Patient variables predict expectations in spine surgery

Patient variables predict expectations in spine surgery

(HealthDay)—Clinical and demographic variables can predict patients' expectations regarding anticipated improvement from cervical spine surgery, according to a study published June 15 in Spine.

Carol A. Mancuso, M.D., from the Hospital for Special Surgery in New York, and colleagues analyzed surveys completed by 150 (mean age 54 years; 61 percent male) several days before cervical surgery. The Expectations Survey comprises 20 physical and psychological items. Disability due to pain was evaluated with the Neck Disability Index (NDI), and overall physical and mental health was measured with the 12-item Short Form Health Survey.

The researchers found that the most commonly chosen items were relieve neck (87 percent) and upper extremity (85 percent) pain, stop the condition from getting worse (97 percent), and remove the control the spine condition had on life (96 percent). Patients were more likely to choose more items if they were younger (odds ratio [OR], 2.2; 95 percent confidence interval [CI], 1.2 to 4.0; P = 0.01), had worse NDI scores (OR, 6.5; 95 percent CI, 3.2 to 13.2; P < 0.0001), and had worse SF-12 Physical (OR, 1.9; 95 percent CI, 1.0 to 3.6; P = 0.05) and Mental Health scores (OR, 2.0; 95 percent CI, 1.1 to 3.6; P = 0.02) in multivariate analysis. Similarly, patients were more likely to have higher Expectations Survey scores (higher score = more expectations; mean score 65) if they were younger (OR, 2.8; P = 0.006) and had worse NDI scores (OR, 6.0; P < 0.0001).

"Multiple clinical variables were associated with expectations, with younger age and more disability due to pain being the most consistently associated with more expectations," the authors write.

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

add to favorites email to friend print save as pdf

Related Stories

Diabetes affects improvements after lumbar spine surgery

Apr 02, 2013

(HealthDay) —Patients with diabetes who have longstanding diabetes, poor glycemic control, and use insulin had suboptimal improvements in clinical outcomes after lumbar spine surgery, according to research ...

Many at high cardiovascular risk still not on statins

May 13, 2014

(HealthDay)—Many individuals at high risk for cardiovascular events, such as those with coronary artery disease, diabetes, or both, are not receiving statins, according to research published in the May/June ...

Recommended for you

Facelift surgery after massive weight loss poses challenges

19 hours ago

Patients undergoing bariatric surgery for severe obesity are often left with excess, sagging skin affecting all areas of the body—including the face. The unique challenges of facelift surgery in this group of patients—and ...

Good results with surgery for gynecomastia in bodybuilders

Jan 28, 2015

With attention to some unique patient characteristics, breast reduction surgery achieves good aesthetic outcomes in bodybuilders with gynecomastia—enlargement of the male breast, according to a report in the February issue ...

Web surfing to weigh up bariatric surgery options

Jan 27, 2015

Obese people considering weight-reducing bariatric surgery are only topped by pregnant women when it comes to how often they turn to the Internet for health advice. While most use it to read up on relevant procedures and ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.