Abstract:
STUDY DESIGN:A retrospective cohort study. OBJECTIVE:The objective of this study was to determine if patient satisfaction is predicted by improvement in health-related quality of life (HRQOL) metrics. SUMMARY OF BACKGROUND DATA:Patient satisfaction is becoming an increasingly common proxy for treatment quality; however, the correlation between patient satisfaction and HRQOL outcome metrics following a lumbar disk herniation is unclear. METHODS:Patients enrolled in the Spine Patient Outcomes Research Trial (SPORT) study were prospectively enrolled at 13 institutions. A retrospective subgroup analysis of prospectively collected data from the SPORT trial was performed. Receiver operating characteristic curves were used to determine if improvement in HRQOL metrics could accurately identify patient satisfaction. HRQOL metrics included: Short Form-36 (SF-36), Oswestry Disability Index (ODI), Sciatica Bothersomeness Index, Back Pain Bothersomeness Scale, and Leg Pain Bothersomeness Scale. RESULTS:A total of 709 patients who underwent surgery and 319 patients treated without surgery were included. In the surgical cohort, receiver operating characteristic curve analysis demonstrated that SF-36 Physical Component Summary improvement had moderate accuracy [area under the curve (AUC)=0.77 (95% confidence interval, CI: 0.73-0.82)] at predicting satisfaction at 3 months, and it had excellent accuracy at predicting satisfaction at 2 years [AUC=0.81 (95% CI: 0.77-0.85)] and 4 years [AUC=0.81 (95% CI: 0.76-0.85)]. Absolute Physical Component Summary score had excellent accuracy at 3 months [AUC=0.83 (95% CI: 0.79-0.87)], 2 years [AUC=0.87 (95% CI: 0.84-0.9)] and 4 years [AUC=0.84 (95% CI: 0.8-0.89)]. Similarly improvement in the ODI had moderate accuracy of predicting satisfaction at 3 months [AUC=0.77 (95% CI: 0.72-0.81)], 2 years [AUC=0.78 (95% CI: 0.74-0.82)] and 4 years [AUC=0.78 (95% CI: 0.73-0.83)], and the absolute ODI score had excellent accuracy at 3 months [AUC=0.85 (95% CI: 0.82-0.89)], 2 years [AUC=0.89 (95% CI: 0.86-0.92)], and 4 years [AUC=0.88 (95% CI: 0.85-0.92)]. CONCLUSIONS:HRQOL metrics can accurately predict patient satisfaction with symptoms at 3 months, 2 years, and 4 years after surgical intervention for a lumbar disk herniation. Absolute outcome scores were somewhat more predictive than change scores.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Schroeder GD,Radcliff KE,Vaccaro AR,Murphy H,Sutton RM,Lurie JD,Zhao W,Hilibrand ASdoi
10.1097/BSD.0000000000000887subject
Has Abstractpub_date
2020-03-01 00:00:00pages
82-88issue
2eissn
2380-0186issn
2380-0194pii
01933606-202003000-00007journal_volume
33pub_type
杂志文章abstract::The Spine Patient Outcomes Related Trial (SPORT) is arguably one of the most impactful and insightful studies conducted in spine surgery. Designed as a prospective, multicenter study with a randomized and observational cohort, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcomes, cost...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000696
更新日期:2018-11-01 00:00:00
abstract:STUDY DESIGN:This was a narrative review. OBJECTIVE:This study aimed to review the current literature on surgical simulation in orthopedics and its application to spine surgery. SUMMARY OF BACKGROUND DATA:As orthopedic surgery increases in complexity, training becomes more relevant. There have been mandates in the Un...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001070
更新日期:2020-10-09 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:This study aimed to analyze the relationships between degenerative spondylolisthesis in the fifth lumbar vertebra (L5-DS) and radiographic parameters and to further determine the radiographic predictors of the development of L5-DS. SUMMARY OF BACKGROUND DATA:Degenerative ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000427
更新日期:2017-11-01 00:00:00
abstract:STUDY DESIGN:A case series study. OBJECTIVE:To investigate the electrophysiological location of nerve root entrapment in patients with isthmic spondylolisthesis. SUMMARY OF BACKGROUND DATA:Although the lesion of the nerve root in patients with isthmic spondylolisthesis has been thought to be located at the pars inter...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000047
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:A decision analysis. OBJECTIVE:To perform a decision analysis utilizing postoperative complication data, in conjunction with health-related quality of life (HRQoL) utility scores, to rank order the average health utility associated with various surgical approaches used to treat symptomatic thoracic disk h...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000375
更新日期:2017-08-01 00:00:00
abstract:STUDY DESIGN:This was a retrospective case control study. OBJECTIVE:The objective was to determine the impact of single-level interbody fusion at L4/5 with or without concomitant decompression on various spinopelvic parameters and health-related quality-of-life (HRQOL) outcomes. SUMMARY OF BACKGROUND DATA:Recently, f...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001013
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:Observational study. OBJECTIVES:The objectives of this study are (1) to quantify social media use among active American Cervical Spine Research Society (CSRS) members; (2) to determine if there is an association between practice setting, region, or years of active membership and social media use. SUMMARY...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001127
更新日期:2021-01-04 00:00:00
abstract:STUDY DESIGN:A single-center case-referent study. OBJECTIVE:To assess whether the "pedicle screw (PS) fluid sign" on magnetic resonance imaging (MRI) can be used to diagnose deep surgical site infection (SSI) after posterior spinal instrumentation (PSI). SUMMARY OF BACKGROUND DATA:MRI is a useful tool for the early d...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000040
更新日期:2017-05-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To evaluate the results of posterior pedicle-screw fixation with transpedicular decompression in 21 cases of thoracic and thoracolumbar spinal tuberculosis (TB) in terms of functional, neurological, and radiologic outcomes. SUMMARY OF BACKGROUND DATA:Spinal TB is predomin...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000498
更新日期:2017-12-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:To evaluate radiographic and clinical outcomes of adults with spinal deformity treated with multilevel anterior column releases (ACR). SUMMARY OF BACKGROUND DATA:Pedicle subtraction osteotomy can be used effectively to correct spinal deformity; however, it is not without complicati...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000377
更新日期:2016-05-01 00:00:00
abstract:STUDY DESIGN:This study was a retrospective radiographic analysis of consecutive patients. OBJECTIVES:To analyze exposure to radiation of the surgeon and-separately-of patients in minimally invasive surgery (MIS) of multilevel posterior stabilization by percutaneous pedicle screw insertion guided by navigation (PIN) v...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000807
更新日期:2019-06-01 00:00:00
abstract:STUDY DESIGN:An observational prospective cohort study. OBJECTIVE:To investigate the influence of natural history on the recovery of patients with cervical spondylotic myelopathy (CSM) after anterior cervical decompression. SUMMARY OF BACKGROUND DATA:The natural history of CSM has not been clearly elucidated, it rema...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000873
更新日期:2019-10-01 00:00:00
abstract:STUDY DESIGN:This was a systematic literature review. OBJECTIVE:The purpose of this systematic literature review was to aggregate all evidence characterizing the learning curve of instrumented minimally invasive surgery (MIS) techniques in spinal surgery and summarize what, if any, consideration has been given to surg...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001052
更新日期:2021-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective review of prospectively collected data OBJECTIVE:: To assess the association between preoperative and postoperative mental health status with postoperative satisfaction in lumbar degenerative surgery patients. SUMMARY OF BACKGROUND DATA:Poor preoperative mental health has been shown to negat...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001106
更新日期:2020-12-08 00:00:00
abstract::Because of the rising health care costs in the United States, there has been a focus on value-based care and improving the cost-effectiveness of surgical procedures. Patient-reported outcome measures (PROMs) can not only give physicians and health care providers immediate feedback on the well-being of the patients but...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000982
更新日期:2020-05-01 00:00:00
abstract:STUDY DESIGN:Description of a navigated, single-step, minimally invasive technique for the placement of pedicle screws. OBJECTIVE:To describe a new technique for minimally invasive placement of pedicle screws in the lumbar spine using O-arm and StealthStation navigation in combination. SUMMARY OF BACKGROUND DATA:Mini...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000616
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:The aim of this publication is to present a case of idiopathic spinal cord herniation (ISCH) associated with a transdural disk herniation, demonstrate an operative technique used to treat this condition and provide an updated review the literature. BACKGROUND CONTEXT:ISCH is an infrequent condition that can ca...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000896
更新日期:2020-07-01 00:00:00
abstract:STUDY DESIGN:This was a cross-sectional cohort study. OBJECTIVE:The objective of this study was to identify the prevalence of sleep disturbance in patients with symptomatic lumbar spinal stenosis (LSS) and to establish the relationship between sleep disturbance and both functional disability and health-related quality...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000944
更新日期:2020-05-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of prospectively collected clinical data. OBJECTIVE:To assess the long-term outcome of patients with monosegmental L4/5 degenerative spondylolisthesis treated with the dynamic Dynesys device. SUMMARY OF BACKGROUND DATA:The Dynesys system has been used as a semirigid, lumbar dorsal ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e318277ca7a
更新日期:2016-03-01 00:00:00
abstract::The pressures on spine surgery to adopt value-based reimbursement models are being seen in the increased implementation of bundled payment strategies. Given that bundled payment models typically link payments to the initiation of the surgical episode in question, despite their potential cost-saving attributes, financi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000568
更新日期:2018-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis of the National Surgical Quality Improvement Program (NSQIP), a prospectively collected multicenter surgical outcomes database. OBJECTIVE:To determine the effect of preoperative nutritional status, as measured by serum albumin concentration, on outcomes following anterior cervical d...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000181
更新日期:2016-05-01 00:00:00
abstract:STUDY DESIGN:Surgical technique. OBJECTIVE:To evaluate the efficacy of a novel groove-entry technique for thoracic percutaneous pedicle screw (PPS) insertion. SUMMARY OF BACKGROUND DATA:Minimally invasive spine stabilization (MISt) using posterior thoracolumbar instrumentation has many advantages over open procedures...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000461
更新日期:2017-03-01 00:00:00
abstract:STUDY DESIGN:Prospective cohort study. OBJECTIVE:To determine whether comorbidities and demographics, identified preoperatively, can impact patient outcomes and satisfaction after lumbar spine surgery. SUMMARY OF BACKGROUND DATA:The surgical treatment of lower back pain does not always eliminate a patient's pain and ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000331
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective data analysis. OBJECTIVE:The aim of this study was to analyze correlations between spinopelvic configuration and fracture pattern or location in traumatic vertebral fractures. SUMMARY OF BACKGROUND DATA:The spinopelvic configuration represented by the pelvic incidence (PI) angle showed to h...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000035
更新日期:2017-04-01 00:00:00
abstract:STUDY DESIGN:A retrospective cohort of prospective data. OBJECTIVE:Determine the frequency of various symptoms in a surgical cohort of cervical myelopathy (CM). SUMMARY OF BACKGROUND DATA:CM can be difficult to diagnose as there is no sine qua non "myelopathic symptom." Despite extensive literature, the likelihood or...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000968
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:A retrospective case series describing teardrop fracture of the axis. OBJECT:The purpose of the study was to clarify the clinical features, the mechanism of injury, and the potential instability of extension teardrop fractures of the axis, so as to emphasize the importance of recognizing this injury as a ...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31828984f9
更新日期:2016-02-01 00:00:00
abstract:STUDY DESIGN:Propensity score matched retrospective study using a nationwide longitudinal database. OBJECTIVE:To quantify the longitudinal economic impact of venous thromboembolism (VTE) complications in spinal fusion patients. SUMMARY OF BACKGROUND DATA:VTE is a rare and serious complication that may occur after spi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000450
更新日期:2017-12-01 00:00:00
abstract::Spinal surgery has been revolutionized by advances in instrumentation, bone graft substitutes, and perioperative care. Extensive dissection, creation of large areas of dead space, and the use of instrumentation in compromised patients, however, predisposes to high rates of wound complications. Postoperative wound comp...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000936
更新日期:2020-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective database review. OBJECTIVE OF THE STUDY:The objective of the study was to assess whether bone morphogenetic protein (BMP) decreases the risk of revision surgery in elderly patients treated with 3-7 level or 8 or greater level fusions. SUMMARY OF BACKGROUND DATA:Revision spine surgery in the...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000489
更新日期:2017-08-01 00:00:00
abstract::The Spine Patient-Reported Outcomes Related Trial (SPORT) is arguably one of the most impactful and insightful studies conducted in spine surgery. Designed as a prospective, multicenter study with randomized and observational cohorts, SPORT has provided vast data on the pathogenesis, treatment effects, clinical outcom...
journal_title:Clinical spine surgery
pub_type: 杂志文章,评审
doi:10.1097/BSD.0000000000000841
更新日期:2019-08-01 00:00:00