Wait time to lumbar discectomy linked to post-op pain

January 21, 2014
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.

Explore further: Surgery found to be marginally better for discogenic pain

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

Related Stories

Surgery found to be marginally better for discogenic pain

December 14, 2013
(HealthDay)—Surgical patients demonstrate greater improvement at one year compared to patients utilizing nonsurgical treatment for discogenic pain, although success rates for either group are only fair, according to a study ...

Discectomy post-op pain worse in patients with retrolisthesis

May 16, 2013
(HealthDay)—The presence of retrolisthesis in patients undergoing decompressive surgery for a lumbar disc herniation may result in significantly worse lower back pain and physical function over four years, according to ...

Evidence-based guidelines developed for disc herniation

December 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.

Surgery vs. non-invasive treatment: Which is better for herniated discs?

December 27, 2013
For patients with herniated discs in the lower (lumbar) spine, surgery leads to greater long-term improvement in pain, functioning, and disability compared to nonsurgical treatment, concludes an eight year follow-up study ...

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.

Surgical treatment within six months of lumbar disc herniation

October 25, 2011
A new study in the Journal of Bone and Joint Surgery (JBJS) found that patients with herniated lumbar disc symptoms were significantly worse if the patients had symptoms for more than six months prior to treatment, compared ...

Recommended for you

Don't hold your nose and close your mouth when you sneeze, doctors warn

January 15, 2018
Pinching your nose while clamping your mouth shut to contain a forceful sneeze isn't a good idea, warn doctors in the journal BMJ Case Reports.

New antifungal provides hope in fight against superbugs

January 12, 2018
Microscopic yeast have been wreaking havoc in hospitals around the world—creeping into catheters, ventilator tubes, and IV lines—and causing deadly invasive infection. One culprit species, Candida auris, is resistant ...

Dengue takes low and slow approach to replication

January 11, 2018
A new study reveals how dengue virus manages to reproduce itself in an infected person without triggering the body's normal defenses. Duke researchers report that dengue pulls off this hoax by co-opting a specialized structure ...

Different strains of same bacteria trigger widely varying immune responses

January 11, 2018
Genetic differences between different strains of the same pathogenic bacterial species appear to result in widely varying immune system responses, according to new research published in PLOS Pathogens.

Human protein may aid neuron invasion by virus that causes hand, foot, and mouth disease

January 11, 2018
A human protein known as prohibitin may play a significant role in infection of the nervous system by EV71, one of several viruses that can cause hand, foot, and mouth disease. Issac Too of the National University of Singapore ...

Untangling how Epstein-Barr virus infects cells

January 11, 2018
A team led by scientists at Northwestern Medicine has discovered a new epithelial receptor for Epstein-Barr virus, according to a study published recently in Nature Microbiology.

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.