An analysis from the Quality Outcomes Database, Part 1. Disability, quality of life, and pain outcomes following lumbar spine surgery: predicting likely individual patient outcomes for shared decision-making

Journal of Neurosurgery. Spine
Matthew J McGirtAnthony L Asher

Abstract

OBJECTIVE Quality and outcomes registry platforms lie at the center of many emerging evidence-driven reform models. Specifically, clinical registry data are progressively informing health care decision-making. In this analysis, the authors used data from a national prospective outcomes registry (the Quality Outcomes Database) to develop a predictive model for 12-month postoperative pain, disability, and quality of life (QOL) in patients undergoing elective lumbar spine surgery. METHODS Included in this analysis were 7618 patients who had completed 12 months of follow-up. The authors prospectively assessed baseline and 12-month patient-reported outcomes (PROs) via telephone interviews. The PROs assessed were those ascertained using the Oswestry Disability Index (ODI), EQ-5D, and numeric rating scale (NRS) for back pain (BP) and leg pain (LP). Variables analyzed for the predictive model included age, gender, body mass index, race, education level, history of prior surgery, smoking status, comorbid conditions, American Society of Anesthesiologists (ASA) score, symptom duration, indication for surgery, number of levels surgically treated, history of fusion surgery, surgical approach, receipt of workers' compensation, liability insu...Continue Reading

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Citations

Mar 9, 2018·JAMA Surgery·Michael P Steinmetz, Thomas Mroz
May 12, 2018·Journal of Neurosurgery. Spine·Lucas J Castro-Alves, Mark C Kendall
May 17, 2019·Clinical Orthopaedics and Related Research·Mark Alan FontanaCatherine H MacLean
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Oct 12, 2020·The Spine Journal : Official Journal of the North American Spine Society·Aditya V KarhadeDaniel G Tobert
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Feb 27, 2021·Clinical Spine Surgery : a Spine Publication·Graham S GohJohn Li-Tat Chen
Nov 23, 2020·The Spine Journal : Official Journal of the North American Spine Society·Graham S GohJohn Li-Tat Chen
Apr 24, 2021·Global Spine Journal·Daniel LubelskiDaniel M Sciubba
Jun 16, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Andrej ZdravkovicMichael J Fischer

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