The 9-Item Patient Health Questionnaire (PHQ-9): an aid to assessment of patient-reported functional outcomes after spinal surgery

Tuck, Andrew N.; Scribani, Melissa; Grainger, Scott; Johns, Celeste A.; Knight, Reginald Q.

doi:10.1016/j.spinee.2018.01.004

Cited by 31 publications

(32 citation statements)

References 49 publications

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“…4,5 In recent years, mental health has been a topic of interest in the field of spine surgery, as conditions such as depression have been determined to negatively impact recovery and pain relief after surgery. 6,7 However, few studies have investigated the utility of PROMIS PF to evaluate the course of mental health during the convalescent period after surgery. [7][8][9][10][11] Furthermore, while there is prior literature regarding effects of depression on outcomes of lumbar spinal surgery, there is a lack of studies examining the effects of depression on recovery following cervical spine surgery.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 However, few studies have investigated the utility of PROMIS PF to evaluate the course of mental health during the convalescent period after surgery. [7][8][9][10][11] Furthermore, while there is prior literature regarding effects of depression on outcomes of lumbar spinal surgery, there is a lack of studies examining the effects of depression on recovery following cervical spine surgery. 12,13 Therefore, the purpose of our study is to determine whether the PROMIS PF survey can be useful in predicting the preoperative and postoperative course of the mental health status of patients undergoing ACDF.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Postoperative Mental Health Outcomes in Patients Based on Patient-Reported Outcome Measurement Information System Physical Function Following Anterior Cervical Discectomy and Fusion

et al. 2020

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Objective: To assess the relationship of preoperative physical function, as measured by Patient-Reported Outcome Measurement Information System Physical Function (PROMIS PF), to improvement in mental health, as evaluated by Short Form-12 Mental Component Summary (SF-12 MCS) following anterior cervical discectomy and fusion (ACDF). Methods: Patients undergoing primary ACDF were retrospectively reviewed and stratified based on preoperative PROMIS PF scores. PROMIS PF cohorts were tested for an association with demographic characteristics and perioperative variables using chi-square analysis and multivariate linear regression. Multivariate linear regression was utilized to determine the association between PROMIS PF cohorts and improvement in SF-12 MCS. Results: A total of 129 one-to 3-level ACDF patients were included: 73 had PROMIS PF < 40 ("low PROMIS") and 56 had PROMIS PF ≥ 40 ("high PROMIS"). The low PROMIS cohort reported worse mental health preoperatively and at all postoperative timepoints except for 1 year. Both cohorts had similar changes in mental health from baseline through the 6-month follow-up. However, at 1 year. postoperatively, the low PROMIS cohort had a statistically greater change in mental health score. Conclusion: Patients with worse preoperative physical function reported significantly worse preoperative and postoperative mental health. However, patients with worse preoperative physical function made significantly greater improvements in mental health from baseline. This suggests that patients with worse preoperative physical function can still expect significant improvements in mental health following surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of Postoperative Mental Health Outcomes in Patients Based on Patient-Reported Outcome Measurement Information System Physical Function Following Anterior Cervical Discectomy and Fusion

et al. 2020

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“…Specifically, some studies suggest that patients with depressive symptoms are more likely to have higher pain intensity, greater disability, and poorer quality of life, work outcomes and overall recovery related to LBP [21][22][23][24][25][26][27][28]. Patients with both LBP and depressive symptoms or depression appear to seek more health care and have poorer treatment outcomes [29,30].…”

Section: Introductionmentioning

confidence: 99%

The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

et al. 2019

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Background: A considerable proportion of adults with low back pain (LBP) suffer from depressive symptoms or depression. Those with depressive symptoms or depression may be at risk of poorer LBP recovery and require more health care. Understanding the role of prognostic factors for LBP is critically important to guide management and health services delivery. Our objective is to conduct a systematic review to assess the association between depressive symptoms or depression and health outcomes in adults with LBP with or without radiculopathy. Methods: Electronic databases including MEDLINE, Embase, CINAHL, and PsycINFO will be searched from inception to April 2019 to identify relevant studies. Additional citations will be identified by searching reference lists of included studies and related systematic reviews. Cohort and case-control studies assessing the association between depressive symptoms/ depression and health outcomes in adults aged 16 years and older with LBP with or without radiculopathy will be included. The following will be included: depressive symptoms as measured on standardized questionnaires (e.g., Center for Epidemiologic Studies Depression Scale, Beck Depression Index), and depression as standardized diagnoses (e.g., International Classification of Diseases codes) or self-reported depression diagnosis on standardized questionnaires. Outcomes of interest are standardized measures for pain, disability, overall health status, satisfaction with care, and health care utilization. These are informed by core outcome domains that international expert panels consider important for LBP research. Pairs of reviewers will screen articles retrieved from the search, extract data, and assess risk of bias using the Risk Of Bias In Non-randomized Studies-of Exposures (ROBINS-E) tool. Reviewers will use these criteria to inform their judgment on the internal validity of studies (e.g., low, moderate, or high risk of bias). If studies are deemed homogeneous, a random effects meta-analysis on the association between depressive symptoms and health outcomes will be performed. The results of the included studies will be descriptively outlined if studies are deemed heterogeneous. Discussion: The impact of depressive symptoms and depression on health-and health care-related outcomes for LBP with or without radiculopathy will be assessed and quantified. Findings of this systematic review will advance our understanding of LBP prognosis, and guide decision-making and improve quality of care for adults with LBP. Systematic review registration: PROSPERO CRD42019130047

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“…Symptoms such as depression and anxiety are associated with postoperative outcomes following orthopedic surgery. Few researches focused on psychological states of patients with spine conditions [14][15][16], Miller et al [16] proved that the existence of preoperative depression is related to the reduction of postoperative outcome and quality of life after lumbar fusion. Joon et al [13] con rmed that minimally invasive transforaminal lumbar interbody fusion patients with worse preoperative mental health continued to have signi cantly worse postoperative outcomes within 1 year after surgery.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Preoperative Psychological States on Postoperative Outcomes Following Percutaneous Kyphoplasty(PKP)

Yang

Wang

et al. 2020

Preprint

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Abstract Background: Psychological disorder is widespread in patients with spinal conditions. There is limited investigation into the association between preoperative psychological symptoms(PPS) and postoperative outcomes following percutaneous kyphoplasty(PKP) in patients suffered osteoporotic vertebral compression fracture(OVCF) . Methods: This is a retrospective study performed on 224 patients undergoing PKP due to OVCF. Patients are divided into two cohorts base on preoperative psychological states described by Hamilton Depression Scale(HAMD) and Hamilton Anxiety Scale(HAMA). Pre- and postoperative physical function were evaluated by Patient-Reported Outcome Measurement Information System Physical Function(PROMIS PF), and Visual Analogue Scales(VAS) was used to to evaluate patients' back pain. Multiple linear regression model was used to investigate the association between preoperative psychological symptoms and postoperative outcomes.Results: 133(59.4%) patients have PPS, manifested as HAMD score ≥7 and/or HAMA score＞7. Patients with PPS have significantly worse PROMIS PF scores preoperatively (26.6±7.6 vs. 34.2±6.9, p=0.000), as well as within 6 monthes postoperatively, 1-week (31.1±6.5 vs. 37.4±7.2, p=0.000), 1-month (35.3±6.2 vs. 41.1±7.4, p=0.023), 3-months (38.5±8.3 vs. 45.8±8.5, p=0.005), and 6-months (42.8±8.0 vs. 51.2±9.1, p=0.000). Patients with PPS have higher VAS scores preoperatively(8.3±1.6 vs. 6.9±1.9, p=0.001), as well as within 1 month following operation, 1-week (6.2±1.7 vs. 4.1±1.2, p=0.000), 1-month (4.0±1.1 vs. 2.5±1.0, p=0.015).Conclusion: Psychological symptoms are widespread in OVCF patients undergoing PKP. Patients with poor preoperative psychological states not only demonstrated worse preoperative physical function and back pain, but also continued to have significantly worse postoperative outcomes.

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The 9-Item Patient Health Questionnaire (PHQ-9): an aid to assessment of patient-reported functional outcomes after spinal surgery

Cited by 31 publications

References 49 publications

Evaluation of Postoperative Mental Health Outcomes in Patients Based on Patient-Reported Outcome Measurement Information System Physical Function Following Anterior Cervical Discectomy and Fusion

Evaluation of Postoperative Mental Health Outcomes in Patients Based on Patient-Reported Outcome Measurement Information System Physical Function Following Anterior Cervical Discectomy and Fusion

The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

The Influence of Preoperative Psychological States on Postoperative Outcomes Following Percutaneous Kyphoplasty(PKP)

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