Jordan F Karp1,2, Jonathan McGovern3, Megan M Marron1, Peter Gerszten4, Debra K Weiner1,2,5, David Okonkwo4, Adam S Kanter4. 1. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 2. Geriatric Research Education & Clinical Center (GRECC) VA Pittsburgh Healthcare System, Pittsburgh, PA, USA. 3. Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 4. Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 5. Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Abstract
AIM: To improve selection of older lumbar surgical candidates, we surveyed correlates of functioning and satisfaction with surgery. MATERIALS & METHODS: Prospective sample at lumbar spine surgery clinic. Patients (n = 48) were evaluated before surgery and after 3 months. Dependent variables were functioning and surgical satisfaction. RESULTS: Baseline variables associated with disability at 3 months included cognitive status and widespread pain. There was clinically significant improvement with moderate effects sizes for anxiety and depression at follow-up. Patients with at least a 30% improvement in disability had better physical health-related quality of life and were less likely to report widespread pain before surgery. CONCLUSION: Although preliminary, two novel potential predictors of lumbar surgery outcome include diminished cognitive functioning and widespread pain. Further study of these variables on post-surgical functioning and satisfaction may improve patient selection.
AIM: To improve selection of older lumbar surgical candidates, we surveyed correlates of functioning and satisfaction with surgery. MATERIALS & METHODS: Prospective sample at lumbar spine surgery clinic. Patients (n = 48) were evaluated before surgery and after 3 months. Dependent variables were functioning and surgical satisfaction. RESULTS: Baseline variables associated with disability at 3 months included cognitive status and widespread pain. There was clinically significant improvement with moderate effects sizes for anxiety and depression at follow-up. Patients with at least a 30% improvement in disability had better physical health-related quality of life and were less likely to report widespread pain before surgery. CONCLUSION: Although preliminary, two novel potential predictors of lumbar surgery outcome include diminished cognitive functioning and widespread pain. Further study of these variables on post-surgical functioning and satisfaction may improve patient selection.
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