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Early Patient-Reported Outcomes Predict 3-Year Outcomes in Operatively Treated Patients with Adult Spinal Deformity.

Publication ,  Journal Article
Jain, A; Kebaish, KM; Sciubba, DM; Hassanzadeh, H; Scheer, JK; Neuman, BJ; Lafage, V; Bess, S; Protopsaltis, TS; Burton, DC; Smith, JS ...
Published in: World Neurosurg
June 2017

BACKGROUND: For patients with adult spinal deformity (ASD), surgical treatment may improve their health-related quality of life. This study investigates when the greatest improvement in outcomes occurs and whether incremental improvements in patient-reported outcomes during the first postoperative year predict outcomes at 3 years. METHODS: Using a multicenter registry, we identified 84 adults with ASD treated surgically from 2008 to 2012 with complete 3-year follow-up. Pairwise t tests and multivariate regression were used for analysis. Significance was set at P < 0.01. RESULTS: Mean Oswestry Disability Index (ODI) and Scoliosis Research Society-22r total (SRS-22r) scores improved by 13 and 0.8 points, respectively, from preoperatively to 3 years (both P < 0.001). From preoperatively to 6 weeks postoperatively, ODI scores worsened by 5 points (P = 0.049) and SRS-22r scores improved by 0.3 points (P < 0.001). Between 6 weeks and 1 year, ODI and SRS-22r scores improved by 19 and 0.5 points, respectively (both P < 0.001). Incremental improvements during the first postoperative year predicted 3-year outcomes in ODI and SRS-22r scores (adjusted R2 = 0.52 and 0.42, respectively). There were no significant differences in the measured or predicted 3-year ODI (P = 0.991) or SRS-22r scores (P = 0.986). CONCLUSIONS: In surgically treated patients with ASD, the greatest improvements in outcomes occurred between 6 weeks and 1 year postoperatively. A model with incremental improvements from baseline to 6 weeks and from 6 weeks to 1 year can be used to predict ODI and SRS-22r scores at 3 years.

Duke Scholars

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

June 2017

Volume

102

Start / End Page

258 / 262

Location

United States

Related Subject Headings

  • Spinal Diseases
  • Severity of Illness Index
  • Retrospective Studies
  • Patient Reported Outcome Measures
  • Neurosurgical Procedures
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Linear Models
  • Humans
 

Citation

APA
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ICMJE
MLA
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Jain, A., Kebaish, K. M., Sciubba, D. M., Hassanzadeh, H., Scheer, J. K., Neuman, B. J., … International Spine Study Group, . (2017). Early Patient-Reported Outcomes Predict 3-Year Outcomes in Operatively Treated Patients with Adult Spinal Deformity. World Neurosurg, 102, 258–262. https://doi.org/10.1016/j.wneu.2017.03.003
Jain, Amit, Khaled M. Kebaish, Daniel M. Sciubba, Hamid Hassanzadeh, Justin K. Scheer, Brian J. Neuman, Virginie Lafage, et al. “Early Patient-Reported Outcomes Predict 3-Year Outcomes in Operatively Treated Patients with Adult Spinal Deformity.World Neurosurg 102 (June 2017): 258–62. https://doi.org/10.1016/j.wneu.2017.03.003.
Jain A, Kebaish KM, Sciubba DM, Hassanzadeh H, Scheer JK, Neuman BJ, et al. Early Patient-Reported Outcomes Predict 3-Year Outcomes in Operatively Treated Patients with Adult Spinal Deformity. World Neurosurg. 2017 Jun;102:258–62.
Jain, Amit, et al. “Early Patient-Reported Outcomes Predict 3-Year Outcomes in Operatively Treated Patients with Adult Spinal Deformity.World Neurosurg, vol. 102, June 2017, pp. 258–62. Pubmed, doi:10.1016/j.wneu.2017.03.003.
Jain A, Kebaish KM, Sciubba DM, Hassanzadeh H, Scheer JK, Neuman BJ, Lafage V, Bess S, Protopsaltis TS, Burton DC, Smith JS, Shaffrey CI, Hostin RA, Ames CP, International Spine Study Group. Early Patient-Reported Outcomes Predict 3-Year Outcomes in Operatively Treated Patients with Adult Spinal Deformity. World Neurosurg. 2017 Jun;102:258–262.
Journal cover image

Published In

World Neurosurg

DOI

EISSN

1878-8769

Publication Date

June 2017

Volume

102

Start / End Page

258 / 262

Location

United States

Related Subject Headings

  • Spinal Diseases
  • Severity of Illness Index
  • Retrospective Studies
  • Patient Reported Outcome Measures
  • Neurosurgical Procedures
  • Middle Aged
  • Male
  • Longitudinal Studies
  • Linear Models
  • Humans