Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases
Background Patient satisfaction is infrequently investigated despite its importance in assessing efficacy and patient comprehension. The purpose of this study was to investigate patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases and to evaluate how h...
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| Veröffentlicht in: | Cancer 2019-12, Vol.125 (23), p.4269-4277 |
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| creator | Versteeg, Anne L. Sahgal, Arjun Kawahara, Norio Rhines, Laurence D. Sciubba, Daniel M. Weber, Michael H. Lazary, Áron Fehlings, Michael G. Schuster, James M. Clarke, Michelle J. Arnold, Paul M. Boriani, Stefano Bettegowda, Chetan Gokaslan, Ziya L. Fisher, Charles G. |
| description | Background
Patient satisfaction is infrequently investigated despite its importance in assessing efficacy and patient comprehension. The purpose of this study was to investigate patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases and to evaluate how health‐related quality of life (HRQOL) is related to patient satisfaction.
Methods
Patients with spinal metastases treated with surgery and/or radiotherapy were enrolled in a prospective, international, observational study. Demographic, histologic, treatment, and HRQOL data were collected. HRQOL was evaluated with the Numeric Rating Scale pain score, the 3‐level version of the EuroQol 5‐Dimension (EQ‐5D‐3L) instrument, and the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0). Patient satisfaction was derived from the SOSGOQ2.0 at 6, 12, and 26 weeks after treatment. Patients were classified as satisfied, neutral, or dissatisfied.
Results
Twelve weeks after treatment, 183 of the surgically treated patients (84%) were satisfied, and only 11 (5%) were dissatisfied; in contrast, 101 of the patients treated with radiotherapy alone (77%) were satisfied, and only 7 (5%) were dissatisfied. Significant improvements in pain, physical function, mental health, social function, leg function, and EQ‐5D were associated with satisfaction after surgery. Satisfaction after radiotherapy was associated with significant improvements in pain, mental health, and overall SOSGOQ2.0 scores. Dissatisfaction after treatment was associated with lower baseline values for leg strength and lower social functioning scores for surgically treated patients and with lower social functioning scores and being single for patients treated with radiotherapy.
Conclusions
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of HRQOL.
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of health‐related quality of life. |
| doi_str_mv | 10.1002/cncr.32465 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6900159</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2314219654</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4485-349ddd192b65e2f847e2055c54a78c67ce993f2f9fb0340132c31d6504ee278b3</originalsourceid><addsrcrecordid>eNp9kd9LHDEQx4NY9Lz2pX9ACfhWWM3P3c2LIIetwmFFWuhbyGUnXuR2cyZZ5f775npXqS_CwDCZL5-ZzBehz5ScUULYuR1sPONM1PIATShRTUWoYIdoQghpKyn472N0ktJjKRsm-RE65lQoIkU7Qd2dyR6GjFPJyRmbfRjwi89LnCOY3G97Ycw29JCwcRkiTmN8gLjBZujOQ8TRdD7kJUSz3mBXHtLaD2aFe8gmlYD0EX1wZpXg0z5P0a9vVz9n19X8x_eb2eW8skK0suJCdV1HFVvUEphrRQOMSGmlME1r68aCUtwxp9yCcEEoZ5bTrpZEALCmXfAputhx1-Oih86W3aNZ6XX0vYkbHYzXbzuDX-qH8KxrRQiVqgBO94AYnkZIWT-GMZbPJM3KzRhVdTnnFH3dqWwMKUVwrxMo0VtH9NYR_deRIv7y_06v0n8WFAHdCV78CjbvoPTsdna_g_4BI3qZAw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2314219654</pqid></control><display><type>article</type><title>Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases</title><source>Wiley Online Library Free Content</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Access via Wiley Online Library</source><source>Alma/SFX Local Collection</source><creator>Versteeg, Anne L. ; Sahgal, Arjun ; Kawahara, Norio ; Rhines, Laurence D. ; Sciubba, Daniel M. ; Weber, Michael H. ; Lazary, Áron ; Fehlings, Michael G. ; Schuster, James M. ; Clarke, Michelle J. ; Arnold, Paul M. ; Boriani, Stefano ; Bettegowda, Chetan ; Gokaslan, Ziya L. ; Fisher, Charles G.</creator><creatorcontrib>Versteeg, Anne L. ; Sahgal, Arjun ; Kawahara, Norio ; Rhines, Laurence D. ; Sciubba, Daniel M. ; Weber, Michael H. ; Lazary, Áron ; Fehlings, Michael G. ; Schuster, James M. ; Clarke, Michelle J. ; Arnold, Paul M. ; Boriani, Stefano ; Bettegowda, Chetan ; Gokaslan, Ziya L. ; Fisher, Charles G. ; AOSpine Knowledge Forum Tumor ; for the AOSpine Knowledge Forum Tumor</creatorcontrib><description>Background
Patient satisfaction is infrequently investigated despite its importance in assessing efficacy and patient comprehension. The purpose of this study was to investigate patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases and to evaluate how health‐related quality of life (HRQOL) is related to patient satisfaction.
Methods
Patients with spinal metastases treated with surgery and/or radiotherapy were enrolled in a prospective, international, observational study. Demographic, histologic, treatment, and HRQOL data were collected. HRQOL was evaluated with the Numeric Rating Scale pain score, the 3‐level version of the EuroQol 5‐Dimension (EQ‐5D‐3L) instrument, and the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0). Patient satisfaction was derived from the SOSGOQ2.0 at 6, 12, and 26 weeks after treatment. Patients were classified as satisfied, neutral, or dissatisfied.
Results
Twelve weeks after treatment, 183 of the surgically treated patients (84%) were satisfied, and only 11 (5%) were dissatisfied; in contrast, 101 of the patients treated with radiotherapy alone (77%) were satisfied, and only 7 (5%) were dissatisfied. Significant improvements in pain, physical function, mental health, social function, leg function, and EQ‐5D were associated with satisfaction after surgery. Satisfaction after radiotherapy was associated with significant improvements in pain, mental health, and overall SOSGOQ2.0 scores. Dissatisfaction after treatment was associated with lower baseline values for leg strength and lower social functioning scores for surgically treated patients and with lower social functioning scores and being single for patients treated with radiotherapy.
Conclusions
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of HRQOL.
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of health‐related quality of life.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.32465</identifier><identifier>PMID: 31490548</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Clinical outcomes ; Demographics ; Evaluation ; Leg ; Mental health ; Metastases ; Metastasis ; Oncology ; Original ; Pain ; Patient satisfaction ; Patients ; patient‐reported outcomes ; Quality of life ; Radiation therapy ; radiotherapy ; satisfaction ; Spine ; Surgery</subject><ispartof>Cancer, 2019-12, Vol.125 (23), p.4269-4277</ispartof><rights>2019 The Authors. published by Wiley Periodicals, Inc. on behalf of American Cancer Society</rights><rights>2019 The Authors. Cancer published by Wiley Periodicals, Inc. on behalf of American Cancer Society.</rights><rights>2019 American Cancer Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4485-349ddd192b65e2f847e2055c54a78c67ce993f2f9fb0340132c31d6504ee278b3</citedby><cites>FETCH-LOGICAL-c4485-349ddd192b65e2f847e2055c54a78c67ce993f2f9fb0340132c31d6504ee278b3</cites><orcidid>0000-0003-3251-9694</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.32465$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.32465$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31490548$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Versteeg, Anne L.</creatorcontrib><creatorcontrib>Sahgal, Arjun</creatorcontrib><creatorcontrib>Kawahara, Norio</creatorcontrib><creatorcontrib>Rhines, Laurence D.</creatorcontrib><creatorcontrib>Sciubba, Daniel M.</creatorcontrib><creatorcontrib>Weber, Michael H.</creatorcontrib><creatorcontrib>Lazary, Áron</creatorcontrib><creatorcontrib>Fehlings, Michael G.</creatorcontrib><creatorcontrib>Schuster, James M.</creatorcontrib><creatorcontrib>Clarke, Michelle J.</creatorcontrib><creatorcontrib>Arnold, Paul M.</creatorcontrib><creatorcontrib>Boriani, Stefano</creatorcontrib><creatorcontrib>Bettegowda, Chetan</creatorcontrib><creatorcontrib>Gokaslan, Ziya L.</creatorcontrib><creatorcontrib>Fisher, Charles G.</creatorcontrib><creatorcontrib>AOSpine Knowledge Forum Tumor</creatorcontrib><creatorcontrib>for the AOSpine Knowledge Forum Tumor</creatorcontrib><title>Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases</title><title>Cancer</title><addtitle>Cancer</addtitle><description>Background
Patient satisfaction is infrequently investigated despite its importance in assessing efficacy and patient comprehension. The purpose of this study was to investigate patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases and to evaluate how health‐related quality of life (HRQOL) is related to patient satisfaction.
Methods
Patients with spinal metastases treated with surgery and/or radiotherapy were enrolled in a prospective, international, observational study. Demographic, histologic, treatment, and HRQOL data were collected. HRQOL was evaluated with the Numeric Rating Scale pain score, the 3‐level version of the EuroQol 5‐Dimension (EQ‐5D‐3L) instrument, and the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0). Patient satisfaction was derived from the SOSGOQ2.0 at 6, 12, and 26 weeks after treatment. Patients were classified as satisfied, neutral, or dissatisfied.
Results
Twelve weeks after treatment, 183 of the surgically treated patients (84%) were satisfied, and only 11 (5%) were dissatisfied; in contrast, 101 of the patients treated with radiotherapy alone (77%) were satisfied, and only 7 (5%) were dissatisfied. Significant improvements in pain, physical function, mental health, social function, leg function, and EQ‐5D were associated with satisfaction after surgery. Satisfaction after radiotherapy was associated with significant improvements in pain, mental health, and overall SOSGOQ2.0 scores. Dissatisfaction after treatment was associated with lower baseline values for leg strength and lower social functioning scores for surgically treated patients and with lower social functioning scores and being single for patients treated with radiotherapy.
Conclusions
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of HRQOL.
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of health‐related quality of life.</description><subject>Clinical outcomes</subject><subject>Demographics</subject><subject>Evaluation</subject><subject>Leg</subject><subject>Mental health</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Oncology</subject><subject>Original</subject><subject>Pain</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>patient‐reported outcomes</subject><subject>Quality of life</subject><subject>Radiation therapy</subject><subject>radiotherapy</subject><subject>satisfaction</subject><subject>Spine</subject><subject>Surgery</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp9kd9LHDEQx4NY9Lz2pX9ACfhWWM3P3c2LIIetwmFFWuhbyGUnXuR2cyZZ5f775npXqS_CwDCZL5-ZzBehz5ScUULYuR1sPONM1PIATShRTUWoYIdoQghpKyn472N0ktJjKRsm-RE65lQoIkU7Qd2dyR6GjFPJyRmbfRjwi89LnCOY3G97Ycw29JCwcRkiTmN8gLjBZujOQ8TRdD7kJUSz3mBXHtLaD2aFe8gmlYD0EX1wZpXg0z5P0a9vVz9n19X8x_eb2eW8skK0suJCdV1HFVvUEphrRQOMSGmlME1r68aCUtwxp9yCcEEoZ5bTrpZEALCmXfAputhx1-Oih86W3aNZ6XX0vYkbHYzXbzuDX-qH8KxrRQiVqgBO94AYnkZIWT-GMZbPJM3KzRhVdTnnFH3dqWwMKUVwrxMo0VtH9NYR_deRIv7y_06v0n8WFAHdCV78CjbvoPTsdna_g_4BI3qZAw</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Versteeg, Anne L.</creator><creator>Sahgal, Arjun</creator><creator>Kawahara, Norio</creator><creator>Rhines, Laurence D.</creator><creator>Sciubba, Daniel M.</creator><creator>Weber, Michael H.</creator><creator>Lazary, Áron</creator><creator>Fehlings, Michael G.</creator><creator>Schuster, James M.</creator><creator>Clarke, Michelle J.</creator><creator>Arnold, Paul M.</creator><creator>Boriani, Stefano</creator><creator>Bettegowda, Chetan</creator><creator>Gokaslan, Ziya L.</creator><creator>Fisher, Charles G.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3251-9694</orcidid></search><sort><creationdate>20191201</creationdate><title>Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases</title><author>Versteeg, Anne L. ; Sahgal, Arjun ; Kawahara, Norio ; Rhines, Laurence D. ; Sciubba, Daniel M. ; Weber, Michael H. ; Lazary, Áron ; Fehlings, Michael G. ; Schuster, James M. ; Clarke, Michelle J. ; Arnold, Paul M. ; Boriani, Stefano ; Bettegowda, Chetan ; Gokaslan, Ziya L. ; Fisher, Charles G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4485-349ddd192b65e2f847e2055c54a78c67ce993f2f9fb0340132c31d6504ee278b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Clinical outcomes</topic><topic>Demographics</topic><topic>Evaluation</topic><topic>Leg</topic><topic>Mental health</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Oncology</topic><topic>Original</topic><topic>Pain</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>patient‐reported outcomes</topic><topic>Quality of life</topic><topic>Radiation therapy</topic><topic>radiotherapy</topic><topic>satisfaction</topic><topic>Spine</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Versteeg, Anne L.</creatorcontrib><creatorcontrib>Sahgal, Arjun</creatorcontrib><creatorcontrib>Kawahara, Norio</creatorcontrib><creatorcontrib>Rhines, Laurence D.</creatorcontrib><creatorcontrib>Sciubba, Daniel M.</creatorcontrib><creatorcontrib>Weber, Michael H.</creatorcontrib><creatorcontrib>Lazary, Áron</creatorcontrib><creatorcontrib>Fehlings, Michael G.</creatorcontrib><creatorcontrib>Schuster, James M.</creatorcontrib><creatorcontrib>Clarke, Michelle J.</creatorcontrib><creatorcontrib>Arnold, Paul M.</creatorcontrib><creatorcontrib>Boriani, Stefano</creatorcontrib><creatorcontrib>Bettegowda, Chetan</creatorcontrib><creatorcontrib>Gokaslan, Ziya L.</creatorcontrib><creatorcontrib>Fisher, Charles G.</creatorcontrib><creatorcontrib>AOSpine Knowledge Forum Tumor</creatorcontrib><creatorcontrib>for the AOSpine Knowledge Forum Tumor</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Versteeg, Anne L.</au><au>Sahgal, Arjun</au><au>Kawahara, Norio</au><au>Rhines, Laurence D.</au><au>Sciubba, Daniel M.</au><au>Weber, Michael H.</au><au>Lazary, Áron</au><au>Fehlings, Michael G.</au><au>Schuster, James M.</au><au>Clarke, Michelle J.</au><au>Arnold, Paul M.</au><au>Boriani, Stefano</au><au>Bettegowda, Chetan</au><au>Gokaslan, Ziya L.</au><au>Fisher, Charles G.</au><aucorp>AOSpine Knowledge Forum Tumor</aucorp><aucorp>for the AOSpine Knowledge Forum Tumor</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>125</volume><issue>23</issue><spage>4269</spage><epage>4277</epage><pages>4269-4277</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><abstract>Background
Patient satisfaction is infrequently investigated despite its importance in assessing efficacy and patient comprehension. The purpose of this study was to investigate patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases and to evaluate how health‐related quality of life (HRQOL) is related to patient satisfaction.
Methods
Patients with spinal metastases treated with surgery and/or radiotherapy were enrolled in a prospective, international, observational study. Demographic, histologic, treatment, and HRQOL data were collected. HRQOL was evaluated with the Numeric Rating Scale pain score, the 3‐level version of the EuroQol 5‐Dimension (EQ‐5D‐3L) instrument, and the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0). Patient satisfaction was derived from the SOSGOQ2.0 at 6, 12, and 26 weeks after treatment. Patients were classified as satisfied, neutral, or dissatisfied.
Results
Twelve weeks after treatment, 183 of the surgically treated patients (84%) were satisfied, and only 11 (5%) were dissatisfied; in contrast, 101 of the patients treated with radiotherapy alone (77%) were satisfied, and only 7 (5%) were dissatisfied. Significant improvements in pain, physical function, mental health, social function, leg function, and EQ‐5D were associated with satisfaction after surgery. Satisfaction after radiotherapy was associated with significant improvements in pain, mental health, and overall SOSGOQ2.0 scores. Dissatisfaction after treatment was associated with lower baseline values for leg strength and lower social functioning scores for surgically treated patients and with lower social functioning scores and being single for patients treated with radiotherapy.
Conclusions
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of HRQOL.
High levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of health‐related quality of life.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31490548</pmid><doi>10.1002/cncr.32465</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3251-9694</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Free Content; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via Wiley Online Library; Alma/SFX Local Collection |
| subjects | Clinical outcomes Demographics Evaluation Leg Mental health Metastases Metastasis Oncology Original Pain Patient satisfaction Patients patient‐reported outcomes Quality of life Radiation therapy radiotherapy satisfaction Spine Surgery |
| title | Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases |
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