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Associations between future health expectations and patient satisfaction after lumbar spine surgery: a longitudinal observational study of 9929 lumbar spine surgery procedures
Örebro University, School of Medical Sciences. Department of Orthopaedics, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0002-7931-9617
Department of Orthopaedics, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Medical Sciences. Department of Orthopaedics, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Orthopaedics.ORCID iD: 0000-0002-7376-4664
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 9, article id e074072Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: This study aimed to investigate the associations between general health expectations and patient satisfaction with treatment for the two common spine surgery procedures diskectomy for lumbar disk herniation (LDH) and decompression for lumbar spinal stenosis (LSS). DESIGN: Register study with prospectively collected preoperative and 1-year postoperative data.

SETTING: National outcome data from Swespine, the national Swedish spine register.

PARTICIPANTS: A total of 9929 patients, aged between 20 and 85 years, who were self-reported non-smokers, and were operated between 2007 and 2016 for one-level LSS without degenerative spondylolisthesis, or one-level LDH, were identified in the national Swedish spine register (Swespine). We used SF-36 items 11c and 11d to assess future health expectations and present health perceptions. Satisfaction with treatment was assessed using the Swespine satisfaction item.

INTERVENTIONS: One-level diskectomy for LDH or one-level decompression for LSS.

PRIMARY OUTCOME MEASURES: Satisfaction with treatment. RESULTS: For LSS, the year 1 satisfaction ratio among patients with negative future health expectations preoperatively was 60% (95% CI 58% to 63%), while it was 75% (95% CI 73% to 76%) for patients with positive future health expectations preoperatively. The corresponding numbers for LDH were 73% (95% CI 71% to 75%) and 84% (95% CI 83% to 85%), respectively.

CONCLUSIONS: Patients operated for the common lumbar spine diseases LSS or LDH, with negative future general health expectations, were significantly less satisfied with treatment than patients with positive expectations with regard to future general health. These findings are important for patients, and for the surgeons who counsel them, when surgery is a treatment option for LSS or LDH.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023. Vol. 13, no 9, article id e074072
Keywords [en]
Adult orthopaedics, Quality of Life, Spine
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:oru:diva-108559DOI: 10.1136/bmjopen-2023-074072ISI: 001077459700021PubMedID: 37748852Scopus ID: 2-s2.0-85172248880OAI: oai:DiVA.org:oru-108559DiVA, id: diva2:1800272
Available from: 2023-09-26 Created: 2023-09-26 Last updated: 2024-01-02Bibliographically approved

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Joelson, AndersWildeman, PeterSigmundsson, Freyr GautiKarlsson, Jan

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