Clinical Depression Is a Strong Predictor of Poor Lumbar Fusion Outcomes Among Workersʼ Compensation Subjects

Haas, Arnold R.; Percy, Rick; Woods, Stephen T.; Ahn, Uri M.; Ahn, Nicholas U.

doi:10.1097/brs.0000000000000863

Cited by 89 publications

(71 citation statements)

References 26 publications

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“…Low back pain is highly associated with mental health comorbidities: stress sensitivity, poor pain copying, anxiety, psychosis spectrum, and especially with depression conditions (3,7). A number of studies have found an association between psychological factors and spine surgery results, and depression has been the most reported factor, although anxiety, stress, distress, mood, and poor cognitive functioning have also been associated with inferior results (8,13,16,25,26,43).…”

Section: Discussionmentioning

confidence: 99%

“…Presurgical screening have been successful in establishing the relationship between particular psychological (12)(13)(14)(15)(16) and social (4,10,(17)(18)(19) issues with clinical outcomes and patient satisfaction. Different risk factors were identified to independently impact surgical outcomes: work compensation (10,17,18,20), lifestyle factors (21), expectations (22)(23)(24), depression (13,16,25), anxiety (26), substance use and abuse (27,28), and preoperative education (29,30).…”

Section: Original Studymentioning

confidence: 99%

“…Different risk factors were identified to independently impact surgical outcomes: work compensation (10,17,18,20), lifestyle factors (21), expectations (22)(23)(24), depression (13,16,25), anxiety (26), substance use and abuse (27,28), and preoperative education (29,30). However, the appreciation of the patient's psychological distress is used as a routine by few spine services (31).…”

Section: Original Studymentioning

confidence: 99%

See 2 more Smart Citations

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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Section: Discussionmentioning

confidence: 99%

Section: Original Studymentioning

confidence: 99%

Section: Original Studymentioning

confidence: 99%

See 1 more Smart Citation

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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“…[20][21][22] Large centers and various authors have reported that social and psychological disorders, such as anxiety, depression, hopelessness, sensitivity to stress, sexual disorders, sleep disorders, marital problems, litigation, and worker compensation occur more frequently in patients with spinal problems. 1,3,8,12,[23][24][25][26][27][28] And even more importantly, some of these factors can negatively impact surgical treatment of the spine, depression being a factor frequently studied in the psychological field 23,25 and WC the most often cited factor in the social arena.…”

Section: Discussionmentioning

confidence: 99%

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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“…[52] Among patients with work-related injuries, preoperative depression and preoperative opioid dependence have been associated with higher postoperative medical costs, lower return to work rates, lower work retention rates, and longer postoperative pain medication use compared to other patients. [53,54] Although additional research is needed to develop and evaluate the efficacy of specific strategies to improve perioperative outcomes, conducting a holistic evaluation of every patient should enable nurses to recognize psychological and social barriers to recovery.…”

Section: Pseudarthrosismentioning

confidence: 99%

Nursing care of the patient undergoing lumbar spinal fusion

Lall

2017

JNEP

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Lumbar spinal fusion is a surgical procedure performed to join-or fuse-2 or more vertebrae in the low back. The procedure is done to stabilize the spine and prevent damage to the cauda equina and emanating nerve roots. Lumbar fusion is commonly indicated for patients with vertebral fractures, infection, or spinal tumors, and it may be appropriate for select patients with degenerative disorders and spinal stenosis. Nurses who care for patients undergoing lumbar fusion require an understanding of lumbar spinal anatomy, spinal pathology, surgical indications, and diagnostic modalities. Knowledge of the distinct surgical approaches and their respective advantages and disadvantages allows nurses to individualize patient care and be alert to postoperative complications. This article reviews clinical and research literature regarding lumbar fusion, with an emphasis on the role of the nurse in promoting a safe perioperative course.

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Clinical Depression Is a Strong Predictor of Poor Lumbar Fusion Outcomes Among Workersʼ Compensation Subjects

Abstract: 3.

Cited by 89 publications

References 26 publications

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

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

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

Nursing care of the patient undergoing lumbar spinal fusion

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