Rational Selection of Patient-Reported Outcomes Measures in Lumbar Spine Surgery Patients

Boden, Susanne; Farley, Kevin X.; Campbell, Collier; Boden, Scott D.; Gottschalk, Michael B.

doi:10.14444/7046

Cited by 11 publications

(5 citation statements)

References 15 publications

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“…At 3-years follow-up, their patients had lower ODI scores relative to our patients with a score of 11.68%. Our patient's SF-12 scores can be compared with Cimatti et al 's SF-36 scores, as previous data has shown the SF-12 to be a valid substitute for SF-36 [12]. Cimatti's et al 's [11] patients had lower SF-36 PCS and SF-36 MCS scores at 46 and 56, respectively, relative to our patients' SF-12 scores.…”

Section: Discussionsupporting

confidence: 56%

Use of Minimally Invasive Spine Surgery in the Management of High-grade Thoracolumbar Spine Injuries

Spurgas

Shao

Entezami

et al. 2022

J Minim Invasive Spine Surg Tech

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Spinal fractures often have devastating sequelae. Thoracolumbar fractures are classified using the Thoracolumbar Injury Classification and Severity score (TLICS) to determine the severity of injury and to guide treatment. Recently advancements in minimally invasive spine surgery (MISS) have led to new approaches to high-severity fractures. Studies have suggested that MISS may yield similar outcomes to conventional, more invasive procedures while producing several benefits. Methods: This retrospective study involves 46 patients treated from 2005 through 2020 for high grade thoracolumbar trauma from T2 to L5 with a minimum follow-up of 6-months treated with MISS techniques using percutaneous instrumentation. Results: Average TLICS was 7.5. Patient derived outcome measures with average length of follow-up of 602 days included Oswestry Disability Index 28.9, Patient Satisfaction Index 4.2, Short Form-12 Mental Component Score 51.9, and Short Form-12 Physical Component Score 37.7. Average estimated blood loss was 119.2 mL. Conclusion:The TLICS is a validated tool used to guide surgical intervention in high grade trauma. The utilization of MISS techniques for the treatment and stabilization of thoracolumbar trauma is efficacious and a viable alternative to traditional open approaches.

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Section: Discussionsupporting

confidence: 56%

Use of Minimally Invasive Spine Surgery in the Management of High-grade Thoracolumbar Spine Injuries

Spurgas

Shao

Entezami

et al. 2022

J Minim Invasive Spine Surg Tech

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“…The SF-12 questionnaire was chosen as it was proven beneficial in assessing the quality of life of patients in several studies. 12,13 Our data shows that over a mean period of 48 months, 94% (p = 0.009) of the patients who underwent the operation reported relief from biliary pain symptoms. Additionally, there was a positive impact on mental wellbeing and general health.…”

Section: Discussionmentioning

confidence: 73%

“…Our retrospective analysis demonstrates an improvement in the health‐related quality of life symptoms of the patients who underwent LC based on their symptom presentation and HIDA scan results. The SF‐12 questionnaire was chosen as it was proven beneficial in assessing the quality of life of patients in several studies 12,13 . Our data shows that over a mean period of 48 months, 94% ( p = 0.009) of the patients who underwent the operation reported relief from biliary pain symptoms.…”

Section: Discussionmentioning

confidence: 90%

The impact of cholecystectomy on the symptom relief and quality of life of patients with gallbladder dysmotility

Alamin,

Iqbal,

Baumert

et al. 2024

World j. surg.

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BackgroundThe aim of this study was to demonstrate the impact of laparoscopic cholecystectomy on the physical and mental health of patients with gallbladder dysmotility.MethodsRetrospective data was collected from 314 patients who had undergone a hepatobiliary iminodiacetic acid (HIDA) scan between June 2012 and June 2022 in a District General Hospital in South East England. Sixty‐three patients who were diagnosed with gallbladder dysmotility were then contacted and asked to participate in a telephone interview regarding their symptoms. We measured their health‐related quality of life using the HRQoL SF‐12 v2 (Health Related Quality of Life Short Form‐12 version 2) questionnaire. Differences in the resolution of symptoms between those that had undergone a cholecystectomy and those who did not, were assessed using a chi square test. The two groups were then compared using the student t‐test to assess statistically significant differences.Results94% (n = 31/33) of the participants in the non‐cholecystectomy group demonstrated persistent biliary pain symptoms as opposed to the 6% (n = 2/30) in the cholecystectomy group. A statistically significant improvement in five out of the eight domains of the HRQoL SF‐12 questionnaire was demonstrated. These domains include PCS (physical component summary), MCS (mental component summary), mental health, general health and bodily pain.ConclusionThe results of our retrospective analysis demonstrate an improvement in both the physical and mental health‐related quality of life symptoms in patients who underwent laparoscopic cholecystectomy. These findings support the use of laparoscopic cholecystectomy as an effective method for managing gallbladder dysmotility.

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“…Based on the current literature, MCS-12 scores have demonstrated no consistent correlation with improved outcomes after lumbar spine fusion. 27 A previous study found that TKA patients improved markedly less than both THA and LF patients in MCS-12 scores at the 2-year follow-up, although this difference was not present at 1 year postoperatively. 16 Additional evidence exists suggesting that patients with low preoperative MCS-12 scores have markedly greater disability in several other HRQOL scores both at baseline and after LF, although these patients still experience notable postoperative improvement in these domains compared with baseline.…”

Section: Discussionmentioning

confidence: 90%

Single-level Lumbar Fusion Versus Total Joint Arthroplasty: A Comparison of 1-year Outcomes

Minetos

Karamian

Levy

et al. 2022

J Am Acad Orthop Surg

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Introduction:Primary hip and knee arthroplasty represent two of the most successful orthopaedic surgical interventions in the past century. Similarly, lumbar fusion (LF) remains a valuable, evidence-based option to relieve pain and disability related to spinal degenerative conditions. This study evaluates the relative improvements in 1-year health-related quality of life (HRQOL) measures among patients undergoing primary single-level LF, primary total hip arthroplasty (THA), and primary total knee arthroplasty (TKA).Methods:Patients older than 18 years who underwent primary single-level posterior LF (posterolateral decompression and fusion with or without transforaminal lumbar interbody fusion, involving any single lumbar level), TKA, and THA at a single academic institution were retrospectively identified. Patient demographics and surgical characteristics were collected. HRQOL measures were collected preoperatively and at 1-year postoperative time point including Short-Form 12 Physical Component Score (PCS) and Mental Component Score (MCS) along with subspecialty-specific outcomes.Results:A total of 2,563 patients were included (346 LF, 1,035 TKA, and 1,182 THA). Change in MCS-12 and PCS-12 after LF did not vary markedly by preoperative diagnosis. LF patients had a significantly lower preoperative MCS-12 (LF: 50.8, TKA: 53.9, THA: 52.9, P < 0.001), postoperative MCS-12 (LF: 52.5, TKA: 54.8, THA: 54.5, P < 0.001), postoperative PCS-12 (LF: 40.1, TKA: 44.0, THA: 43.9, P < 0.001), ΔPCS-12 (LF: 7.9, TKA: 10.8, THA: 11.9, P < 0.001), and PCS-12 recovery ratio (LF: 10.7%, TKA: 15.1%, THA 16.6%, P < 0.001) compared with TKA and THA patients. In regression analysis, both TKA and LF were found to be independently associated with a smaller ΔPCS-12 improvement (TKA: β = −1.36, P = 0.009; LF: β = −4.74, P < 0.001) compared with THA. TKA (β = −1.42, P = 0.003) was also independently associated with a smaller ΔMCS-12 improvement compared with THA.Conclusions:Patients undergoing single-level LF, TKA, and THA demonstrate notable improvements in HRQOL outcomes at 1 year postoperatively compared with preoperative baseline scores. The greatest improvements were found among THA patients, followed subsequently by TKA and LF patients. Both LF and TKA were independently associated with markedly less improvement in physical disability at 1 year postoperatively compared with THA.Study Design:Retrospective Cohort Study

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Rational Selection of Patient-Reported Outcomes Measures in Lumbar Spine Surgery Patients

Cited by 11 publications

References 15 publications

Use of Minimally Invasive Spine Surgery in the Management of High-grade Thoracolumbar Spine Injuries

Use of Minimally Invasive Spine Surgery in the Management of High-grade Thoracolumbar Spine Injuries

The impact of cholecystectomy on the symptom relief and quality of life of patients with gallbladder dysmotility

Single-level Lumbar Fusion Versus Total Joint Arthroplasty: A Comparison of 1-year Outcomes

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