measurement Information System physical function (PROMIS-PF) were recorded. Delta PROM scores were evaluated for differences between groups and as a risk factor for a revision LD.

RESULTS: The study included 135 patients, 91 undergoing a primary procedure only and 44 undergoing a primary and revision procedure. Matched patients did not demonstrate any significant differences in demographics or perioperative characteristics. Patients who underwent a revision had a mean time to revision of 7.4 ± 5.7 months. Primary cohort significantly improved for all PROMs (all p < 0.05), while the primary plus revision cohort significantly improved for VAS back, ODI, and PROMIS-PF (all p < 0.05). However, cohorts differed in VAS back and PROMIS-PF (p < 0.05). Delta PROMs were not a significant risk factor for revision except at 6 months for PROMIS-PF (p = 0.024).

CONCLUSION: LD has been associated with reliable outcomes, but early identification of patients at risk for revision is critical. This study suggests that tools such as PROMIS-PF may serve a role in predicting who is at risk and the 6-month follow-up period may be valuable for counseling patients who are not experiencing improvement.

PMID:35000342 | DOI:10.14245/ns.2142230.115

The London Spine Unit : innovative day surgery spinal centre in London

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Change in Patient-Reported Outcome Measures as Predictors of Revision Lumbar Decompression Procedures

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Neurospine. 2021 Dec;18(4):863-870. doi: 10.14245/ns.2142230.115. Epub 2021 Dec 31.ABSTRACTOBJECTIVE: To assess change in Patient-Reported Outcome Measures (PROM) as predictors for revision lumbar decompression (LD).METHODS: Patients who underwent primary, single or multilevel LD were retrospectively reviewed. Patients were categorized according to whether or not they underwent revision LD within 2 years of the primary procedure. Visual…

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