Substantial clinical benefit for Neck Disability Index revisited: establishing the goal for treatment?

Donk, Roland; Verbeek, A.L.M.; Verhagen, W. I. M.; Groenewoud, Hans; Hosman, Allard T. F.; Bartels, Ronald H. M. A.

doi:10.1007/s00586-017-5260-y

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…The sum of the ten items is recalculated into a percentage NDI score from 0 to 100 (no to maximum disability). The minimal clinically important change (MCIC) is ~7.5 percentage points,20,21 and substantial clinical benefit (SCB) is ~10 percentage points 22,23…”

Section: Methodsmentioning

confidence: 99%

“…The minimal clinically important change (MCIC) is ~7.5 percentage points, 20,21 and substantial clinical benefit (SCB) is ~10 percentage points. 22,23 The numeric rating scale (NRS) of pain is a subjective measure of pain in which patients rate their pain on an 11-point scale from 0 (no pain) to 10 (worst imaginable pain). NRS is registered separately for arm and neck pain.…”

Section: Patient-reported Outcome Measuresmentioning

confidence: 99%

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Return to Work after Surgery for Cervical Radiculopathy: A Nationwide Registry-based Observational Study

Hara

Vangen-Lønne

Aasdahl

et al. 2022

Spine

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Study Design. An observational multicenter study. Summary of Background Data. Return to work (RTW) is increasingly used to assess the standard, benefit, and quality of health care. Objective. The aim of this study was to evaluate sick leave patterns among patients undergoing surgery for cervical radiculopathy and identify predictors of successful RTW using two nationwide databases. Materials and Methods. Data from the Norwegian Registry for Spine Surgery (NORspine) and the Norwegian Labour and Welfare Administration were linked on an individual level. We included patients between 18 and 60 years of age registered in NORspine from June 2012 through December 2019 that were temporarily out of the labor force for medical reasons at the time of surgery. We assessed types and grades of sickness benefits before and after surgery and conducted logistic regression analyses. Results. Among 3387 patients included in the study, 851 (25.1%) received temporary benefits one year before surgery. The proportion of recipients increased steadily towards surgery. Postoperatively the medical benefit payment decreased rapidly, and half of the patients had already returned to work by four months. The rate of RTW reached a plateau at one year. By the end of the third year, 2429 patients (71.7%) had returned to work. The number of sick days, categorized as 90 or less, during the year before surgery had the most powerful association with RTW at two years (odds ratio: 4.54, 95% CI: 3.42–6.03, P<0.001). Improvement in neck-related disability was the second strongest predictor (odds ratio: 2.17, 95% CI: 1.69–2.78, P<0.001). Conclusion. RTW after cervical radiculopathy surgery occurs primarily during the first year. The strongest predictor of RTW was fewer sick days before surgery. The clinical improvement after surgery had a lesser impact. Level of Evidence. 2.

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Section: Methodsmentioning

confidence: 99%

Section: Patient-reported Outcome Measuresmentioning

confidence: 99%

Return to Work after Surgery for Cervical Radiculopathy: A Nationwide Registry-based Observational Study

Hara

Vangen-Lønne

Aasdahl

et al. 2022

Spine

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“…13,41 Our work shows that patients' satisfaction as measured by the Likert scale does not depend on sex and age, presence of pain, or type of surgical intervention, which is consistent with the data of other researchers. 42,43 No significant correlation has been identified between patients' satisfaction and their psychological characteristics.…”

Section: Contribution Of the Authorsmentioning

confidence: 99%

The Importance of Psychological Testing in Predicting the Effectiveness of Lumbar Spine Surgery

2018

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Objective: The result of treatment of patients with degenerative disc diseases is partly determined by the psychological characteristics of the patients. The aim of this study was to examine the correlations between the psychological scales scores in patients with degenerative lumbar disc diseases and the effectiveness of surgical treatment. Methods: The efficacy of the operation and patients’ satisfaction were compared with the preoperative psychological characteristics, according to the questionnaires and scales (BBQ Symonds, Zung Scale, FABQ, PCI, BBQ Catastrophization). Results: In patients with neurogenic intermittent claudication syndrome without significant pain, the operative treatment depended significantly on the value of the BBQ Symonds scale (p = 0.016). In patients with severe radicular pain in the lower extremity, the effectiveness of the operation depended significantly on the value of the subscale “protection” of the PCI questionnaire (p = 0.04), the ODI index filled out before the operation (p = 0.0). In patients with lumbar syndrome, the effectiveness of operation depended significantly on the value of the PCI questionnaire as a whole (p = 0.042) and its subscores “rest” (p = 0.028), the index of the Oswestry filled out before the operation (p = 0.035). Conclusion: The effectiveness of the operation of degenerative lumbar disc diseases is associated with the results of preoperative psychological testing. It has been established that the BBQ Symonds scale, PCI protection and rest subscales, and the ODI questionnaire are the most significant; these psychological scales have the power to predict the effectiveness of surgical treatment. Level of Evidence II; Therapeutic Study - Investigating the Results of Treatment.

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“…Patient disability is one of the most frequently assessed outcomes, with common validated variations including the Neck Disability Index (NDI) and Oswestry Disability Index (ODI). [2][3][4][5][6][7][8][9][10][11][12] Many other forms to test the degree of patient disability exist, with newer outcome measures including combined NDI and ODI scores and even measurement of cervical stiffness following fusion techniques. [13][14][15][16][17][18] Limiting the number of surveys given to patients preoperatively has the potential to increase response rates; therefore, an examination of the utility of common PROMs is necessary.…”

mentioning

confidence: 99%

“…While PROMs have shown vast utility, the variety of outcome measures has led to patients becoming inundated with surveys that may lead to decreased responsiveness or loss to follow-up at later time points. Patient disability is one of the most frequently assessed outcomes, with common validated variations including the Neck Disability Index (NDI) and Oswestry Disability Index (ODI) 2–12 . Many other forms to test the degree of patient disability exist, with newer outcome measures including combined NDI and ODI scores and even measurement of cervical stiffness following fusion techniques 13–18 .…”

mentioning

confidence: 99%

Neck Disability Index as a Prognostic Factor for Outcomes Following Cervical Disc Replacement

Hartman

Nie

MacGregor

et al. 2023

Clinical Spine Surgery: A Spine Publication

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Study Design: Retrospective review Objective: We aim to elucidate the potential relationship between neck disability index (NDI) and outcomes following cervical disk replacement (CDR). Summary of Background Data: The use of preoperative disability scores as predictors of outcomes following spine surgery has previously been studied, yet no literature has been published regarding its use in CDR. Methods: A retrospective database of a single orthopedic spine surgeon was searched for single-level CDR patients with preoperative NDI scores, excluding those with trauma, infection, or malignancy. Patients were separated into 2 cohorts by NDI score: Mild-Moderately Disabled (MD) (NDI<50) and Severely Disabled (NDI≥50). Patient-reported outcome measures were collected and compared within and between groups up to 1 year postoperatively and included Patient-reported Outcome Measurement Information System Physical Function, 12-Item Short Form (SF-12) Physical Component Score and Mental Component Score, visual analog scale (VAS) neck and arm pain, and NDI. MCID achievement rates were compared between the groups. Results: All PROM scores significantly improved for both cohorts at one or more postoperative time points compared with preoperative baseline (P≤0.049, all), with the exception of SF-12 Mental Component Score, which only significantly improved in the MD cohort at 2 postoperative points (P≤0.007, both). Between groups, the MD cohort reported significantly superior scores at one or more time points for all studied patient-reported outcome measures (P≤0.047, all). MCID achievement rate did not significantly vary for any outcome at any time between cohorts. Conclusion: Regardless of preoperative disability, both groups reported improvement in physical function, pain, and disability scores following CDR. While not finding significance, patients with severe disability preoperatively consistently demonstrated higher minimal clinically important difference achievement in NDI. These data do not promote the use of NDI as a prognostic factor for outcomes following CDR. Further study with larger patient populations may be useful to clarify this potential relationship.

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Substantial clinical benefit for Neck Disability Index revisited: establishing the goal for treatment?

Cited by 5 publications

References 9 publications

Return to Work after Surgery for Cervical Radiculopathy: A Nationwide Registry-based Observational Study

Return to Work after Surgery for Cervical Radiculopathy: A Nationwide Registry-based Observational Study

The Importance of Psychological Testing in Predicting the Effectiveness of Lumbar Spine Surgery

Neck Disability Index as a Prognostic Factor for Outcomes Following Cervical Disc Replacement

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