Association between compensation status and outcomes in spine surgery: a meta-analysis of 31 studies

Cheriyan, Thomas; Harris, Bradley; Cheriyan, Jerry; Lafage, Virginie; Spivak, Jeffrey M.; Bendo, John A.; Errico, Thomas J.; Goldstein, Jeffrey A.

doi:10.1016/j.spinee.2015.09.033

Cited by 38 publications

(29 citation statements)

References 36 publications

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“…The findings of the studies in the USA were similar to the European and Australian data. 7 The relative risk was 2, similar to that one found in the results of the meta-analysis 32 of orthopedic surgeries of the upper limbs.…”

Section: 29-31supporting

confidence: 80%

“…In 2015, a systematic review and meta-analysis 7 of the literature contained in the MEDLINE, EMBASE, Cochrane Collaboration Library, Scopus, and Google Scholar data bases was conducted. Thirty-one studies that evaluated the effect of WC on spine surgery were included.…”

Section: 29-31mentioning

confidence: 99%

“…6 The large number of patients with pain in the lumbar spine and the great demand for care have warned medical entities to think about and analyze the patient in other ways, focusing not only on the structural pathology itself, but also on other causes, such as psychological factors, external factors, and secondary gain, that can affect, influence, or worsen an already existing condition and even affect the surgical outcome. 7,8 In the case of spinal surgery, where the unquestionable presence of organic pathology is a prerequisite for surgery, an evaluation of psychosocial issues is usually neglected, although the medical community today has information about the influence of these issues on the pathological situation. 7,[9][10][11][12][13][14] International studies show that worker compensation (WC) can be correlated with a negative prognosis following surgical treatment for several orthopedic pathologies, including those of the spine.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 In the case of spinal surgery, where the unquestionable presence of organic pathology is a prerequisite for surgery, an evaluation of psychosocial issues is usually neglected, although the medical community today has information about the influence of these issues on the pathological situation. 7,[9][10][11][12][13][14] International studies show that worker compensation (WC) can be correlated with a negative prognosis following surgical treatment for several orthopedic pathologies, including those of the spine. [15][16][17][18][19] A Brazilian study 14 reported postoperative WC results to be lower following spine surgery, but it did not analyze whether the presence of WC prior to surgery was related to different outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Workers' Compensation Is Associated With Worst Clinical Results After Lumbar Fusion

et al. 2017

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Objective: The objective of this study was to evaluate the association of clinical results with preoperative situation of worker compensation (WC) in patients submitted to spine surgery. Methods: This was a retrospective, comparative, single center study. Patients who underwent lumbar spine arthrodesis were included. The outcomes were pain scores (VAS), physical constraint (ODI) and quality of life (EQ-5D). Outcomes were analyzed before surgery and after surgery (minimum follow-up of six months and maximum of 12). Two groups were compared: individuals with or without WC at preoperative visit. Results: A total of 132 cases were analyzed (mean age 54 years and 51% female), 29 (22%) assigned to the WC group. The groups were matched for age, sex, and preoperative depression levels. In the preoperative period, the groups showed equal pain and physical constraint; however the CT group had lower quality of life (p=0.05). Although both groups showed improvement in clinical outcomes after surgery (p<0.05), worse scores were observed for the WC group compared to the non-WC group, respectively: VAS 4.9 vs. 3.2 (p=0.02), ODI 34.7 vs. 23.4 (p=0.002), and EQ-5D 0.56 vs. 0.75 (p=0.01). Conclusion: In this study it was possible to observe that WC is associated with worse clinical results following elective surgical treatment of the lumbar spine.Keywords: Spine/surgery; Working conditions; Quality of life; Work; Arthrodesis; Spinal fusion; Psychology, social. CT, respectivamente: EVA 4,9 vs. 3,2 (p = 0,02), ODI 34,7 vs. 23,4 (p = 0,56 vs. 0,75 (p = 0,01 (p < 0,05), se observaron puntuaciones más bajas en el grupo de CL en comparación con el grupo sin CL, respectivamente: EVA 4,9 vs. 3,2 (p = 0,02), ODI 34,7 vs. 23,4 (p = 0,56 vs. 0,75 (p = 0,01). Conclusión: En el presente estudio fue posible observar que la CL está vinculada a peores resultados clínicos después del tratamiento quirúrgico electivo de la columna lumbar. RESUMO nível de depressão pré-operatória. No pré-operatório os grupos se mostraram iguais quanto a dor e restrição física, porém, o grupo com CT apresentava qualidade de vida inferior (p = 0,05). Apesar de os dois grupos terem mostrado melhora nos desfechos clínicos após a cirurgia (p < 0,05), observaram-se piores escores para o grupo com CT comparado com grupo sem

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Section: 29-31supporting

confidence: 80%

Section: 29-31mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Workers' Compensation Is Associated With Worst Clinical Results After Lumbar Fusion

et al. 2017

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“…Influence of psychosocial distress in the results of elective lumbar spine surgery secondary gains (1,2).…”

Section: Original Studymentioning

confidence: 99%

Influence of Psychosocial Distress in the Results of Elective Lumbar Spine Surgery

Amaral

Marchi

Martim³

et al. 2017

The Spine Journal

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Receiving Long‐Term Disability or Pursuing a Legal Claim May Prevent Recovery From Chronic Dizziness

et al. 2021

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Objectives/Hypothesis: Chronic dizziness (CD) and imbalance have multiple etiologies. CD is strongly linked with psychiatric and psychological comorbidities, thus an interdisciplinary approach, including psychopharmacological interventions, is recommended. Despite the use of this comprehensive treatment approach, the recovery of individuals with CD that pursue long-term disability (LTD) insurance or legal claims (LC) appears hampered. As such, we aimed to compare symptom recovery from CD in an interdisciplinary setting between patients receiving LTD/LC versus those who were not, and to explore the factors that may contribute to changes in symptom severity.Study Design: Retrospective cohort study. Methods: Dizziness-related diagnoses were extracted from the charts of 195 adults in an outpatient interdisciplinary neurotology clinic in Toronto, Canada. Patients with baseline Dizziness Handicap Inventory (DHI) and Dizziness Catastrophizing Scale (DCS) assessments between August 2012 and July 2018 and a mean follow-up visit within approximately 10 months were included. The study participants were categorized as "LTD/LC+" (n = 92) or "LTD/LCÀ" (n = 103), referring to either receiving or pursuing LTD/LC or not, respectively.Results: There were differences in the mean percentage changes in DHI (t[187] = 3.02, P = .003) and DCS (t [179] = 2.63, P = .009) scores between LTD/LC+ and LTD/LCÀ patients. LTD/LC+ patients showed 8.0% and 7.6% mean increases in DHI and DCS scores, respectively, whereas LTD/LCÀ patients showed 21.5% and 25.9% reductions in DHI and DCS scores, respectively, controlling for age, sex, and baseline illness severity.Conclusions: Patients receiving or pursuing LTD insurance or a legal claim did not improve from CD and dizziness catastrophizing compared to those who were not. Future studies are required to test these findings prospectively and to determine the factors that may contribute to symptom recovery, including the anxiety-aggravating effects of the LTD/LC process and the deleterious consequences of developing a sick-role while afflicted with a chronic illness.

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Association between compensation status and outcomes in spine surgery: a meta-analysis of 31 studies

Cited by 38 publications

References 36 publications

Workers' Compensation Is Associated With Worst Clinical Results After Lumbar Fusion

Workers' Compensation Is Associated With Worst Clinical Results After Lumbar Fusion

Influence of Psychosocial Distress in the Results of Elective Lumbar Spine Surgery

Receiving Long‐Term Disability or Pursuing a Legal Claim May Prevent Recovery From Chronic Dizziness

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