Pre-op depression linked to narcotic use before spinal Sx

December 19, 2013
Pre-op depression linked to narcotic use before spinal sx

(HealthDay)—For patients undergoing spinal surgery for a structural lesion, preoperative depression and anxiety are associated with increased preoperative narcotic use, according to a study published in the Dec. 1 issue of Spine.

Sheyan J. Armaghani, M.D., from Vanderbilt University School of Medicine in Nashville, Tenn., and colleagues examined self-reported preoperative narcotic consumption information obtained at the initial preoperative visit for 583 patients undergoing lumbar (60 percent), thoracolumbar (11 percent), or cervical (29 percent) surgery. Preoperative measures of depression and anxiety were recorded and the correlation with preoperative narcotic use was assessed.

The researchers found that Preoperative Zung Depression scale (ZDS) scores (P = 0.006), prior (P = 0.007), and preoperative pain (P = 0.014) were independent risk factors for preoperative narcotic use in multivariable analysis controlling for age, sex, smoking status, preoperative employment status, and prior . Preoperative scores on the Modified Somatic Perception Questionnaire (MSPQ) approached statistical significance as a risk factor (P = 0.083). Higher preoperative narcotic use was seen for those categorized as depressed or anxious based on ZDS and MSPQ scores, compared to those who were not (P < 0.0001).

"Depression and anxiety as assessed by ZDS and MSPQ scores were significantly associated with increased preoperative narcotic use, underscoring the importance of thorough psychological and substance use evaluation in patients being evaluated for spine ," the authors write.

Relevant financial activities were reported.

Explore further: Pre-op depression skews satisfaction after lumbar sx

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

Related Stories

Pre-op depression skews satisfaction after lumbar sx

June 4, 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 of The Spine Journal.

Predictors of length of hospital stay after spine surgery ID'd

May 17, 2012
(HealthDay) -- A variety of pre-, intra-, and postoperative factors contribute to increased length of stay (LOS) for patients who undergo level 1 minimally invasive (MIS) transforaminal interbody fusions (TLIF) spine surgery, ...

Post-op PTSD tied to reduced elective lumbar fusion benefit

August 14, 2013
(HealthDay)—Postoperative posttraumatic stress disorder (PTSD) symptoms are strongly correlated with reduced clinical benefit from elective lumbar spinal fusion, according to a study published in the Aug. 1 issue of Spine.

Pre-op MRI predicts outcome of cervical spondylotic myelopathy

June 19, 2013
(HealthDay)—For patients with cervical spondylotic myelopathy (CSM), preoperative magnetic resonance imaging (MRI) signal changes are predictive of baseline neurologic status and postoperative recovery, according to a study ...

Physical inactivity after cardiac surgery linked with substantially higher risk of depression

December 19, 2013
New research indicates that inactive patients following cardiac surgery have a substantially higher risk of depression and that the number of patients suffering from depression after cardiac surgery is as high as 40%. Investigators ...

Pre-op MRI of margins predicts rectal cancer outcomes

December 8, 2013
(HealthDay)—Preoperative high-resolution magnetic resonance imaging (MRI) assessment of circumferential resection margin (CRM) status predicts survival and other disease progression outcomes in patients with rectal cancer, ...

Recommended for you

Drug may help surgical patients stop opioids sooner

December 13, 2017
(HealthDay)—Opioid painkillers after surgery can be the first step toward addiction for some patients. But a common drug might cut the amount of narcotics that patients need, a new study finds.

Children best placed to explain facts of surgery to patients, say experts

December 13, 2017
Getting children to design patient information leaflets may improve patient understanding before they have surgery, finds an article in the Christmas issue of The BMJ.

Burn victim saved by skin grafts from identical twin (Update)

November 23, 2017
A man doomed to die after suffering burns across 95 percent of his body was saved by skin transplants from his identical twin in a world-first operation, French doctors said Thursday.

Is a common shoulder surgery useless?

November 21, 2017
(HealthDay)—New research casts doubt on the true effectiveness of a common type of surgery used to ease shoulder pain.

Study shows electric bandages can fight biofilm infection, antimicrobial resistance

November 6, 2017
Researchers at The Ohio State University Wexner Medical Center have shown - for the first time - that special bandages using weak electric fields to disrupt bacterial biofilm infection can prevent infections, combat antibiotic ...

Obesity increases incidence, severity, costs of knee dislocations

November 3, 2017
A new study of more than 19,000 knee dislocation cases in the U.S. between 2000 and 2012 provides a painful indication of how the nation's obesity epidemic is changing the risk, severity and cost of a traumatic injury.

0 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.