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Meeting Patient Expectations and Achieving a Minimal Clinically Important Difference for Back Disability, Back Pain, and Leg Pain May Provide Predictive Utility For Achieving Patient Satisfaction Among Lumbar Decompression Patients Research Article

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CONCLUSION: Pain/disability improved following MIS LD; improvement was strongly correlated with postoperative satisfaction. Meeting expectations/MCID achievement is associated with satisfaction. MCID achievement was equivalent to meeting expectations in predicting satisfaction at all postoperative timepoints for pain/disability.
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World Neurosurg. 2022 Mar 5:S1878-8750(22)00283-2. doi: 10.1016/j.wneu.2022.03.002. Online ahead of print.

ABSTRACT

OBJECTIVE: Our study evaluates minimum clinical important difference (MCID) achievement for back pain/leg pain/disability and meeting preoperative expectations as predictors of patient satisfaction following minimally invasive lumbar decompression (MIS LD) surgery.

METHODS: Single/multilevel MIS LD procedures were identified. Patient reported outcomes (PROMs)(preoperative/postoperative), expectations(preoperative) and satisfaction(postoperative) were collected for VAS back/VAS leg/ODI. Student’s t-test assessed PROM improvement from preoperative baseline. Correlations between outcome and satisfaction scores were evaluated utilizing Pearson correlation coefficient and categorized according to strength of relationship. MCID achievement and meeting expectations were evaluated as predictors of postoperative patient satisfaction with simple linear regression. Comparison of meeting expectations or achieving MCID as predictors of satisfaction scores was performed using a post-hoc Suest test comparison of standardized beta-coefficients.

RESULTS: 329 patients included. All outcomes improved from baselines(p<0.001, all) at all postoperative timepoints and demonstrated strong and negative correlations with satisfaction scores(p<0.001, all). Majority of patients had their expectations met for ODI/VAS back/VAS leg and achieved MCID for ODI/VAS back/VAS leg at all timepoints and overall. Both MCID achievement and meeting preoperative expectations demonstrated significant associations with satisfaction scores at all timepoints for ODI/VAS back/VAS leg. Post-hoc analysis of predictors of patient satisfaction in pain and disability demonstrated that MCID achievement was an equivalent predictor to meeting patient preoperative expectations at all postoperative timepoints.

CONCLUSION: Pain/disability improved following MIS LD; improvement was strongly correlated with postoperative satisfaction. Meeting expectations/MCID achievement is associated with satisfaction. MCID achievement was equivalent to meeting expectations in predicting satisfaction at all postoperative timepoints for pain/disability.

PMID:35259504 | DOI:10.1016/j.wneu.2022.03.002

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Meeting Patient Expectations and Achieving a Minimal Clinically Important Difference for Back Disability, Back Pain, and Leg Pain May Provide Predictive Utility For Achieving Patient Satisfaction Among Lumbar Decompression Patients

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World Neurosurg. 2022 Mar 5:S1878-8750(22)00283-2. doi: 10.1016/j.wneu.2022.03.002. Online ahead of print.ABSTRACTOBJECTIVE: Our study evaluates minimum clinical important difference (MCID) achievement for back pain/leg pain/disability and meeting preoperative expectations as predictors of patient satisfaction following minimally invasive lumbar decompression (MIS LD) surgery.METHODS: Single/multilevel MIS LD procedures were identified. Patient reported outcomes (PROMs)(preoperative/postoperative), expectations(preoperative) and satisfaction(postoperative) were…
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