19 Harley St, London, W1G 9QJ, UK

Workers Compensation Status and Outcomes Following Lumbar Surgery Research Article

The London Spine Unit : finest sugical centre on Harley Street UK

Published article

CONCLUSION: Patients receiving workers’ compensation improve less than non-workers’ compensation patients. However, workers’ compensation patients who return to work have similar VAS Back and Neck improvements as non-workers’ compensation patients.
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK

World Neurosurg. 2022 Feb 26:S1878-8750(22)00237-6. doi: 10.1016/j.wneu.2022.02.090. Online ahead of print.

ABSTRACT

OBJECTIVE: To determine the influence of preoperative workers’ compensation status on patient-reported outcome measures (PROM) following lumbar decompression with or without fusion.

METHODS: All patients undergoing lumbar decompression with or without fusion at a single academic institution between 2013 and 2017 were identified. Patients were split into groups based on workers’ compensation status: no workers’ compensation (NWC), workers’ compensation (WC), or retired (R). Intragroup analysis utilized paired t-tests. Outcomes between groups were compared using a Kruskal-Wallis H test. Multiple linear regression analysis determined if WC status was a predictor of change in PROMs. Subgroup analysis was conducted for WC patients who returned to work.

RESULTS: Of 571 included patients, 242 were NWC (43.4%), 83 were WC (14.5%) and 246 were R (43.1%). Comparing within groups, WC showed significant improvement in Physical Component Score (PCS-12), Oswestry Disability Index (ODI), Visual Analog Scale (VAS) Back, and VAS Leg (all, p<0.001) following surgery. However, WC patients improved less than NWC or R in PCS-12 (p=0.010), VAS Back (p=0.028), and VAS Leg (p=0.015). WC was an independent predictor of decreased improvement in PCS-12 (β=-4.31, p=0.001), VAS Back (β=0.90, p=0.034), and VAS Leg (β=1.50, p=0.002) on multivariate analysis. WC patients who did not return to work was an independent predictor of decreased improvement in VAS Back (β=1.39, p=0.016) and VAS Leg (β=2.11, p=0.001).

CONCLUSION: Patients receiving workers’ compensation improve less than non-workers’ compensation patients. However, workers’ compensation patients who return to work have similar VAS Back and Neck improvements as non-workers’ compensation patients.

PMID:35231623 | DOI:10.1016/j.wneu.2022.02.090

The London Spine Unit : finest sugical centre on Harley Street UK

Read the original publication:

Workers Compensation Status and Outcomes Following Lumbar Surgery

Related Posts

0/5 (0 Reviews)

Trusindex Reviews

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

World Neurosurg. 2022 Feb 26:S1878-8750(22)00237-6. doi: 10.1016/j.wneu.2022.02.090. Online ahead of print.ABSTRACTOBJECTIVE: To determine the influence of preoperative workers' compensation status on patient-reported outcome measures (PROM) following lumbar decompression with or without fusion.METHODS: All patients undergoing lumbar decompression with or without fusion at a single academic institution between 2013 and 2017 were identified. Patients were split…

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810