An analysis from the Quality Outcomes Database, Part 2. Predictive model for return to work after elective surgery for lumbar degenerative disease

Journal of Neurosurgery. Spine
Anthony L AsherMatthew J McGirt

Abstract

OBJECTIVE Current costs associated with spine care are unsustainable. Productivity loss and time away from work for patients who were once gainfully employed contributes greatly to the financial burden experienced by individuals and, more broadly, society. Therefore, it is vital to identify the factors associated with return to work (RTW) after lumbar spine surgery. In this analysis, the authors used data from a national prospective outcomes registry to create a predictive model of patients' ability to RTW after undergoing lumbar spine surgery for degenerative spine disease. METHODS Data from 4694 patients who underwent elective spine surgery for degenerative lumbar disease, who had been employed preoperatively, and who had completed a 3-month follow-up evaluation, were entered into a prospective, multicenter registry. Patient-reported outcomes-Oswestry Disability Index (ODI), numeric rating scale (NRS) for back pain (BP) and leg pain (LP), and EQ-5D scores-were recorded at baseline and at 3 months postoperatively. The time to RTW was defined as the period between operation and date of returning to work. A multivariable Cox proportional hazards regression model, including an array of preoperative factors, was fitted for RTW. Th...Continue Reading

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Citations

Jun 25, 2019·Neuromodulation : Journal of the International Neuromodulation Society·Tomasz SzmudaKatarzyna Aleksandrowicz
Dec 25, 2019·Journal of Occupational Rehabilitation·Dorthe Schoeler ZieglerMikkel Oesterheden Andersen
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Aug 27, 2019·Global Spine Journal·Steven D GlassmanMladen Djurasovic
Mar 18, 2021·Oxidative Medicine and Cellular Longevity·Xianzheng WangWei Zhang
Apr 24, 2021·Global Spine Journal·Daniel LubelskiDaniel M Sciubba
Nov 28, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Peter FritzellOlle Hagg
Nov 23, 2019·Journal of Neurosurgery. Spine·Mohamed MackiUNKNOWN MSSIC Investigators

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