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Evaluation Of Health-Related Quality Of Life Improvement In Patients Undergoing Cervical Versus Shoulder Surgery – Cervical Disc Replacement

This article presents a retrospective analysis of outcomes in patients who underwent cervical spine surgery and shoulder arthroscopy. The objective of the study was to assess the differential improvements in health-related quality of life between the two types of surgeries. The study compared outcomes using patient-reported outcome scores in physical function, pain interference, and pain intensity. The results showed that cervical spine patients had greater early improvement in physical function compared to shoulder patients. However, there was no significant difference in pain interference and intensity between the two groups after surgery. This information can aid in counseling patients about the expected recovery and improvement following these surgeries

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated day surgery spinal centre in the world

Published article

CONCLUSIONS: Cervical spine patients had greater relative early improvement in physical function compared with shoulder patients, whereas pain interference and intensity did not significantly differ between the 2 groups after surgery. This will help in counseling patients about relative difference in recovery and improvement between the 2 surgery types.

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Abstract Study design: Retrospective analysis of outcomes in cervical spine and shoulder arthroscopy patients. Objective: The objective of this study is to assess differential improvements in health-related quality of life for cervical spine surgery compared with shoulder surgery. Summary of background data: An understanding of outcome differences between different types of orthopedic surgeries is helpful,

Abstract

Study design: Retrospective analysis of outcomes in cervical spine and shoulder arthroscopy patients.

Objective: The objective of this study is to assess differential improvements in health-related quality of life for cervical spine surgery compared with shoulder surgery.

Summary of background data: An understanding of outcome differences between different types of orthopedic surgeries is helpful in counseling patients about expected postoperative recovery. This study compares outcomes in patients undergoing cervical spine surgery with arthroscopic shoulder surgery using computer-adaptive Patient-reported Outcome Information System scores.

Materials and methods: Patients undergoing cervical spine surgery (1-level or 2-level anterior cervical discectomy and fusion, cervical disc replacement) or arthroscopic shoulder surgery (rotator cuff repair±biceps tenodesis) were grouped. Patient-reported Outcome Information System scores of physical function, pain interference, and pain intensity at baseline and at 3, 6, and 12 months were compared using paired t tests.

Results: Cervical spine (n=127) and shoulder (n=91) groups were similar in sex (25.8% vs. 41.8% female, P =0.731) but differed in age (51.6±11.6 vs. 58.60±11.2, P <0.05), operative time (148.3±68.6 vs. 75.9±26.9 min, P <0.05), American Society of Anesthesiologists (ASAs) (2.3±0.6 vs. 2.0±0.5, P =0.001), smoking status (15.7% vs. 4.4%, P =0.008), and length of stay (1.1±1.0 vs. 0.3±0.1, P =0.000). Spine patients had worse physical function (36.9 ±12.6 vs. 49.4±8.6, P <0.05) and greater pain interference (67.0±13.6 vs. 61.7±4.8, P =0.001) at baseline. Significant improvements were seen in all domains by 3 months for both groups, except for physical function after shoulder surgery. Spine patients had greater physical function improvements at all timepoints (3.33 vs. -0.43, P =0.003; 4.81 vs. 0.08, P =0.001; 6.5 vs. -5.24, P =<0.05). Conversely, shoulder surgery patients showed better 6-month improvement in pain intensity over spine patients (-8.86 vs. -4.46, P =0.001), but this difference resolved by 12 months.

Conclusions: Cervical spine patients had greater relative early improvement in physical function compared with shoulder patients, whereas pain interference and intensity did not significantly differ between the 2 groups after surgery. This will help in counseling patients about relative difference in recovery and improvement between the 2 surgery types.

Level of evidence: III.

The London Spine Unit : best rated day surgery spinal centre in the world

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Evaluation of Health-related Quality of Life Improvement in Patients Undergoing Cervical Versus Shoulder Surgery

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Abstract Study design: Retrospective analysis of outcomes in cervical spine and shoulder arthroscopy patients. Objective: The objective of this study is to assess differential improvements in health-related quality of life for cervical spine surgery compared with shoulder surgery. Summary of background data: An understanding of outcome differences between different types of orthopedic surgeries is helpful

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