The London Spine Unit : most established day surgery hospital in London
Published article
CONCLUSION: Independent effect of depression at long-term follow-up was significant. This highlights the importance of understanding the interaction between physical and mental health outcomes to optimize patients’ perceptions of surgical outcome.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2022 May 11:S1878-8750(22)00605-2. doi: 10.1016/j.wneu.2022.05.017. Online ahead of print.
ABSTRACT
OBJECTIVE: To determine the association between patient-reported depressive symptoms and patient satisfaction following minimally invasive lumbar decompression (MIS LD) METHODS: Primary, single/multilevel MIS LD were identified. Patient-reported outcome measures (PROMs) collected pre-/post-operatively included VAS back/leg, ODI, PHQ-9, and SF-12 MCS. Patients rated current satisfaction level (0-10) with back/leg pain and disability. Paired Student’s t-test compared each postoperative PROM score to its preoperative baseline. At each timepoint, patients were categorized by PHQ-9 and SF-12 MCS scores. One-way ANOVA compared patient satisfaction with back/leg pain and disability among PHQ-9 subgroups. Student’s t-test for independent samples compared patient satisfaction between SF-12 MCS subgroups. ANCOVA assessed differences in satisfaction between depression subgroups while controlling for pre-/post-operative values in corresponding PROMs.
RESULTS: 193 patients were included. All PROMs demonstrated significant postoperative improvement from 6-weeks through 2-years(p<0.001,all) except PHQ-9 2-years(p=0.874). Mean satisfaction scores ranged from 6.9-7.9(back pain), 7.3-8.0(leg pain), and 7.6-8.0(disability). Satisfaction with back/leg pain and disability significantly differed among PHQ-9 subgroups at all postoperative timepoints(p<0.001,all). Accounting for baseline and current pain/disability values, ANCOVA revealed differences between PHQ-9 subgroups only in satisfaction with back pain 2-years(p<0.001), leg pain 12-weeks/1-year/2-years(p≤0.047,all), and disability 6-months/2-years(p≤0.049,both). Satisfaction differed between SF-12 MCS subgroups at all timepoints(p≤0.047), except back pain 6-months(p=0.263). Accounting for baseline and postoperative pain/disability, ANCOVA revealed differences in satisfaction between SF-12 MCS groups only for back/leg pain 2-years(p≤0.001,both).
CONCLUSION: Independent effect of depression at long-term follow-up was significant. This highlights the importance of understanding the interaction between physical and mental health outcomes to optimize patients’ perceptions of surgical outcome.
PMID:35568123 | DOI:10.1016/j.wneu.2022.05.017
The London Spine Unit : most established day surgery hospital in London
Read the original publication:
Patient Satisfaction Following Lumbar Decompression: What is the Role of Mental Health?