High self-assessment of disability and the surgeon's recommendation against surgical intervention may negatively impact satisfaction scores in patients with spinal disorders

Journal of Neurosurgery. Spine
Marcus D MazurErica F Bisson

Abstract

OBJECT Patient satisfaction scores have become a common metric for health care quality. Because satisfaction scores are right-skewed, even small differences in mean scores can have a large impact. Little information, however, is available on the specific factors that play a role in satisfaction in patients with spinal disorders. The authors investigated whether disability severity and the surgeon's recommendation for or against surgical intervention were associated with patient satisfaction scores. METHODS The authors conducted a retrospective cohort study involving adult patients who were referred to a spine surgeon for an outpatient evaluation of back pain. Patients completed the Oswestry Disability Index (ODI) before their clinic appointment and a Press Ganey patient satisfaction survey after their visit. Patients were grouped by self-assessed disability severity: mild to moderate (ODI < 40%) and severe (≥ 40%). Satisfaction scores were graded from 0 (very poor) to 100 (very good). Nonparametric tests were used to evaluate the association between patient satisfaction and current disability self-assessment. The authors also investigated whether the surgeon's recommendation against surgery negatively affected patient satisfact...Continue Reading

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Citations

Oct 21, 2016·Clinical Spine Surgery : a Spine Publication·Amir M AbtahiWilliam Ryan Spiker
Mar 3, 2019·Journal of Cataract and Refractive Surgery·Michele D LeeRobert T Chang
Apr 19, 2018·Neurosurgery·Rasheedat T Zakare-FagbamilaOren N Gottfried
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Dec 1, 2020·World Neurosurgery·Brandon M LehrichMichael Y Oh

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