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

Preoperative Elevated Levels for Depression, Anxiety, and Subjective Mental Stress Have No Influence on Outcome Measures of Peripheral Nerve Field Stimulation for Chronic Low Back Pain—A Prospective Study

“…Other studies in elective spine surgery also see no correlation between psychological factors like anxiety and depression to the degree of improvement postoperatively (20,21). A study by Amaral et al did not find any difference in outcomes in patients with mild and moderate psychosocial issues after spine surgery as in both cohorts, respectively, VAS, ODI, and EQ‐5D scores improved from baseline similarly (22). In contrast, in SCS psychological factors were most predictive for poor outcomes compared to other factors such as baseline pain and medical issues (6).…”

“…The study group compared surgical outcomes in patients with or without psychosocial issues in a retrospective single center study. In both cohorts, respectively, VAS, ODI, and EQ‐5D scores improved from baseline similarly (22). On the other hand, Sparkes et al see an impact of psychological aspects such as depression and autonomous coping strategies on SCS treatment outcome (23).…”

Tradução, adaptação cultural e confiabilidade da versão em português brasileiro do questionário DRAM para avaliação psicométrica em dor lombar

“…The questionnaire consists of a combination of the score results of two other questionnaires: the Modified Somatic Perception Questionnaire (MSPQ), 17 18 Original MSPQ is a 22 questions with 4 alternatives each self reported questionnaire, each item varies from 0 points ("not at all"), 1 ("a little/slightly"), 2 ("a great deal/quite a bit") to 3 point ("extremely/could not have been worse"). For final score, only items 2, 3,7,8,9,11,13,14,16,18,19,20,21 are considered, as a way to confuse not so relevant and more relevant items. Thus, final score varies between 0 to 39 points.…”

“…3 Anxiety, depression, hostility, and other traits of psychological stress are factors that affect many health outcomes, such as pain and function. 4,5 Due to the association between psychological disorders and spinal disorders outcomes, 6,7 it is currently accepted, as the ideal approach, the biopsychosocial model in the initial assessment, decision-making and final evaluation of these diseases. This model requires psychometric assessment instruments that result in scores that determine, in different ways, the psychological state of the evaluated individual.…”

Análise de custos e desfechos clínicos de pacientes cirúrgicos após um programa de segunda opinião em cirurgias de coluna

“…Em estudos realizados em 2019, a média de idade dos pacientes submetidos a cirurgias da coluna observada foi de 50 anos (6 ) e maiores de 60 anos, 6 o que pode ser explicado pelas alterações ósseas, ligamentares e musculares, diminuição da flexibilidade, postura inadequada adotada durante a vida, presença de comorbidades e doenças generativas como artrite e artrose dadas ao processo de senescência. (63) Neste estudo, a média de idade foi de (65) Além disso, o fenômeno de catastrofização da dor do paciente interfere negativamente nos níveis de dor e funcionalidade no pós-operatório, ressaltando a necessidade da avaliação psicológica e identificação dos fatores de risco de pacientes com dor persistente. (67) Os resultados do presente estudo apontam melhora nos desfechos psicossociais e de qualidade de vida e refletem a importância do programa gerenciado com acompanhamento e acolhimento dos pacientes com dor lombar crônica desde a consulta inicial, e em momentos pré e pós-operatório.…”