Patientsʼ Satisfaction With Provided Care/Information and Expectations on Clinical Outcome After Lumbar Disc Herniation Surgery

Rönnberg, Katarina; Lind, Bengt; Zoëga, Björn; Halldin, Klas; Gellerstedt, Martin; Brisby, Helena

doi:10.1097/01.brs.0000251876.98496.52

Cited by 142 publications

(141 citation statements)

References 24 publications

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“…To the authors' knowledge, no study has investigated this issue in any depth in patients undergoing spine surgery. One study reported a good match between surgeons' and patients' ratings after surgery for lumbar disc herniation, but only limited details were given, especially in relation to factors that might influence the discrepancies found [15]. To this end, the data collected in surgical registries are particularly useful, since they are acquired from large numbers of patients, and from the perspective of both the patient and the surgeon.…”

Section: Introductionmentioning

confidence: 99%

Ratings of global outcome at the first post-operative assessment after spinal surgery: how often do the surgeon and patient agree?

et al. 2009

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Section: Introductionmentioning

confidence: 99%

Ratings of global outcome at the first post-operative assessment after spinal surgery: how often do the surgeon and patient agree?

et al. 2009

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“…O uso do grau de satisfação dos pacientes com o tratamento também tem sido utilizado como parâmetro para avaliação do resultado. 18 Segundo Turner et al 19 a satisfação do paciente com o procedimento cirúr-gico pode variar de 16%-95%, com uma média de 68%.…”

Section: Resultsunclassified

Evolução dos questionários Oswestry 2.0 e do componente físico (PCS) do SF-36 durante o primeiro ano de pós-operatório de artrodese da coluna lombar em doenças degenerativas

et al. 2013

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RESUMOObjetivo: Avaliar a melhora clínica dos pacientes submetidos a descompressão e artrodese lombar póstero-lateral por doença degenerativa, avaliando a evolução dos escores do questionário Oswestry 2.0 e pelo componente físico (PCS) da escala SF-36. Métodos: Estudo prospectivo com 19 pacientes consecutivos com diagnóstico de doença degenerativa de disco (hérnia de disco, estenose lombar ou espondilolistese degenerativa) submetidos à descompressão e artrodese póstero-lateral. Todos os pacientes incluídos em nosso estudo responderam aos questionários Oswestry 2.0 e SF-36 em cinco momentos diferentes: no período pré-operatório e após 45, 90, 180 e 360 dias de cirurgia. Resultados: Os escores dos questionários Oswestry 2.0 e do componente físico (PCS) do SF-36 dos 19 pacientes mostraram melhora significativa (p<0,001 e p=0,004 respectivamente) ao longo de um ano de seguimento pós-operatório. Não houve diferença significativa de melhora desses escores quando feita comparação entre os diagnósticos (hérnia de disco, estenose lombar ou espondilolistese degenerativa), o sexo dos pacientes e entre os indivíduos com idade até cinquenta anos e aqueles acima de cinquenta anos. Conclusão: Houve uma melhora dos escores nos questionários de Oswestry 2.0 e do componente físico (PCS) do SF-36 nos pacientes com doença degenerativa da coluna lombar sem resposta ao tratamento conservador, que foram submetidos a tratamento cirúrgico com descompressão e artrodese após um ano de seguimento pós-operatório.

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“…At least 2 such studies have now found that 1 important factor in improving patient satisfaction following surgery is accurately establishing realistic patient expectations prior to surgery. 117,138 Given the increasing relevance of satisfaction metrics in advancing patient-centered measures of health care services, along with improvement opportunities identified in a large national clinical data program, accurate assessment of patients' self-reported satisfaction with care before and after therapy is essential to assess the impact of interventions and make appropriate plans for continuing individual care as well as to improve the systemic aspects of care. …”

Section: Rationalementioning

confidence: 99%

The National Neurosurgery Quality and Outcomes Database Qualified Clinical Data Registry: 2015 measure specifications and rationale

Parker¹,

McGirt

Bekelis

et al. 2015

FOC

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Meaningful quality measurement and public reporting have the potential to facilitate targeted outcome improvement, practice-based learning, shared decision making, and effective resource utilization. Recent developments in national quality reporting programs, such as the Centers for Medicare & Medicaid Services Qualified Clinical Data Registry (QCDR) reporting option, have enhanced the ability of specialty groups to develop relevant quality measures of the care they deliver. QCDRs will complete the collection and submission of Physician Quality Reporting System (PQRS) quality measures data on behalf of individual eligible professionals. The National Neurosurgery Quality and Outcomes Database (N2QOD) offers 21 non-PQRS measures, initially focused on spine procedures, which are the first specialty-specific measures for neurosurgery. Securing QCDR status for N2QOD is a tremendously important accomplishment for our specialty. This program will ensure that data collected through our registries and used for PQRS is meaningful for neurosurgeons, related spine care practitioners, their patients, and other stakeholders. The 2015 N2QOD QCDR is further evidence of neurosurgery’s commitment to substantively advancing the health care quality paradigm. The following manuscript outlines the measures now approved for use in the 2015 N2QOD QCDR. Measure specifications (measure type and descriptions, related measures, if any, as well as relevant National Quality Strategy domain[s]) along with rationale are provided for each measure.

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Patientsʼ Satisfaction With Provided Care/Information and Expectations on Clinical Outcome After Lumbar Disc Herniation Surgery

Cited by 142 publications

References 24 publications

Ratings of global outcome at the first post-operative assessment after spinal surgery: how often do the surgeon and patient agree?

Ratings of global outcome at the first post-operative assessment after spinal surgery: how often do the surgeon and patient agree?

Evolução dos questionários Oswestry 2.0 e do componente físico (PCS) do SF-36 durante o primeiro ano de pós-operatório de artrodese da coluna lombar em doenças degenerativas

The National Neurosurgery Quality and Outcomes Database Qualified Clinical Data Registry: 2015 measure specifications and rationale

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