Patient Satisfaction After Adult Spinal Deformity Surgery Does Not Strongly Correlate With Health-Related Quality of Life Scores, Radiographic Parameters, or Occurrence of Complications

被引:39
作者
Hamilton, David Kojo [1 ]
Kong, Christopher [1 ]
Hiratzka, Jayme [1 ]
Contag, Alec G. [1 ]
Ailon, Tamir [1 ]
Line, Breton [1 ]
Daniels, Alan [1 ]
Smith, Justin S. [1 ]
Passias, Peter [1 ]
Protopsaltis, Themistocles [1 ]
Sciubba, Daniel [1 ]
Burton, Douglas [1 ]
Shaffrey, Christopher [1 ]
Klineberg, Eric [1 ]
Mundis, Gregory [1 ]
Kim, Han-Jo [1 ]
Lafage, Virginie [1 ]
Lafage, Renaud [1 ]
Scheer, Justin [1 ]
Boachie-Adjei, Oheneba [1 ]
Bess, Shay
Hart, Robert A. [2 ]
机构
[1] Oregon Hlth & Sci Univ, Dept Orthopaed & Rehabil, Portland, OR 97201 USA
[2] Swedish Neurosci Inst, Seattle, WA USA
关键词
complications; HRQoL; ODI; satisfaction; scoliosis; SF-36; spine fusion; spine surgery; SRS-22r; VAS; SURGICAL-CORRECTION; RESPONSE SHIFT; SCOLIOSIS; IMPACT; CARE; DETERMINANTS; REOPERATION; MULTICENTER; APPEARANCE; DISABILITY;
D O I
10.1097/BRS.0000000000001921
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design. This is a multicenter retrospective review of prospectively collected cases. Objective. Our objective was to evaluate the relationship between patient satisfaction, health-related quality of life (HRQoL) scores, complications, and radiographic measures at 2 years postoperative follow-up. Summary of Background Data. For patients receiving operative management for adult spine deformity (ASD), the relationship between HRQoL measures, radiographic parameters, postoperative complications, and self-reported satisfaction remains unclear. Methods. Data from 248 patients across 11 centers within the United States who underwent thoracolumbar fusion for ASD and had a minimum of 2 years follow-up was collected. Pre-and postoperative scores were obtained from the Scoliosis Research Society 22-item (SRS-22r), the Oswestry Disability Index (ODI), the 36-Item Short Form Health Survey (SF-36), and the Visual Analogue Scale. Sagittal vertical axis, coronal C7 plumbline, lumbar lordosis, pelvic tilt, T1 pelvic angle, and the difference between pelvic incidence and lumbar lordosis were assessed using postoperative radiographic films. Satisfaction ( SAT) was assessed using the SRS-22r; patients were categorized as highly satisfied (HS) or less satisfied (LS). The correlation between SAT and HRQoL scores, radiographic parameters, and complications was determined. Results. When compared with LS (n = 60) patients, HS ( n = 188) patients demonstrated greater improvement in final ODI, SF-36 component scores, SRS-Total, and Visual Analogue Scale back scores (P<0.05). The correlations between SAT and the final follow-up and 2 year change from baseline values were moderate for Mental Component Summary, Physical Component Summary, and ODI or weak for HRQoL scores (P<0.0001). The HS and LS groups were equal in pre-or final postoperative radiographic parameters. Occurrence of complications had no effect on satisfaction. Conclusion. Among operatively treated ASD patients, satisfaction was moderately correlated with some HRQoL measures, and not with radiographic changes or postoperative complications. Other factors, such as patient expectations and relationship with the surgeon, may be stronger drivers of patient satisfaction.
引用
收藏
页码:764 / 769
页数:6
相关论文
共 33 条
[1]   Patients' needs, satisfaction, and health related quality of life: Towards a comprehensive model [J].
Asadi-Lari M. ;
Tamburini M. ;
Gray D. .
Health and Quality of Life Outcomes, 2 (1)
[2]   Complications of Growing-Rod Treatment for Early-Onset Scoliosis Analysis of One Hundred and Forty Patients [J].
Bess, Shay ;
Akbarnia, Behrooz A. ;
Thompson, George H. ;
Sponseller, Paul D. ;
Shah, Suken A. ;
El Sebaie, Hazem ;
Boachie-Adjei, Oheneba ;
Karlin, Lawrence I. ;
Canale, Sarah ;
Poe-Kochert, Connie ;
Skaggs, David L. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (15) :2533-2543
[3]   Pain and Disability Determine Treatment Modality for Older Patients With Adult Scoliosis, While Deformity Guides Treatment for Younger Patients [J].
Bess, Shay ;
Boachie-Adjei, Oheneba ;
Burton, Doug ;
Cunningham, Matthew ;
Shaffrey, Chris ;
Shelokov, Alexis ;
Hostin, Richard ;
Schwab, Frank ;
Wood, Kirkham ;
Akbarnia, Behrooz .
SPINE, 2009, 34 (20) :2186-2190
[4]   The Minimum Clinically Important Difference in Scoliosis Research Society-22 Appearance, Activity, and Pain Domains After Surgical Correction of Adolescent Idiopathic Scoliosis [J].
Carreon, Leah Y. ;
Sanders, James O. ;
Diab, Mohammad ;
Sucato, Daniel J. ;
Sturm, Peter F. ;
Glassman, Steven D. .
SPINE, 2010, 35 (23) :2079-2083
[5]   Patient Satisfaction After Surgical Correction of Adolescent Idiopathic Scoliosis [J].
Carreon, Leah Yacat ;
Sanders, James O. ;
Diab, Mohammad ;
Sturm, Peter F. ;
Sucato, Daniel J. .
SPINE, 2011, 36 (12) :965-968
[6]   Comparative Analysis of Clinical Outcome and Complications in Primary Versus Revision Adult Scoliosis Surgery [J].
Cho, Samuel K. ;
Bridwell, Keith H. ;
Lenke, Lawrence G. ;
Cho, Woojin ;
Zebala, Lukas P. ;
Pahys, Joshua M. ;
Kang, Matthew M. ;
Yi, Jin-Seok ;
Baldus, Christine R. .
SPINE, 2012, 37 (05) :393-401
[7]   Patient-reported outcome measures: The importance of patient satisfaction in surgery [J].
Chow, Andre ;
Mayer, Erik K. ;
Darzi, Ara W. ;
Athanasiou, Thanos .
SURGERY, 2009, 146 (03) :435-443
[8]   Outcome and complications of long Fusions to the Sacrum in adult spine deformity - Luque-galveston, combined iliac and sacral screws, and sacral fixation [J].
Emami, A ;
Deviren, V ;
Berven, S ;
Smith, JA ;
Hu, SS ;
Bradford, DS .
SPINE, 2002, 27 (07) :776-786
[9]   Determinants of Patient Satisfaction During Receipt of Radiation Therapy [J].
Famiglietti, Robin M. ;
Neal, Emily C. ;
Edwards, Timothy J. ;
Allen, Pamela K. ;
Buchholz, Thomas A. .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2013, 87 (01) :148-152
[10]   Correlation of radiographic parameters and clinical symptoms in adult scoliosis [J].
Glassman, SD ;
Berven, S ;
Bridwell, K ;
Horton, W ;
Dimar, JR .
SPINE, 2005, 30 (06) :682-688