Biopsychosocial variations in quality of life outcome following microdiscectomy

Biopsychosocial variations in quality of life outcome following microdiscectomy

Lumbar microdiscectomy is one of the most frequently performed neurosurgical procedures. In this review, we ask why patients' outcomes vary so widely even within the same unit, with the same surgeon performing the procedure and utilizing the technique? In a cohort of 87 patients, we investigate...

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Veröffentlicht in:Surgical neurology international 2020-10, Vol.11, p.339, Article 339
Hauptverfasser: Houlihan, Lena Mary, Meeke, James, Dunlea, Orla, O'Sullivan, Michael G J, Lim, Chris, Kaar, George
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creator Houlihan, Lena Mary
Meeke, James
Dunlea, Orla
O'Sullivan, Michael G J
Lim, Chris
Kaar, George
description Lumbar microdiscectomy is one of the most frequently performed neurosurgical procedures. In this review, we ask why patients' outcomes vary so widely even within the same unit, with the same surgeon performing the procedure and utilizing the technique? In a cohort of 87 patients, we investigated how/whether multiple patient variables impacted outcomes following single-level lumbar microdiscectomy. We studied whether early surgical intervention improved the patients' quality of life (QOL) versus late intervention. Furthermore, we assessed other variables that could influence patient-perceived improvement. Preoperatively and postoperatively, we additionally utilized the following internationally standardized questionnaires (EQ-5D, Oswestry, and Core Outcome Measures Index [COMI]). A generalized substantial improvement in QOL was identified throughout the cohort population (
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However, there was a statistically significant improvement in all QOL scores for privately insured patients versus publicly insured patients (e.g., on COMI, EQ-5D, and ODI Scores). There was no objective statistically significant difference in QOL health scores between patients undergoing early versus late surgical lumbar microdiscectomy. This would suggest that the length of time patients is symptomatic before surgery did not significantly impact postoperative outcome. 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title Biopsychosocial variations in quality of life outcome following microdiscectomy
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