Depression as a prognostic factor of lumbar spinal stenosis: a systematic review

McKillop, Ashley B.; Carroll, Linda; Battié, Michele C.

doi:10.1016/j.spinee.2013.09.052

Cited by 87 publications

(48 citation statements)

References 45 publications

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“…Endocrine factors such as depression-induced hypersecretion of corticotropin-releasing hormone and hypercortisolism, hypogonadism, growth hormone deficiency, and increased concentration of circulating interleukin 6 might play a crucial role in the bone loss observed in subjects suffering from major depression [29]. Previous research found that preoperative depression is likely a prognostic factor for postoperative lumbar spinal stenosis-related symptom severity and disability at various follow-up points [30]. …”

Section: Discussionmentioning

confidence: 99%

The Relationship between Locomotive Syndrome and Depression in Community-Dwelling Elderly People

Nakamura

Hashizume

Nomura

et al. 2017

Current Gerontology and Geriatrics Research

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Locomotive syndrome (LS) is a concept that refers to the condition of people requiring healthcare services because of problems associated with locomotion. Depression is a major psychiatric disease among the elderly, in addition to dementia. The purpose of this study was to determine the association between LS and depression. The study participants were 224 healthy elderly volunteers living in a rural area in Japan. LS was defined as scores ≥ 16 on the 25-question Geriatric Locomotive Function Scale (GLFS-25). Depression was defined as scores ≥ 5 on the 15-item Geriatric Depression Scale (GDS-15). Height and body weight were measured. The prevalence of LS and depression was 13.9% and 24.2%, respectively. Compared with the non-LS group, the LS group was older, was shorter, had a higher BMI, and had higher GDS-15 scores. Logistic regression analysis showed that participants with GDS-15 scores ≥ 6 had higher odds for LS than those with GDS-15 scores < 6 (odds ratio [OR] = 4.22). Conversely, the depression group had higher GLFS-25 scores than the nondepression group. Participants with GLFS-25 scores ≥ 5 had higher odds for depression than those with GLFS-25 scores < 5 (OR = 4.53). These findings suggest that there is a close relationship between LS and depression.

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Section: Discussionmentioning

confidence: 99%

The Relationship between Locomotive Syndrome and Depression in Community-Dwelling Elderly People

Nakamura

Hashizume

Nomura

et al. 2017

Current Gerontology and Geriatrics Research

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“…Multiple studies have demonstrated that depression is one of the strongest prognostic indicators of a negative outcome after spinal surgery. Depressed patients generally feel more pain and weakness as well as return to work at significantly lower rates compared with their nondepressed counterparts 14,22. Depression, anxiety, and other psychological and social factors may be used to assess whether the patient is a good candidate for spinal surgery.…”

Section: Etiologymentioning

confidence: 99%

Failed back surgery syndrome: current perspectives

Baber¹,

Erdek²

2016

JPR

176

146

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The treatment of failed back surgery syndrome (FBSS) can be equally challenging to surgeons, pain specialists, and primary care providers alike. The onset of FBSS occurs when surgery fails to treat the patient’s lumbar spinal pain. Minimizing the likelihood of FBSS is dependent on determining a clear etiology of the patient’s pain, recognizing those who are at high risk, and exhausting conservative measures before deciding to go into a revision surgery. The workup of FBSS includes a thorough history and physical examination, diagnostic imaging, and procedures. After determining the cause of FBSS, a multidisciplinary approach is preferred. This includes pharmacologic management of pain, physical therapy, and behavioral modification and may include therapeutic procedures such as injections, radiofrequency ablation, lysis of adhesions, spinal cord stimulation, and even reoperations.

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“…The reference lists of included studies and related systematic reviews [22,[31][32][33][34][35][36] will be searched. Citation searching of questionnaires for depressive symptoms that have been utilized in LBP populations will also be conducted: Center for Epidemiologic Studies Depression Scale, Beck Depression Index, Patient Health Questionnaire-9, and Depression Scale of the Hospital Anxiety and Depression Scale.…”

Section: Study Designs/characteristicsmentioning

confidence: 99%

“…To our best knowledge, a systematic review examining the impact of depressive symptoms and depression on health care utilization in adults with LBP has not been previously conducted. Previous systematic reviews examining depressive symptoms and depression as prognostic factors affecting clinical or work-related outcomes for LBP require updating, as literature searches were completed before or up to early 2016 [22,[31][32][33][34][35][36]. Of these, the reviews with most recent literature searches were conducted by Alhowimel [22].…”

Section: Introductionmentioning

confidence: 99%

The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

et al. 2019

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Background: A considerable proportion of adults with low back pain (LBP) suffer from depressive symptoms or depression. Those with depressive symptoms or depression may be at risk of poorer LBP recovery and require more health care. Understanding the role of prognostic factors for LBP is critically important to guide management and health services delivery. Our objective is to conduct a systematic review to assess the association between depressive symptoms or depression and health outcomes in adults with LBP with or without radiculopathy. Methods: Electronic databases including MEDLINE, Embase, CINAHL, and PsycINFO will be searched from inception to April 2019 to identify relevant studies. Additional citations will be identified by searching reference lists of included studies and related systematic reviews. Cohort and case-control studies assessing the association between depressive symptoms/ depression and health outcomes in adults aged 16 years and older with LBP with or without radiculopathy will be included. The following will be included: depressive symptoms as measured on standardized questionnaires (e.g., Center for Epidemiologic Studies Depression Scale, Beck Depression Index), and depression as standardized diagnoses (e.g., International Classification of Diseases codes) or self-reported depression diagnosis on standardized questionnaires. Outcomes of interest are standardized measures for pain, disability, overall health status, satisfaction with care, and health care utilization. These are informed by core outcome domains that international expert panels consider important for LBP research. Pairs of reviewers will screen articles retrieved from the search, extract data, and assess risk of bias using the Risk Of Bias In Non-randomized Studies-of Exposures (ROBINS-E) tool. Reviewers will use these criteria to inform their judgment on the internal validity of studies (e.g., low, moderate, or high risk of bias). If studies are deemed homogeneous, a random effects meta-analysis on the association between depressive symptoms and health outcomes will be performed. The results of the included studies will be descriptively outlined if studies are deemed heterogeneous. Discussion: The impact of depressive symptoms and depression on health-and health care-related outcomes for LBP with or without radiculopathy will be assessed and quantified. Findings of this systematic review will advance our understanding of LBP prognosis, and guide decision-making and improve quality of care for adults with LBP. Systematic review registration: PROSPERO CRD42019130047

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Depression as a prognostic factor of lumbar spinal stenosis: a systematic review

Cited by 87 publications

References 45 publications

The Relationship between Locomotive Syndrome and Depression in Community-Dwelling Elderly People

The Relationship between Locomotive Syndrome and Depression in Community-Dwelling Elderly People

Failed back surgery syndrome: current perspectives

The association between depressive symptoms or depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review

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