Responsiveness of depression and its influence on surgical outcomes of lumbar degenerative diseases

Falavigna, Asdrúbal; Righesso, Orlando; Teles, Alisson Roberto; Conzati, Lucas Piccoli; Bossardi, Julia Bertholdo; Silva, Pedro Guarise da; Cheng, Joseph

doi:10.1007/s00590-015-1651-0

Cited by 27 publications

(19 citation statements)

References 39 publications

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“…[39] There is a lack of studies focusing on surgically treated LSS patients, especially with longer follow-ups than 5 years. A one-year follow-up study by Falavigna et al [25] suggested that since depression in the postoperative period might have worse effects on the clinical outcome than in the preoperative period, the assessment of depressive symptoms during the postoperative period is more important. These findings underline the need to evaluate depressive symptoms and other possible psychological distress also during postoperative rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…[20][21][22][23][24] On the other hand, depression and psychological well-being can improve after decompressive surgery, and those who have experienced psychological distress also gain benefits from surgery. [16,25,26] So far, the longest follow-up period in which the association between depressive symptoms and the surgical outcome has been evaluated in LSS patients has been five years. [21] The effects of depressive symptoms on the surgical outcome in LSS patients has not studied in a 10-year follow-up.…”

Section: Introductionmentioning

confidence: 99%

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Depression is associated with the long-term outcome of lumbar spinal stenosis surgery: a 10-year follow-up study

Tuomainen

Pakarinen

Aalto³

et al. 2018

The Spine Journal

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Depression is associated with the long-term outcome of lumbar spinal stenosis surgery: a 10-year follow-up study

Tuomainen

Pakarinen

Aalto³

et al. 2018

The Spine Journal

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“…spine disease is known to bias the subjective, PROM-based outcome assessment [39][40][41] . One of the hopes of objective outcome measures is to provide an accurate determination of functional outcome, irrespective of the mental health condition 42 .…”

Section: Assessment In Patients With Depression the Mental Health Comentioning

confidence: 99%

Objective activity tracking in spine surgery: a prospective feasibility study with a low-cost consumer grade wearable accelerometer

Stienen

Rezaii

et al. 2020

Sci Rep

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patient-reported outcome measures (pRoMs) are commonly used to estimate disability of patients with spinal degenerative disease. emerging technological advances present an opportunity to provide objective measurements of activity. In a prospective, observational study we utilized a lowcost consumer grade wearable accelerometer (LCA) to determine patient activity (steps per day) preoperatively (baseline) and up to one year (Y1) after cervical and lumbar spine surgery. We studied 30 patients (46.7% male; mean age 57 years; 70% Caucasian) with a baseline activity level of 5624 steps per day. The activity level decreased by 71% in the 1 st postoperative week (p < 0.001) and remained 37% lower in the 2 nd (p < 0.001) and 23% lower in the 4 th week (p = 0.015). At no time point until Y1 did patients increase their activity level, compared to baseline. Activity was greater in patients with cervical, as compared to patients with lumbar spine disease. Age, sex, ethnic group, anesthesia risk score and fusion were variables associated with activity. there was no correlation between activity and PROMs, but a strong correlation with depression. Determining activity using LCAs provides real-time and longitudinal information about patient mobility and return of function. Recovery took place over the first eight postoperative weeks, with subtle improvement afterwards.

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“…However, Blozik et al,29 who studied the effects of anxiety and depression in patients suffering from cervical pain, reported a significant correlation between the intensity of neck pain and depression. However, a recent study by Falaviga et al30 has shown that patients suffering from chronic depression, even without pain, have a worse response to surgery compared with patients without depression or pain.…”

Section: Discussionmentioning

confidence: 99%

Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease

Jabłońska¹,

Ślusarz²,

Królikowska³

et al. 2017

JPR

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ObjectivesThe purpose of this study was to evaluate the effects of psychosocial factors on pain levels and depression, before and after surgical treatment, in patients with degenerative lumbar and cervical vertebral disc disease.Patients and methodsThe study included 188 patients (98 women, 90 men) who were confirmed to have cervical or lumbar degenerative disc disease on magnetic resonance imaging, and who underwent a single microdiscectomy procedure, with no postoperative surgical complications. All patients completed two questionnaires before and after surgery – the Beck Depression Inventory scale (I–IV) and the Visual Analog Scale for pain (0–10). On hospital admission, all patients completed a social and demographic questionnaire. The first pain and depression questionnaire evaluations were performed on the day of hospital admission (n=188); the second on the day of hospital discharge, 7 days after surgery (n=188); and the third was 6 months after surgery (n=140).ResultsPatient ages ranged from 22 to 72 years, and 140 patients had lumbar disc disease (mean age, 42.7±10.99 years) and 44 had cervical disc disease (mean age, 48.9±7.85 years). Before surgery, symptoms of depression were present in 47.3% of the patients (11.7% cervical; 35.6% lumbar), at first postoperative evaluation in 25.1% of patients (7% cervical; 18.1% lumbar), and 6 months following surgery in 31.1% of patients (7.5% cervical; 23.6% lumbar). Patients with cervical disc disease who were unemployed had the highest incidence of depression before and after surgery (p=0.037). Patients with lumbar disc disease who had a primary level of education or work involving standing had the highest incidence of depression before and after surgery (p=0.368).ConclusionThis study highlighted the association between social and demographic factors, pain perception, and depression that may persist despite surgical treatment for degenerative vertebral disc disease.

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Responsiveness of depression and its influence on surgical outcomes of lumbar degenerative diseases

Abstract: Most patients with depression in the preoperative recover within 1 year postoperatively. Responsiveness of depression is associated with surgical outcomes. The presence of depression after the surgical treatment, independent of when it starts, had a major negative impact on prognosis.

Cited by 27 publications

References 39 publications

Depression is associated with the long-term outcome of lumbar spinal stenosis surgery: a 10-year follow-up study

Depression is associated with the long-term outcome of lumbar spinal stenosis surgery: a 10-year follow-up study

Objective activity tracking in spine surgery: a prospective feasibility study with a low-cost consumer grade wearable accelerometer

Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease

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