Patient-reported Allergies are Associated With Preoperative Psychological Distress and Less Satisfying Patient Experience in a Lumbar Spine Surgery Population

Abstract

These findings highlight the potential utility of PRAs to help identify patients with psychological distress who are at risk for a poor experience of lumbar spine surgery.

Predictors of Patient Satisfaction in Spine Surgery: A Systematic Review

“…The association between HCAHPS-measured satisfaction and patient demographic and preoperative factors were investigated in three studies pertaining to spine surgical patients. [33][34][35][36] It was observed that allergies or depression in patients negatively impacted their reported satisfaction. 33,34 Specifically, Levin readmission.…”

“…[33][34][35][36] It was observed that allergies or depression in patients negatively impacted their reported satisfaction. 33,34 Specifically, Levin readmission. 38 In another study of 391 lumbar spine surgery patients, longer post-operative length of stay was associated with lower top-box satisfaction for doctor listening and pain management subdivisions of the HCAHPS survey.…”

“…41 This is not an unassuming conclusion since more than half (53%) of J o u r n a l P r e -p r o o f our HCAHPS studies did not identify positive predictors of patient satisfaction. 33,34,37,[39][40][41][42][43] Lastly, it has been previously reported that in cases of low response rates, HCAHPS responders may not be representative of the total patient sample studied contributing to so-called nonresponder bias. 44 In addition to studies by Levin et al and Smith et al, patient perceived satisfaction regarding pain management was also assessed in Maher and colleagues study of 562 spine surgery patients, demonstrating an association between increased total intraoperative opioid dosage and a lower top-box overall satisfaction and hospital recommendation to family and friends.…”

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

“…It has also been shown that the number of reported allergies is associated with both depression and anxiety in patients with lumbar spine disease. 8 On the contrary, the work of Xiong et al demonstrated that patient-reported allergies actually correlated with subjective improvement in pain and disability postoperatively. However, they found that this relationship did not persist longer than 1 year postoperatively, and they also found that a greater number of allergies corresponded with higher admissions costs and lengths of stay.…”

“…It has also been shown that the number of reported allergies is associated with both depression and anxiety in patients with lumbar spine disease. 8 …”