Predictors of patient satisfaction after surgery for grade 1 degenerative spondylolisthesis: a 5-year analysis of the Quality Outcomes Database.
dc.contributor.author | Dru, Alexander | |
dc.contributor.author | Johnson, Sarah E | |
dc.contributor.author | Linzey, Joseph R | |
dc.contributor.author | Foley, Kevin T | |
dc.contributor.author | Digiorgio, Anthony | |
dc.contributor.author | Alan, Nima | |
dc.contributor.author | Coric, Domagoj | |
dc.contributor.author | Potts, Eric A | |
dc.contributor.author | Bisson, Erica F | |
dc.contributor.author | Knightly, John J | |
dc.contributor.author | Fu, Kai-Ming | |
dc.contributor.author | Shaffrey, Mark E | |
dc.contributor.author | Weaver, Jason | |
dc.contributor.author | Bydon, Mohamad | |
dc.contributor.author | Chou, Dean | |
dc.contributor.author | Meyer, Scott A | |
dc.contributor.author | Asher, Anthony L | |
dc.contributor.author | Shaffrey, Christopher I | |
dc.contributor.author | Slotkin, Jonathan R | |
dc.contributor.author | Wang, Michael Y | |
dc.contributor.author | Haid, Regis W | |
dc.contributor.author | Glassman, Steven D | |
dc.contributor.author | Virk, Michael S | |
dc.contributor.author | Mummaneni, Praveen V | |
dc.contributor.author | Park, Paul | |
dc.date.accessioned | 2024-09-12T17:54:07Z | |
dc.date.available | 2024-09-12T17:54:07Z | |
dc.date.issued | 2024-08 | |
dc.description.abstract | ObjectiveLumbar decompression and/or fusion surgery is a common operation for symptomatic lumbar spondylolisthesis refractory to conservative management. Multiyear follow-up of patient outcomes can be difficult to obtain but allows for identification of preoperative patient characteristics associated with durable pain relief, improved functional outcome, and higher patient satisfaction.MethodsA query of the Quality Outcomes Database (QOD) low-grade spondylolisthesis module for patients who underwent surgery for grade 1 lumbar spondylolisthesis (from July 2014 to June 2016 at the 12 highest-enrolling sites) was used to identify patient satisfaction, as measured with the North American Spine Society (NASS) questionnaire, which uses a scale of 1-4. Patients were considered satisfied if they had a score ≤ 2. Multivariable logistic regression was performed to identify baseline demographic and clinical predictors of long-term satisfaction 5 years after surgery.ResultsOf 573 eligible patients from a cohort of 608, patient satisfaction data were available for 81.2%. Satisfaction (NASS score of 1 or 2) was reported by 389 patients (83.7%) at 5-year follow-up. Satisfied patients were predominantly White and ambulation independent and had lower baseline BMI, lower back pain levels, lower Oswestry Disability Index (ODI) scores, and greater EQ-5D index scores at baseline when compared to the unsatisfied group. No significant differences in reoperation rates between groups were reported at 5 years. On multivariate analysis, patients who were independently ambulating at baseline had greater odds of long-term satisfaction (OR 1.12, p = 0.04). Patients who had higher 5-year ODI scores (OR 0.99, p < 0.01) and were uninsured (OR 0.43, p = 0.01) were less likely to report long-term satisfaction.ConclusionsLumbar surgery for the treatment of grade 1 spondylolisthesis can provide lasting pain relief with high patient satisfaction. Baseline independent ambulation is associated with a higher long-term satisfaction rate after surgery. Higher ODI scores at 5-year follow-up and uninsured status are associated with lower postoperative long-term satisfaction. | |
dc.identifier.issn | 1547-5654 | |
dc.identifier.issn | 1547-5646 | |
dc.identifier.uri | ||
dc.language | eng | |
dc.publisher | Journal of Neurosurgery Publishing Group (JNSPG) | |
dc.relation.ispartof | Journal of neurosurgery. Spine | |
dc.relation.isversionof | 10.3171/2024.5.spine24227 | |
dc.rights.uri | ||
dc.subject | Quality Outcomes Database | |
dc.subject | degenerative | |
dc.subject | patient-reported outcomes | |
dc.subject | spine surgery | |
dc.subject | spondylolisthesis | |
dc.title | Predictors of patient satisfaction after surgery for grade 1 degenerative spondylolisthesis: a 5-year analysis of the Quality Outcomes Database. | |
dc.type | Journal article | |
duke.contributor.orcid | Shaffrey, Christopher I|0000-0001-9760-8386 | |
pubs.begin-page | 1 | |
pubs.end-page | 8 | |
pubs.organisational-group | Duke | |
pubs.organisational-group | School of Medicine | |
pubs.organisational-group | Clinical Science Departments | |
pubs.organisational-group | Orthopaedic Surgery | |
pubs.organisational-group | Neurosurgery | |
pubs.publication-status | Published |
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