The London Spine Unit : best recognised treatment clinic in UK
Published article
CONCLUSION: Patients with inferior mental health preoperatively demonstrated worse mean short-term postoperative clinical outcome for leg/back pain, physical function and disability, short and long-term postoperative satisfaction for leg pain and disability, and long-term satisfaction for sleeping/lifting/walking/standing/sex/travel.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
World Neurosurg. 2022 May 13:S1878-8750(22)00622-2. doi: 10.1016/j.wneu.2022.05.024. Online ahead of print.
ABSTRACT
OBJECTIVE: To compare patient-reported outcomes (PROMs), postoperative patient reported satisfaction, and Minimum Clinical Important Difference (MCID) achievement following minimally invasive lumbar decompression (MIS-LD) in patients stratified by their preoperative Short-Form Mental Health Survey (SF-12 MCS) score.
METHODS: Patients who underwent single/multi-level MIS-LD were included. PROMs were administered preoperatively and 6-week/12-week/6-month/1-year postoperatively. Patients were grouped by preoperative SF-12 MCS. Demographic/perioperative characteristics were compared among groups using chi-square and Student’s t-test for categorical and continuous variables, respectively. Mean PROM and postoperative satisfaction scores were compared utilizing a unpaired Student’s t-test. PROM improvement within cohorts was assessed with paired samples t-test. MCID achievement rates were compared using chi-squared analysis.
RESULTS: 297 patients were included: 111 patients in SF-12 MCS<48.9 and 186 patients in the SF-12 MCS≥48.9 cohort. Cohorts demonstrated mean postoperative differences for VAS back 12-weeks, VAS leg 6-weeks/12-weeks, ODI 6-weeks/12-weeks, SF-12 MCS all postoperative timepoints, and SF-12 PCS 6-weeks/12-weeks(p<0.022, all). Patients in the SF-12 MCS<48.9 cohort demonstrated greater proportion achieving MCID for SF-12 MCS at all postoperative timepoints and ODI 1-year(p <0.023, all). Greater proportion of patients in the SF-12 MCS≥48.9 cohort achieved MCID for VAS leg 12-weeks and SF-12 PCS 6-weeks(p<0.038). Patients in the SF-12 MCS<48.9 cohort demonstrated inferior postoperative satisfaction for VAS leg 6-weeks/12-weeks/1-year, VAS back 12-weeks, and ODI at all postoperative timepoints.
CONCLUSION: Patients with inferior mental health preoperatively demonstrated worse mean short-term postoperative clinical outcome for leg/back pain, physical function and disability, short and long-term postoperative satisfaction for leg pain and disability, and long-term satisfaction for sleeping/lifting/walking/standing/sex/travel.
PMID:35577207 | DOI:10.1016/j.wneu.2022.05.024
The London Spine Unit : best recognised treatment clinic in UK
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