Cyrus Zamany , Søren Ohrt-Nissen , Peter Muhareb Udby
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We collected data on European Quality of Life–5 Dimensions (EQ-5D), visual analogue scale (VAS), Oswestry Disability Index (ODI) score, pain intensity, duration of back pain, previous discectomy, and expectations regarding return to work after surgery at 2-year follow-up.</p></div><div><h3>Results</h3><p>The cohort included 453 patients of which 19% reported treatment nonsatisfaction. The nonsatisfaction group demonstrated higher preoperative VAS scores for back pain (75 ± 19 vs. 68 ± 21, p = 0.006) and leg pain (65 ± 25 vs. 58 ± 28, p = 0.004). The preoperative EQ-5D score was significantly lower in the nonsatisfaction group (0.203 + 0.262 vs. 0.291 ± 0.312, p = 0.016). There was no statistical significance between patient nonsatisfaction and preoperative ODI score, age, body mass index, duration of back pain or expectations regarding return to work after surgery.</p></div><div><h3>Discussion and conclusion</h3><p>Low preoperative EQ-5D scores and high VAS leg and back pain scores were statistically significant with patient nonsatisfaction following surgery and may prove to be valuable tools in the preoperative screening and alignment of patient expectations.</p></div>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772529424000407/pdfft?md5=c0b8db6d142d6c587b383f86a29b4a4e&pid=1-s2.0-S2772529424000407-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Preoperative risk factors for nonsatisfaction after lumbar interbody fusion\",\"authors\":\"Cyrus Zamany , Søren Ohrt-Nissen , Peter Muhareb Udby\",\"doi\":\"10.1016/j.bas.2024.102784\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Low back pain (LBP) is a common cause of impaired quality of life and disability and studies regarding surgical management of patients with LBP show a high variation in patient-reported success rate.</p></div><div><h3>Research question</h3><p>To find valuable preoperative clinical risk factors and variables associated with a non-satisfactory patient-reported outcome following surgery.</p></div><div><h3>Materials and methods</h3><p>The Danish surgical spine database (DaneSpine) was used to collect eight years of pre- and postoperative data on patients undergoing single-level fusions with either posterior- (PLIF) or transforaminal lumbar interbody fusions (TLIF). The primary outcome was patient nonsatisfaction. We collected data on European Quality of Life–5 Dimensions (EQ-5D), visual analogue scale (VAS), Oswestry Disability Index (ODI) score, pain intensity, duration of back pain, previous discectomy, and expectations regarding return to work after surgery at 2-year follow-up.</p></div><div><h3>Results</h3><p>The cohort included 453 patients of which 19% reported treatment nonsatisfaction. The nonsatisfaction group demonstrated higher preoperative VAS scores for back pain (75 ± 19 vs. 68 ± 21, p = 0.006) and leg pain (65 ± 25 vs. 58 ± 28, p = 0.004). The preoperative EQ-5D score was significantly lower in the nonsatisfaction group (0.203 + 0.262 vs. 0.291 ± 0.312, p = 0.016). 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引用次数: 0
摘要
导言腰背痛(LBP)是导致生活质量下降和残疾的常见原因,而对腰背痛患者进行手术治疗的研究表明,患者报告的成功率存在很大差异。 研究问题寻找与术后患者报告结果不满意相关的有价值的术前临床风险因素和变量。材料和方法利用丹麦脊柱外科数据库(DaneSpine)收集了接受后路(PLIF)或经椎间孔腰椎椎体间融合术(TLIF)单层次融合术患者的八年术前和术后数据。主要结果是患者的不满意度。我们收集了欧洲生活质量5维度(EQ-5D)、视觉模拟量表(VAS)、Oswestry残疾指数(ODI)评分、疼痛强度、背痛持续时间、既往椎间盘切除术以及术后2年随访时对重返工作岗位的期望等数据。不满意组患者术前背部疼痛(75 ± 19 vs. 68 ± 21,p = 0.006)和腿部疼痛(65 ± 25 vs. 58 ± 28,p = 0.004)的VAS评分较高。不满意组的术前 EQ-5D 评分明显较低(0.203 + 0.262 vs. 0.291 ± 0.312,p = 0.016)。患者不满意度与术前 ODI 评分、年龄、体重指数、背痛持续时间或术后重返工作岗位的期望值之间没有统计学意义。讨论与结论术前 EQ-5D 评分低、VAS 腿部和背部疼痛评分高与患者术后不满意度有统计学意义,可能被证明是术前筛查和调整患者期望值的重要工具。
Preoperative risk factors for nonsatisfaction after lumbar interbody fusion
Introduction
Low back pain (LBP) is a common cause of impaired quality of life and disability and studies regarding surgical management of patients with LBP show a high variation in patient-reported success rate.
Research question
To find valuable preoperative clinical risk factors and variables associated with a non-satisfactory patient-reported outcome following surgery.
Materials and methods
The Danish surgical spine database (DaneSpine) was used to collect eight years of pre- and postoperative data on patients undergoing single-level fusions with either posterior- (PLIF) or transforaminal lumbar interbody fusions (TLIF). The primary outcome was patient nonsatisfaction. We collected data on European Quality of Life–5 Dimensions (EQ-5D), visual analogue scale (VAS), Oswestry Disability Index (ODI) score, pain intensity, duration of back pain, previous discectomy, and expectations regarding return to work after surgery at 2-year follow-up.
Results
The cohort included 453 patients of which 19% reported treatment nonsatisfaction. The nonsatisfaction group demonstrated higher preoperative VAS scores for back pain (75 ± 19 vs. 68 ± 21, p = 0.006) and leg pain (65 ± 25 vs. 58 ± 28, p = 0.004). The preoperative EQ-5D score was significantly lower in the nonsatisfaction group (0.203 + 0.262 vs. 0.291 ± 0.312, p = 0.016). There was no statistical significance between patient nonsatisfaction and preoperative ODI score, age, body mass index, duration of back pain or expectations regarding return to work after surgery.
Discussion and conclusion
Low preoperative EQ-5D scores and high VAS leg and back pain scores were statistically significant with patient nonsatisfaction following surgery and may prove to be valuable tools in the preoperative screening and alignment of patient expectations.