TY - JOUR
T1 - Patient Satisfaction after Adult Spinal Deformity Surgery Does Not Strongly Correlate with Health-Related Quality of Life Scores, Radiographic Parameters, or Occurrence of Complications
AU - Hamilton, David Kojo
AU - Kong, Christopher
AU - Hiratzka, Jayme
AU - Contag, Alec G.
AU - Ailon, Tamir
AU - Line, Breton
AU - Daniels, Alan
AU - Smith, Justin S.
AU - Passias, Peter
AU - Protopsaltis, Themistocles
AU - Sciubba, Daniel
AU - Burton, Douglas
AU - Shaffrey, Christopher
AU - Klineberg, Eric
AU - Mundis, Gregory
AU - Kim, Han Jo
AU - Lafage, Virginie
AU - Lafage, Renaud
AU - Scheer, Justin
AU - Boachie-Adjei, Oheneba
AU - Bess, Shay
AU - Hart, Robert A.
N1 - Publisher Copyright:
Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2017/5/15
Y1 - 2017/5/15
N2 - Study Design. This is a multicenter retrospective review of prospectively collected cases. Objective. Our objective was to evaluate the relationship between patient satisfaction, health-related quality of life (HRQoL) scores, complications, and radiographic measures at 2 years postoperative follow-up. Summary of Background Data. For patients receiving operative management for adult spine deformity (ASD), the relationship between HRQoL measures, radiographic parameters, postoperative complications, and self-reported satisfaction remains unclear. Methods. Data from 248 patients across 11 centers within the United States who underwent thoracolumbar fusion for ASD and had a minimum of 2 years follow-up was collected. Pre- and postoperative scores were obtained from the Scoliosis Research Society 22-item (SRS-22r), the Oswestry Disability Index (ODI), the 36-Item Short Form Health Survey (SF-36), and the Visual Analogue Scale. Sagittal vertical axis, coronal C7 plumbline, lumbar lordosis, pelvic tilt, T1 pelvic angle, and the difference between pelvic incidence and lumbar lordosis were assessed using postoperative radiographic films. Satisfaction (SAT) was assessed using the SRS-22r; patients were categorized as highly satisfied (HS) or less satisfied (LS). The correlation between SAT and HRQoL scores, radiographic parameters, and complications was determined. Results. When compared with LS (n = 60) patients, HS (n = 188) patients demonstrated greater improvement in final ODI, SF-36 component scores, SRS-Total, and Visual Analogue Scale back scores (P < 0.05). The correlations between SAT and the final follow-up and 2 year change from baseline values were moderate for Mental Component Summary, Physical Component Summary, and ODI or weak for HRQoL scores (P < 0.0001). The HS and LS groups were equal in pre- or final postoperative radiographic parameters. Occurrence of complications had no effect on satisfaction. Conclusion. Among operatively treated ASD patients, satisfaction was moderately correlated with some HRQoL measures, and not with radiographic changes or postoperative complications. Other factors, such as patient expectations and relationship with the surgeon, may be stronger drivers of patient satisfaction.
AB - Study Design. This is a multicenter retrospective review of prospectively collected cases. Objective. Our objective was to evaluate the relationship between patient satisfaction, health-related quality of life (HRQoL) scores, complications, and radiographic measures at 2 years postoperative follow-up. Summary of Background Data. For patients receiving operative management for adult spine deformity (ASD), the relationship between HRQoL measures, radiographic parameters, postoperative complications, and self-reported satisfaction remains unclear. Methods. Data from 248 patients across 11 centers within the United States who underwent thoracolumbar fusion for ASD and had a minimum of 2 years follow-up was collected. Pre- and postoperative scores were obtained from the Scoliosis Research Society 22-item (SRS-22r), the Oswestry Disability Index (ODI), the 36-Item Short Form Health Survey (SF-36), and the Visual Analogue Scale. Sagittal vertical axis, coronal C7 plumbline, lumbar lordosis, pelvic tilt, T1 pelvic angle, and the difference between pelvic incidence and lumbar lordosis were assessed using postoperative radiographic films. Satisfaction (SAT) was assessed using the SRS-22r; patients were categorized as highly satisfied (HS) or less satisfied (LS). The correlation between SAT and HRQoL scores, radiographic parameters, and complications was determined. Results. When compared with LS (n = 60) patients, HS (n = 188) patients demonstrated greater improvement in final ODI, SF-36 component scores, SRS-Total, and Visual Analogue Scale back scores (P < 0.05). The correlations between SAT and the final follow-up and 2 year change from baseline values were moderate for Mental Component Summary, Physical Component Summary, and ODI or weak for HRQoL scores (P < 0.0001). The HS and LS groups were equal in pre- or final postoperative radiographic parameters. Occurrence of complications had no effect on satisfaction. Conclusion. Among operatively treated ASD patients, satisfaction was moderately correlated with some HRQoL measures, and not with radiographic changes or postoperative complications. Other factors, such as patient expectations and relationship with the surgeon, may be stronger drivers of patient satisfaction.
KW - HRQoL
KW - ODI
KW - SF-36
KW - SRS-22r
KW - VAS
KW - complications
KW - satisfaction
KW - scoliosis
KW - spine fusion
KW - spine surgery
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U2 - 10.1097/BRS.0000000000001921
DO - 10.1097/BRS.0000000000001921
M3 - Article
C2 - 27748701
AN - SCOPUS:84991491471
SN - 0362-2436
VL - 42
SP - 764
EP - 769
JO - Spine
JF - Spine
IS - 10
ER -