The Perioperative Symptom Severity of Higher Patient Health Questionnaire-9 Scores Between Genders in Single-Level Lumbar Fusion

Parrish, James M.; Jenkins, Nathaniel W.; Massel, Dustin H.; Rush, A. John; Parrish, Manasi S.; Hrynewycz, Nadia M; Brundage, Thomas S; Horn, Rebecca; Singh, Kern

doi:10.14444/8007

Cited by 6 publications

(5 citation statements)

References 68 publications

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“…We found that men had higher SBT scores than women postoperatively, which contrasts with recent reports that gender was not a risk factor for psychological distress (depression) symptoms experienced in patients after lumbar spine fusion surgery [22] . The explanation for our findings is uncertain but it is possible for gender differences to reduce over time, leading to more comparable scores between genders over the long term [23] .…”

Section: Discussioncontrasting

confidence: 99%

Time course and correlates of psychological distress post spinal surgery: A longitudinal study

Quek,

Tan,

Toh

et al. 2023

North American Spine Society Journal (NASSJ)

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Section: Discussioncontrasting

confidence: 99%

Time course and correlates of psychological distress post spinal surgery: A longitudinal study

Quek,

Tan,

Toh

et al. 2023

North American Spine Society Journal (NASSJ)

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“…After removing duplicates, 3813 articles were screened, leaving 207 for full-text review. Among these studies, 44 met the eligibility criteria; each study is described in eTable 5 in Supplement 1 . Overall, 21 452 patients were included, of whom there were 11 747 females (55%) and 9705 males (45%) with a mean (SD) age of 57 (8) years.…”

Section: Resultsmentioning

confidence: 99%

“…Among these studies, 44 met the eligibility criteria; each study is described in eTable 5 in Supplement 1 . 6 , 7 , 8 , 14 , 15 , 16 , 17 , 18 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 Overall, 21 452 patients were included, of whom there were 11 747 females (55%) and 9705 males (45%) with a mean (SD) age of 57 (8) years. Two studies involved a mix of lumbar and cervical populations and were excluded from all quantitative meta-analyses.…”

Section: Resultsmentioning

confidence: 99%

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Implications of Preoperative Depression for Lumbar Spine Surgery Outcomes

Javeed,

Benedict,

Yakdan

et al. 2024

JAMA Netw Open

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ImportanceComorbid depression is common among patients with degenerative lumbar spine disease. Although a well-researched topic, the evidence of the role of depression in spine surgery outcomes remains inconclusive.ObjectiveTo investigate the association between preoperative depression and patient-reported outcome measures (PROMs) after lumbar spine surgery.Data SourcesA systematic search of PubMed, Cochrane Database of Systematic Reviews, Embase, Scopus, PsychInfo, Web of Science, and ClinicalTrials.gov was performed from database inception to September 14, 2023.Study SelectionIncluded studies involved adults undergoing lumbar spine surgery and compared PROMs in patients with vs those without depression. Studies evaluating the correlation between preoperative depression and disease severity were also included.Data Extraction and SynthesisAll data were independently extracted by 2 authors and independently verified by a third author. Study quality was assessed using Newcastle-Ottawa Scale. Random-effects meta-analysis was used to synthesize data, and I2 was used to assess heterogeneity. Metaregression was performed to identify factors explaining the heterogeneity.Main Outcomes and MeasuresThe primary outcome was the standardized mean difference (SMD) of change from preoperative baseline to postoperative follow-up in PROMs of disability, pain, and physical function for patients with vs without depression. Secondary outcomes were preoperative and postoperative differences in absolute disease severity for these 2 patient populations.ResultsOf the 8459 articles identified, 44 were included in the analysis. These studies involved 21 452 patients with a mean (SD) age of 57 (8) years and included 11 747 females (55%). Among these studies, the median (range) follow-up duration was 12 (6-120) months. The pooled estimates of disability, pain, and physical function showed that patients with depression experienced a greater magnitude of improvement compared with patients without depression, but this difference was not significant (SMD, 0.04 [95% CI, −0.02 to 0.10]; I2 = 75%; P = .21). Nonetheless, patients with depression presented with worse preoperative disease severity in disability, pain, and physical function (SMD, −0.52 [95% CI, −0.62 to −0.41]; I2 = 89%; P &lt; .001), which remained worse postoperatively (SMD, −0.52 [95% CI, −0.75 to −0.28]; I2 = 98%; P &lt; .001). There was no significant correlation between depression severity and the primary outcome. A multivariable metaregression analysis suggested that age, sex (male to female ratio), percentage of comorbidities, and follow-up attrition were significant sources of variance.Conclusions and RelevanceResults of this systematic review and meta-analysis suggested that, although patients with depression had worse disease severity both before and after surgery compared with patients without depression, they had significant potential for recovery in disability, pain, and physical function. Further investigations are needed to examine the association between spine-related disability and depression as well as the role of perioperative mental health treatments.

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“…Whereas, the latest research suggests that gender does not differentiate the symptoms of depression in patients with pain in the lumbar spine during neurosurgical treatment. However, a relatively small group of patients was covered, hence the reported effects seem to require further empirical verification [34].…”

Section: Introductionmentioning

confidence: 99%

The Structure of the Relationship of Physical Activity and Selected Factors Shaping the Condition and Self-assessment of Health of Patients with the Lumbar Spine Pain Syndrome

Mazur

Bartoń²,

Zarzycka

et al. 2021

PNIN

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Introduction. The pain syndrome of the lumbar spine is one of the most common civilization diseases and requires surgery in the case of a significant percentage of patients. It is also associated with a number of other health problems, with gender being an important factor that differentiates patients’ health.Aim. For this reason, our own research was focused on determining the structure of the relationship between physical activity and selected factors shaping the condition and self-assessment of health of patients in the lumbar spine pain syndrome depending on gender.Material and Methods. The study sample consists of 205 patients hospitalized at the Department of Pediatric Neurosurgery and Neurosurgery of the Independent Public Clinical Hospital No. 4 in Lublin and at the Department of Pediatric Neurosurgery, Neurotraumatology and Neurosurgery, University Hospital No. 1 in Bydgoszcz. The Research used the Physical Activity Questionnaire IPAQ in Polish version, Visual Analogue Scale VAS, Questionnaire for Depression Measurement KPD, a proprietary questionnaire, as well as the results of laboratory tests of glucose concentration in the blood serum. The analysis of multidimensional relations between the variables was performed using the SEM structural equation modeling using the IBM SPSS 25 program with the AMOS extension.Results. In the subgroups of women and men, models that were structurally similar, although different in the values of selected path coefficients, were developed, which explains the variances of: blood glucose concentration, BMI, intensity of depression symptoms and self-assessment of health condition. The developed structural model shows that physical activity with mediating participation of blood glucose concentration, BMI and depression is associated with self-assessment of health. The indirect dependencies of physical activity and self-assessment of health condition also occur with the mediating participation of the BMI index and blood glucose concentration, as well as the BMI index and depression.Conclusions. The obtained data indicate that in the absence of health contraindications, an important element of interdisciplinary programs supporting the condition and self-assessment of health of patients with lumbar spine pain syndrome may be regular physical activity, adjusted to the needs and capabilities of the body. The differences between men and women suggest that preventive interventions should be gender-specific. (JNNN 2021;10(4):153–161)

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The Perioperative Symptom Severity of Higher Patient Health Questionnaire-9 Scores Between Genders in Single-Level Lumbar Fusion

Cited by 6 publications

References 68 publications

Time course and correlates of psychological distress post spinal surgery: A longitudinal study

Time course and correlates of psychological distress post spinal surgery: A longitudinal study

Implications of Preoperative Depression for Lumbar Spine Surgery Outcomes

The Structure of the Relationship of Physical Activity and Selected Factors Shaping the Condition and Self-assessment of Health of Patients with the Lumbar Spine Pain Syndrome

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