Surgeons can up outcomes for work-related lumbar surgery

February 21, 2014
Surgeons can up outcomes for work-related lumbar surgery

(HealthDay)—In patients with chronic disabling occupational lumbar disorder (CDOLD) and workers' compensation claims, lumbar fusion outcomes can be improved if opioid dependence and excessive length of disability after surgery are controlled through care, according to a study published in the Feb. 1 issue of The Spine Journal.

Tom G. Mayer, M.D., from the University of Texas Southwestern Medical Center in Dallas, and colleagues prospectively compared socioeconomic and patient-reported outcomes in 564 patients with CDOLD and workers' compensation claims who underwent lumbar fusion or nonfusion . A comparison group of 349 patients who did not undergo surgery were matched for length of disability.

After undergoing a postoperative medically supervised functional restoration program, the researchers found that the lumbar fusion group had a significantly longer length of disability. Patient-reported outcomes such as depressive symptoms and pain intensity were significantly different between groups before rehabilitation, but not after rehabilitation. Opioid dependence disorder, perceived disability, or depressive symptoms before rehabilitation predicted lower rates of work return and work retention.

"This study suggests that surgeons have the opportunity to improve lumbar surgery outcomes in the workers' compensation system, even for complex fusion CDOLD patients with multiple prior operations, if they control postoperative and prevent an excessive length of disability," Mayer and colleagues conclude.

Explore further: Worse outcomes for early post-lumbar spinal fusion rehab

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

Related Stories

Worse outcomes for early post-lumbar spinal fusion rehab

November 5, 2013
(HealthDay)—Beginning rehabilitation at six weeks as opposed to 12 weeks post-lumbar spinal fusion is associated with higher costs and poorer outcomes, according to a study published in the Nov. 1 issue of Spine.

Spinal fusion surgery not associated with stroke

December 10, 2012
(HealthDay)—Undergoing spinal fusion surgery does not affect the risk of stroke within the three years after surgery, according to a study published in the December issue of the European Spine Journal.

Limited microdiscectomy effective for disc herniation

January 31, 2014
(HealthDay)—In patients with lumbar disc herniation, limited discectomy with removal of the fragment is associated with good long-term outcomes, according to a study published in the February issue of the Journal of Spinal ...

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 ...

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.

Racial disparities exist in outcomes of spinal surgery

June 18, 2013
(HealthDay)—The rate of complications, length of stay, and costs associated with surgery for lumbar spinal stenosis differ for African-American patients compared with white patients, according to research published in the ...

Recommended for you

Defining optimal opioid pain medication prescription length following surgery

September 27, 2017
A new study led by researchers at the Center for Surgery and Public Health at Brigham and Women's Hospital analyzed opioid prescription data from the Department of Defense Military Health System Data Repository, identifying ...

Is older blood OK to use in a transfusion?

September 27, 2017
(HealthDay)—Using older red blood cells to give transfusions to critically ill patients doesn't appear to affect their risk of dying, Australian researchers report.

One weight-loss surgery shows lasting results

September 21, 2017
(HealthDay)—Obesity surgery can have long-lasting effects on weight and the risk of developing type 2 diabetes and high blood pressure, a new study finds.

Hold the phone: An ambulance might lower your chances of surviving some injuries

September 20, 2017
Victims of gunshots and stabbings are significantly less likely to die if they're taken to the trauma center by a private vehicle than ground emergency medical services (EMS), according to results of a new analysis.

Surgeons have major influence on breast cancer treatment

September 13, 2017
A woman's choice of surgeon plays a significant role in whether she's likely to receive an increasingly popular aggressive breast cancer surgery.

Some thyroid cancer patients can safely delay surgery

September 4, 2017
Most people diagnosed with cancer want to start treatment as soon as possible, for fear that delaying care will allow their tumor to grow out of control.

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.