Preoperative Resilience and Improvement in Patient-Reported Outcomes After Lumbar Spinal Fusion

Daher, Mohammad; Alsoof, Daniel; Balmaceno-Criss, Mariah; Kuharski, Michael J.; Criddle, Sarah L.; Diebo, Bassel G.; Daniels, Alan H.

doi:10.1016/j.wneu.2024.03.168

World Neurosurgery

2024

DOI: 10.1016/j.wneu.2024.03.168

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Preoperative Resilience and Improvement in Patient-Reported Outcomes After Lumbar Spinal Fusion

Mohammad Daher,

Daniel Alsoof,

Mariah Balmaceno-Criss

et al.

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2024

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Cited by 3 publications

References 36 publications

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The Impact of Patient Grit, Resilience and Ability to Cope with Stress on Outcomes Following Total Joint Arthroplasty

Liu,

Callanan,

Daher

et al. 2024

Journal of Orthopaedics

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The Impact of Patient Grit, Resilience and Ability to Cope with Stress on Outcomes Following Total Joint Arthroplasty

Liu,

Callanan,

Daher

et al. 2024

Journal of Orthopaedics

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Do Obese Patients Have Worse Outcomes in Adult Spinal Deformity Surgeries?

Maroun,

Daher,

Sleem

et al. 2024

Spine

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Study Design: Meta-Analysis Objective: This meta-analysis evaluates the difference in surgical outcomes between obese and non-obese patients undergoing adult spinal deformity (ASD) corrective surgery. Background: ASD encompasses a wide range of debilitating spinal abnormalities. Concurrently, obesity is on the rise globally and has been shown to influence the outcomes of ASD management. The relationship between obesity and surgical outcomes in ASD has been the focus of recent studies, yielding various results. Methods: We conducted a comprehensive search of PubMed, Cochrane, and Google Scholar (page 1-20) through June of 2024. The surgical outcomes assessed included post-operative complications, revision rates, wound infections, thromboembolic events, implant-related complications, and non-home discharge. Surgical parameters such as operative time, length of stay (LOS), and estimated blood loss (EBL), as well as functional outcomes like the Oswestry Disability Index (ODI) and pain scores were analyzed. Results: Nine studies met inclusion criteria. Non-obese patients exhibited a lower rate of implant-related complications (OR=0.25; 95% CI: 0.12–0.52, P=0.0002) and non-home discharge (OR=0.52; 95% CI: 0.32–0.84, P=0.007). Additionally, non-obese patients had reduced LOS (MD=-0.29; 95% CI: -0.53 – -0.05, P=0.02) and EBL (SMD=-0.68; 95% CI: -1.19 – -0.18, P=0.008). No statistically significant differences were observed for the remaining outcomes. Conclusion: Non-obese patients undergoing ASD corrective surgery are associated with fewer implant-related complications, a lower EBL, shorter LOS, and a higher likelihood of being discharged home compared to their obese counterparts.

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Do Psychological Factors Affect Life Satisfaction and Pain Interference in Spine Surgery Patients? A 12-Month Follow-Up Study

Lappalainen,

Huttunen,

Kokki

et al. 2024

JCM

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Background/Objectives: Psychological factors impact patient-reported outcome measures (PROMs). This study assessed the influence of preoperative anxiety, depression, and resilience on postoperative pain interference and life satisfaction one year after spine surgery. Methods: This study was a secondary analysis of a study involving 120 patients who underwent elective spine surgery and were randomly assigned to receive either tramadol–paracetamol (37.5 mg/325 mg; two tablets; n = 61) or placebo (n = 59) twice per day for pain management during the first five postoperative days. Patients completed the Life Satisfaction Scale-4, Brief Pain Inventory, Hospital Anxiety and Depression Scale, and Resilience Scale-14 questionnaires before surgery and at 28 days and 52 weeks post surgery. The primary outcomes were life satisfaction and pain interference at 12 months after spine surgery and their associations with preoperative anxiety, depression, and resilience. Results: Data from 113 patients (94% response rate) were collected at 52 weeks postoperatively. The number of patients reporting satisfaction with their life increased from three (5%) and two (3%) before surgery to 23 (41%) and 19 (34%), while pain interference decreased from a median of 4.1 to 1.2 and from 4.4 to 1.9 on a scale of 0–10 at 12 months in the placebo and tramadol–paracetamol groups, respectively. The linear regression analysis revealed no statistically significant predictive value for preoperative anxiety, depression, or resilience score for life satisfaction and pain interference at 12 months after spine surgery. Conclusions: These results highlight that psychological factors, anxiety, depression, and resilience did not have an impact on postoperative pain outcomes and life satisfaction in patients undergoing spine surgery.

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Preoperative Resilience and Improvement in Patient-Reported Outcomes After Lumbar Spinal Fusion

Cited by 3 publications

References 36 publications

The Impact of Patient Grit, Resilience and Ability to Cope with Stress on Outcomes Following Total Joint Arthroplasty

The Impact of Patient Grit, Resilience and Ability to Cope with Stress on Outcomes Following Total Joint Arthroplasty

Do Obese Patients Have Worse Outcomes in Adult Spinal Deformity Surgeries?

Do Psychological Factors Affect Life Satisfaction and Pain Interference in Spine Surgery Patients? A 12-Month Follow-Up Study

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