Multiple Patient Reported Allergies are Associated with Worse Outcomes following Lumbar Spine Surgery

Graves, Christopher; Carreon, Leah Y.; Gvozdyev, Borys V.; Riley, S M; Gum, Jeffrey L.; Glassman, Steven D.

doi:10.1016/j.spinee.2016.07.488

Cited by 4 publications

(9 citation statements)

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“…As seen in previous studies, there is an association with increasing amounts of patient reported allergies and poorer pain and disability after elective lumbar spine surgeries. 6 , 7 A similar association has also been seen in multiple investigations in hip and knee arthroplasty. 1 , 6 , 21 …”

Section: Discussionsupporting

confidence: 75%

“…6,7 A similar association has also been seen in multiple investigations in hip and knee arthroplasty. 1,6,21…”

Section: Discussionsupporting

confidence: 75%

“…6,7 A similar association has also been seen in multiple investigations in hip and knee arthroplasty. 1,6,21 Multiple self-reported allergies are also associated with depression and anxiety. 10 Studies have shown that patients with psychological distress undergoing lower extremity arthroplasty have worse self-perceived preoperative and postoperative function and disability scores.…”

Section: Discussionsupporting

confidence: 74%

“…Graves et al found that patients with more than 3 allergies had less improvement in their Oswestry Disability Index (ODI) postoperatively compared with patients with less than 3 allergies; they concluded that the number of allergies may serve as a predictive marker for patients at risk for poorer outcomes after elective spine surgery. 6 Similarly, Kay et al 7 observed that patients with more than 5 reported allergies had worse pain and disability outcome scores. It has also been shown that the number of reported allergies is associated with both depression and anxiety in patients with lumbar spine disease.…”

Section: Introductionmentioning

confidence: 97%

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Patient-Reported Allergies, a Marker of Preoperative Pain and Disability in Elective Spine Surgery

Lyons

Borsinger

Lucas

et al. 2019

Global Spine Journal

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Study Design: Retrospective review. Objective: Previous literature demonstrates mixed results regarding the relationship between patient-reported allergies and pain, function, and satisfaction scores. The objective of this study was to investigate the correlation between patient-reported allergies and preoperative Oswestry Disability Index (ODI), Neck Disability Index (NDI), and Patient-Reported Outcomes Measurement System (PROMIS) scores. Methods: All patients undergoing elective cervical, lumbar procedures between May 2017 and October 2018 were included. Baseline demographic information was recorded, as well as all reported allergies or adverse reactions. Preoperative PROMIS, ODI, and NDI scores were recorded. Hierarchical multiple linear regressions were used to assess the relationship between total number of allergies and the preoperative pain and function scores. Results: A total of 570 patients were included (476 lumbar, 94 cervical). The mean number of allergies reported was 1.89 ± 2.32. The mean preoperative ODI and NDI scores were 46.39 ± 17.67 and 43.47 ± 16.51, respectively. The mean preoperative PROMIS Physical Health and PROMIS Mental Health scores were 37.21 ± 6.54 and 43.89 ± 9.26, respectively. Hierarchical multiple linear regression showed that total number of reported allergies shared a statistically significant negative relationship with all of the following scores: ODI ( B = 0.83, P = .02), NDI ( B = 1.45, P = .02), PROMIS Physical Health ( B = −0.29, P = .013), and PROMIS Mental Health ( B = −0.38, P = .024). Conclusions: Patient-reported allergies share a statistically significant negative relationship with preoperative pain and function scores; as patients have increasing total number of allergies, the ODI/NDI scores become worse (increase) and the PROMIS scores become worse (decrease).

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Section: Discussionsupporting

confidence: 75%

“…6,7 A similar association has also been seen in multiple investigations in hip and knee arthroplasty. 1,6,21…”

Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 74%

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Patient-Reported Allergies, a Marker of Preoperative Pain and Disability in Elective Spine Surgery

Lyons

Borsinger

Lucas

et al. 2019

Global Spine Journal

View full text Add to dashboard Cite

show abstract

“…1,4 A few published abstracts, without associated fulltext articles, have shown an association between increasing number of allergies and less improvement in postoperative PROMs such as Oswestry Disability Index (ODI) and short form 12 (SF-12) at up to 1-year follow-up. 5,6 However, a recent fulltext article demonstrated that a greater number of allergies may actually be associated with improved short-term postoperative pain and disability burden while having no effect on these outcomes at 1-year follow-up. 4 Due to this lack of comprehensive data in the literature, the purposes of the current study were to determine the effects of the number of patientreported allergies on postoperative PROMs and on achieving a minimal clinically important difference (MCID) at 1 year after cervical or lumbar spine surgery.…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Allergies Do Not Affect Long-Term Patient-Reported Outcome Measures After Spine Surgery

et al. 2023

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Background: A gap in the literature exists regarding the association between number of allergies and patient-reported outcomes measures (PROMs) for patients undergoing spine surgery.Methods: Consecutive cervical or lumbar spine surgery patients were identified from a prospective registry from April 2017 to July 2020. Patients were grouped into those with 0, 1, 2, or ≥3 allergies. Demographics were compared between the groups. PROMs included Neck Disability Index, Oswestry Disability Index, visual analog scale (VAS) neck pain, VAS arm pain, VAS back pain, VAS leg pain, short form 12 (SF-12) physical component score, SF-12 mental component score, and patientreported outcomes measurement information system physical function (PROMIS-PF), and outcomes were compared between the groups through multivariable analysis at up to 1-year follow-up. Associations between number of allergies and achieving a minimal clinically important difference (MCID) in the 9 aforementioned PROMs at 1-year follow-up were assessed.Results: This study included 148 cervical and 517 lumbar patients. After controlling for demographic differences, a higher number of allergies was associated with less improvement in VAS neck pain, SF-12 physical component score, and PROMIS-PF at 12 weeks following cervical surgery and less improvement in PROMIS-PF at 2 weeks following lumbar surgery (P < 0.05). However, these associations failed to persist after 6 months and 12 weeks following surgery in cervical and lumbar patients, respectively (P > 0.05). No association was identified between number of allergies and achievement of MCID in any of the 9 studied PROMs at 1-year follow-up.Conclusions: The higher number of allergies was associated with less improvement in PROMs in the early postoperative period but not at longer-term follow-up.Clinical Relevance: These findings provide data that can be utilized while counseling patients and setting postoperative expectations.Level of Evidence: 3.

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Patient-reported allergies are associated with increased rate of postoperative stiffness after arthroscopic rotator cuff repair

Morgan,

Li,

Garra

et al. 2024

Journal of Shoulder and Elbow Surgery

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Multiple Patient Reported Allergies are Associated with Worse Outcomes following Lumbar Spine Surgery

Cited by 4 publications

References 0 publications

Patient-Reported Allergies, a Marker of Preoperative Pain and Disability in Elective Spine Surgery

Patient-Reported Allergies, a Marker of Preoperative Pain and Disability in Elective Spine Surgery

Patient-Reported Allergies Do Not Affect Long-Term Patient-Reported Outcome Measures After Spine Surgery

Patient-reported allergies are associated with increased rate of postoperative stiffness after arthroscopic rotator cuff repair

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