Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery. A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopat...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2021-06, Vol.205, p.106648-106648, Article 106648 |
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| creator | Wichmann, Thea Overgaard Rasmussen, Mikkel Mylius Einarsson, Halldór Bjarki |
| description | To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.
A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.
PROMs significantly improved (p |
| doi_str_mv | 10.1016/j.clineuro.2021.106648 |
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A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.
PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).
Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction.
•Prolonged symptom duration may have an impact on patient satisfaction.•Immediate pain improvement may have an impact on patient satisfaction.•Baseline VAS, NDI and EQ-5D-3 L does not impact patient satisfaction.</description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2021.106648</identifier><identifier>PMID: 33901749</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Back surgery ; Bone surgery ; Cervical radiculopathy ; Cervical spine surgery ; Clinical course ; Clinical outcomes ; Complaints ; Degenerative disc disease ; Degenerative spine disease ; Demography ; Dysphagia ; Hematoma ; Hospitals ; Infections ; Medical records ; Pain ; Paresis ; Patient satisfaction ; Patients ; Postoperative period ; Predictors ; Pulmonary embolisms ; Questionnaires ; Spine (cervical) ; Surgeons ; Thrombosis</subject><ispartof>Clinical neurology and neurosurgery, 2021-06, Vol.205, p.106648-106648, Article 106648</ispartof><rights>2021 The Authors</rights><rights>Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>2021. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-88750ba93cc6a6fadc13cc8ab77849f2034b922c05ecd42c84e331aaf7929e73</citedby><cites>FETCH-LOGICAL-c444t-88750ba93cc6a6fadc13cc8ab77849f2034b922c05ecd42c84e331aaf7929e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S030384672100175X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33901749$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wichmann, Thea Overgaard</creatorcontrib><creatorcontrib>Rasmussen, Mikkel Mylius</creatorcontrib><creatorcontrib>Einarsson, Halldór Bjarki</creatorcontrib><title>Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description>To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.
A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.
PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).
Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction.
•Prolonged symptom duration may have an impact on patient satisfaction.•Immediate pain improvement may have an impact on patient satisfaction.•Baseline VAS, NDI and EQ-5D-3 L does not impact patient satisfaction.</description><subject>Back surgery</subject><subject>Bone surgery</subject><subject>Cervical radiculopathy</subject><subject>Cervical spine surgery</subject><subject>Clinical course</subject><subject>Clinical outcomes</subject><subject>Complaints</subject><subject>Degenerative disc disease</subject><subject>Degenerative spine disease</subject><subject>Demography</subject><subject>Dysphagia</subject><subject>Hematoma</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Medical records</subject><subject>Pain</subject><subject>Paresis</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Postoperative period</subject><subject>Predictors</subject><subject>Pulmonary embolisms</subject><subject>Questionnaires</subject><subject>Spine (cervical)</subject><subject>Surgeons</subject><subject>Thrombosis</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkctKAzEUhoMotlZfoQy4cTM1t-ayU4o3KOii-5BmEk2ZTmoyU-nbmzKtiBtXCcn3n3M4HwBjBCcIIna7mpjaN7aLYYIhRvmRMSpOwBAJjksmmTgFQ0ggKQVlfAAuUlpBCAlh4hwMCJEQcSqHILxFW3nThpiK4IqNbr1t2iLlMzltWh-awoW6Dl--eS9009roQyyMjVtvdF1UPhmb4-td_qwK16U-8QuJOjfo6pBrf-wuwZnTdbJXh3MEFo8Pi9lzOX99epndz0tDKW1LIfgULrUkxjDNnK4Mylehl5wLKh2GhC4lxgZOrakoNoJaQpDWjkssLScjcNOX3cTw2dnUqvV-0LrWjQ1dUniKhJSUsD16_QddhS42ebhMYcGlJAJlivWUiSGlaJ3aRL_WcacQVHsjaqWORtTeiOqN5OD4UL5brm31EzsqyMBdD9i8jq23USWTHZisJebNqir4_3p8A1VRopc</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Wichmann, Thea Overgaard</creator><creator>Rasmussen, Mikkel Mylius</creator><creator>Einarsson, Halldór Bjarki</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20210601</creationdate><title>Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy</title><author>Wichmann, Thea Overgaard ; Rasmussen, Mikkel Mylius ; Einarsson, Halldór Bjarki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-88750ba93cc6a6fadc13cc8ab77849f2034b922c05ecd42c84e331aaf7929e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Back surgery</topic><topic>Bone surgery</topic><topic>Cervical radiculopathy</topic><topic>Cervical spine surgery</topic><topic>Clinical course</topic><topic>Clinical outcomes</topic><topic>Complaints</topic><topic>Degenerative disc disease</topic><topic>Degenerative spine disease</topic><topic>Demography</topic><topic>Dysphagia</topic><topic>Hematoma</topic><topic>Hospitals</topic><topic>Infections</topic><topic>Medical records</topic><topic>Pain</topic><topic>Paresis</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Postoperative period</topic><topic>Predictors</topic><topic>Pulmonary embolisms</topic><topic>Questionnaires</topic><topic>Spine (cervical)</topic><topic>Surgeons</topic><topic>Thrombosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wichmann, Thea Overgaard</creatorcontrib><creatorcontrib>Rasmussen, Mikkel Mylius</creatorcontrib><creatorcontrib>Einarsson, Halldór Bjarki</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wichmann, Thea Overgaard</au><au>Rasmussen, Mikkel Mylius</au><au>Einarsson, Halldór Bjarki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>205</volume><spage>106648</spage><epage>106648</epage><pages>106648-106648</pages><artnum>106648</artnum><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract>To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.
A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.
PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).
Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction.
•Prolonged symptom duration may have an impact on patient satisfaction.•Immediate pain improvement may have an impact on patient satisfaction.•Baseline VAS, NDI and EQ-5D-3 L does not impact patient satisfaction.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>33901749</pmid><doi>10.1016/j.clineuro.2021.106648</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | Elsevier ScienceDirect Journals |
| subjects | Back surgery Bone surgery Cervical radiculopathy Cervical spine surgery Clinical course Clinical outcomes Complaints Degenerative disc disease Degenerative spine disease Demography Dysphagia Hematoma Hospitals Infections Medical records Pain Paresis Patient satisfaction Patients Postoperative period Predictors Pulmonary embolisms Questionnaires Spine (cervical) Surgeons Thrombosis |
| title | Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy |
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