The London Spine Unit : most specialised spinal centre in London
Published article
CONCLUSION: Patients undergoing lumbar decompression demonstrated significant postoperative improvement in most clinical outcomes regardless of preoperative sleep disturbance. Patients with mild to severe sleep disturbance had higher MCID attainment rates for physical function, mental function, and pain. Patients undergoing lumbar decompression with greater preoperative sleep disturbance may experience more clinically noticeable improvement.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2023 Jan 9:S1878-8750(23)00018-9. doi: 10.1016/j.wneu.2023.01.013. Online ahead of print.
ABSTRACT
OBJECTIVE: To examine the impact of Patient-Reported Outcomes Measurement Information System (PROMIS) sleep disturbance (PROMIS-SD) on clinical outcomes in patients undergoing lumbar decompression.
METHODS: Patients undergoing lumbar decompression with preoperative PROMIS-SD scores were retrospectively included. Patients were separated into two cohorts from none to slight (PROMIS-SD<55) and mild to severe sleep disturbance (PROMIS-SD≥55). PROMs of PROMIS physical function (PROMIS-PF), anxiety (PROMIS-A), pain interference (PROMIS-PI), PROMIS-SD, Patient Health Questionnaire-9 (PHQ-9), Visual Analog Scale (VAS) back/leg, and Oswestry Disability Index (ODI) were collected preoperatively and up to 1-year postoperatively.
RESULTS: 87 patients were identified, with 48 patients with PROMIS-SD≥55. Regardless of preoperative PROMIS-SD, patients reported significant improvement in physical function, anxiety, pain interference, depression, pain, and disability outcomes in at least one time point. PROMIS-SD≥55 patients reported postoperative improvement in sleep disturbance. PROMIS-SD<55 patients reported superior preoperative PROMs in all domains and superior postoperative improvement in pain interference and sleep disturbance. MCID attainment rates were higher in PROMIS-SD≥55 patients in physical function, anxiety, pain interference, sleep disturbance, and pain.
CONCLUSION: Patients undergoing lumbar decompression demonstrated significant postoperative improvement in most clinical outcomes regardless of preoperative sleep disturbance. Patients with mild to severe sleep disturbance had higher MCID attainment rates for physical function, mental function, and pain. Patients undergoing lumbar decompression with greater preoperative sleep disturbance may experience more clinically noticeable improvement.
PMID:36632896 | DOI:10.1016/j.wneu.2023.01.013
The London Spine Unit : most specialised spinal centre in London
Read the original publication:
Impact of Sleep Disturbance on Clinical Outcomes in Lumbar Decompression