Clinical and neuropsychiatric correlates of lumbar spinal surgery in older adults: results of a pilot study.

Szczegóły
Abstrakt

Tytuł:: Clinical and neuropsychiatric correlates of lumbar spinal surgery in older adults: results of a pilot study.
Autorzy:: Karp JF; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.; Geriatric Research Education & Clinical Center (GRECC) VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
McGovern J; Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Marron MM; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Gerszten P; Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Weiner DK; Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.; Geriatric Research Education & Clinical Center (GRECC) VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.; Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Okonkwo D; Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Kanter AS; Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Źródło:: Pain management [Pain Manag] 2016 Nov; Vol. 6 (6), pp. 543-552. Date of Electronic Publication: 2016 Apr 22.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : Future Medicine
MeSH Terms:: Patient Selection*
Low Back Pain/*psychology
Low Back Pain/*surgery
Aged ; Anxiety/complications ; Cognitive Dysfunction/complications ; Depression/complications ; Female ; Humans ; Low Back Pain/complications ; Lumbosacral Region/surgery ; Male ; Mental Status Schedule ; Middle Aged ; Patient Satisfaction ; Pilot Projects ; Prospective Studies ; Treatment Outcome
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Grant Information:: R01 AG033575 United States AG NIA NIH HHS
Contributed Indexing:: Keywords: aging*; complications*; lumbar spine*; predictors*; psychiatric*; spinal stenosis*
Entry Date(s):: Date Created: 20160423 Date Completed: 20170223 Latest Revision: 20181113
Update Code:: 20240104
PubMed Central ID:: PMC5066127
DOI:: 10.2217/pmt.16.9
PMID:: 27102978
: Czasopismo naukowe

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.
Competing Interests: Financial & competing interests disclosure JF Karp has received medication supplies from Pfizer and Invidior for investigator initiated trials. This study was supported in part by NIH grant number AG033575. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.

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