Wait time to lumbar discectomy linked to post-op pain

Wait time to lumbar discectomy linked to post-op pain

(HealthDay)—The likelihood of experiencing worse pain at six months post-surgery is increased with a waiting time of 12 weeks or more for elective surgical lumbar discectomy (ESLD), according to a study published in the Dec. 1 issue of The Spine Journal.

Jeffrey A. Quon, D.C., Ph.D., from the University of British Columbia in Vancouver, Canada, and colleagues assessed whether a system-imposed delay in treatment (a longer waiting time) for ESLD correlates with residual in a cohort of 291 patients, aged 16 years or older with advanced imaging-confirmed sciatica because of herniated , but excluding those with significant comorbidity or emergency indications for surgery. Pain intensity was assessed on the 11-point numerical rating scale at waitlist enrollment and six months postoperatively.

The researchers found that at six months, long-wait patients were 80 percent more likely than short-wait patients to experience higher ordinal in unadjusted analyses (unadjusted proportional odds ratio [POR], 1.8). After controlling for all imbalances in measured confounders the association persisted, with long-wait patients 70 percent more likely to report worse (adjusted POR, 1.7).

"In jurisdictions where highly constrained access to ESLD is managed through waitlists, the expected waiting time for the operation could be an informative deciding criterion for patients with otherwise unresolved preferences for operative treatment," the authors write.

Several authors disclosed financial ties to the medical device industry.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Evidence-based guidelines developed for disc herniation

Dec 26, 2013

(HealthDay)—Evidence-based clinical guidelines have been developed for management of lumbar disc herniation with radiculopathy; the guidelines have been published in the Jan. 1 issue of The Spine Journal.

Pre-op depression skews satisfaction after lumbar sx

Jun 04, 2013

(HealthDay)—Preoperative depression influences self-reported patient satisfaction after revision lumbar surgery, independent of the surgery's effectiveness, according to a study published in the May issue ...

Recommended for you

Africa's uneven health care becomes easy prey for Ebola

6 hours ago

Threatened by the possible spread of an Ebola epidemic which respects no borders, Africa is divided between a handful of countries equipped to withstand an outbreak and many more which would be devastated, experts say.

Ebola case stokes concerns for Liberians in Texas

7 hours ago

The first case of Ebola diagnosed in the U.S. has been confirmed in a man who recently traveled from Liberia to Dallas, sending chills through the area's West African community whose leaders urged caution ...

Is Australia prepared for Ebola?

10 hours ago

Australia needs to be proactive about potential disease outbreaks like Ebola and establish a national centre for disease control.

User comments