Greater improvement in Neck Disability Index scores in women after surgery for cervical myelopathy: an analysis of the Quality Outcomes Database.

Patel, Arati; Kondapavulur, Sravani; Umbach, Gray; Chan, Andrew K; Le, Vivian P; Bisson, Erica F; Bydon, Mohamad; Chou, Dean; Glassman, Steve D; Foley, Kevin T; Shaffrey, Christopher I; Potts, Eric A; Shaffrey, Mark E; Coric, Domagoj; Knightly, John J; Park, Paul; Wang, Michael Y; Fu, Kai-Ming; Slotkin, Jonathan; Asher, Anthony L; Virk, Michael S; Haid, Regis W; Gottfried, Oren; Meyer, Scott; Upadhyaya, Cheerag D; Tumialán, Luis M; Turner, Jay D; Mummaneni, Praveen V

Greater improvement in Neck Disability Index scores in women after surgery for cervical myelopathy: an analysis of the Quality Outcomes Database.

dc.contributor.author	Patel, Arati
dc.contributor.author	Kondapavulur, Sravani
dc.contributor.author	Umbach, Gray
dc.contributor.author	Chan, Andrew K
dc.contributor.author	Le, Vivian P
dc.contributor.author	Bisson, Erica F
dc.contributor.author	Bydon, Mohamad
dc.contributor.author	Chou, Dean
dc.contributor.author	Glassman, Steve D
dc.contributor.author	Foley, Kevin T
dc.contributor.author	Shaffrey, Christopher I
dc.contributor.author	Potts, Eric A
dc.contributor.author	Shaffrey, Mark E
dc.contributor.author	Coric, Domagoj
dc.contributor.author	Knightly, John J
dc.contributor.author	Park, Paul
dc.contributor.author	Wang, Michael Y
dc.contributor.author	Fu, Kai-Ming
dc.contributor.author	Slotkin, Jonathan
dc.contributor.author	Asher, Anthony L
dc.contributor.author	Virk, Michael S
dc.contributor.author	Haid, Regis W
dc.contributor.author	Gottfried, Oren
dc.contributor.author	Meyer, Scott
dc.contributor.author	Upadhyaya, Cheerag D
dc.contributor.author	Tumialán, Luis M
dc.contributor.author	Turner, Jay D
dc.contributor.author	Mummaneni, Praveen V
dc.date.accessioned	2023-12-01T14:53:07Z
dc.date.available	2023-12-01T14:53:07Z
dc.date.issued	2023-11
dc.date.updated	2023-12-01T14:53:06Z
dc.description.abstract	Objective There is a high prevalence of cervical myelopathy that requires surgery; as such, it is important to identify how different groups benefit from surgery. The American Association of Neurological Surgeons launched the Quality Outcomes Database (QOD), a prospective longitudinal registry, that includes demographic, clinical, and patient-reported outcome data to measure the safety and quality of neurosurgical procedures. In this study, the authors assessed the impact of gender on patient-reported outcomes in patients who underwent surgery for cervical myelopathy. Methods The authors analyzed 1152 patients who underwent surgery for cervical myelopathy and were included in the QOD cervical module. Univariate comparison of baseline patient characteristics between males and females who underwent surgery for cervical spondylotic myelopathy was performed. Baseline characteristics that significantly differed between males and females were included in a multivariate generalized linear model comparing baseline and 1-year postoperative Neck Disability Index (NDI) scores. Results This study included 546 females and 604 males. Females demonstrated significantly greater improvement in NDI score 1 year after surgery (p = 0.036). In addition to gender, the presence of axial neck pain and insurance status were also significantly predictive of improvement in NDI score after surgery (p = 0.0013 and p = 0.0058, respectively). Conclusions Females were more likely to benefit from surgery for cervical myelopathy compared with males. It is important to identify gender differences in postoperative outcomes after surgery in order to deliver more personalized and patient-centric care.
dc.identifier.issn	1092-0684
dc.identifier.issn	1092-0684
dc.identifier.uri	https://hdl.handle.net/10161/29443
dc.language	eng
dc.publisher	Journal of Neurosurgery Publishing Group (JNSPG)
dc.relation.ispartof	Neurosurgical focus
dc.relation.isversionof	10.3171/2023.8.focus23423
dc.subject	Neck
dc.subject	Cervical Vertebrae
dc.subject	Humans
dc.subject	Spinal Cord Diseases
dc.subject	Neck Pain
dc.subject	Treatment Outcome
dc.subject	Prospective Studies
dc.subject	Female
dc.subject	Male
dc.title	Greater improvement in Neck Disability Index scores in women after surgery for cervical myelopathy: an analysis of the Quality Outcomes Database.
dc.type	Journal article
duke.contributor.orcid	Shaffrey, Christopher I\|0000-0001-9760-8386
pubs.begin-page	E7
pubs.issue	5
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
pubs.volume	55