Biopsychosocial variations in quality of life outcome following microdiscectomy

Surgical Neurology International
Lena Mary HoulihanGeorge Kaar

Abstract

Lumbar microdiscectomy is one of the most frequently performed neurosurgical procedures. In this review, we ask why patients' outcomes vary so widely even within the same unit, with the same surgeon performing the procedure and utilizing the technique? In a cohort of 87 patients, we investigated how/whether multiple patient variables impacted outcomes following single-level lumbar microdiscectomy. We studied whether early surgical intervention improved the patients' quality of life (QOL) versus late intervention. Furthermore, we assessed other variables that could influence patient-perceived improvement. Preoperatively and postoperatively, we additionally utilized the following internationally standardized questionnaires (EQ-5D, Oswestry, and Core Outcome Measures Index [COMI]). A generalized substantial improvement in QOL was identified throughout the cohort population (<0.05). There was no difference in health measurement scores for those undergoing early versus late surgery. However, there was a statistically significant improvement in all QOL scores for privately insured patients versus publicly insured patients (e.g., on COMI, EQ-5D, and ODI Scores). There was no objective statistically significant difference in QOL health...Continue Reading

References

Apr 11, 2003·Survey of Ophthalmology·Melissa M BrownJennifer Landy
Jan 17, 2008·Spine·Bradley K Weiner
May 27, 2008·BMJ : British Medical Journal·Wilco C PeulUNKNOWN Leiden-The Hague Spine Intervention Prognostic Study Group
May 27, 2010·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·Kotryna VeresciaginaKazys Vytautas Ambrozaitis

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