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Correlation of return to work with patient satisfaction after surgery for lumbar spondylolisthesis: an analysis of the Quality Outcomes Database.

Publication ,  Journal Article
DiGiorgio, AM; Mummaneni, PV; Park, P; Chan, AK; Bisson, EF; Bydon, M; Foley, KT; Glassman, SD; Shaffrey, CI; Potts, EA; Shaffrey, ME; Fu, K-M ...
Published in: Neurosurg Focus
May 1, 2020

OBJECTIVE: Return to work (RTW) and satisfaction are important outcome measures after surgery for degenerative spine disease. The authors queried the prospective Quality Outcomes Database (QOD) to determine if RTW correlated with patient satisfaction. METHODS: The QOD was queried for patients undergoing surgery for degenerative lumbar spondylolisthesis. The primary outcome of interest was correlation between RTW and patient satisfaction, as measured by the North American Spine Society patient satisfaction index (NASS). Secondarily, data on satisfied patients were analyzed to see what patient factors correlated with RTW. RESULTS: Of 608 total patients in the QOD spondylolisthesis data set, there were 292 patients for whom data were available on both satisfaction and RTW status. Of these, 249 (85.3%) were satisfied with surgery (NASS score 1-2), and 224 (76.7%) did RTW after surgery. Of the 68 patients who did not RTW after surgery, 49 (72.1%) were still satisfied with surgery. Of the 224 patients who did RTW, 24 (10.7%) were unsatisfied with surgery (NASS score 3-4). There were significantly more people who had an NASS score of 1 in the RTW group than in the non-RTW group (71.4% vs 42.6%, p < 0.05). Failure to RTW was associated with lower level of education, worse baseline back pain (measured with a numeric rating scale), and worse baseline disability (measured with the Oswestry Disability Index [ODI]). CONCLUSIONS: There are a substantial number of patients who are satisfied with surgery even though they did not RTW. Patients who were satisfied with surgery and did not RTW typically had worse preoperative back pain and ODI and typically did not have a college education. While RTW remains an important measure after surgery, physicians should be mindful that patients who do not RTW may still be satisfied with their outcome.

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Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

May 1, 2020

Volume

48

Issue

5

Start / End Page

E5

Location

United States

Related Subject Headings

  • Spondylolisthesis
  • Return to Work
  • Prospective Studies
  • Patient Satisfaction
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Humans
  • Female
 

Citation

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DiGiorgio, A. M., Mummaneni, P. V., Park, P., Chan, A. K., Bisson, E. F., Bydon, M., … Slotkin, J. R. (2020). Correlation of return to work with patient satisfaction after surgery for lumbar spondylolisthesis: an analysis of the Quality Outcomes Database. Neurosurg Focus, 48(5), E5. https://doi.org/10.3171/2020.2.FOCUS191022
DiGiorgio, Anthony M., Praveen V. Mummaneni, Paul Park, Andrew K. Chan, Erica F. Bisson, Mohamad Bydon, Kevin T. Foley, et al. “Correlation of return to work with patient satisfaction after surgery for lumbar spondylolisthesis: an analysis of the Quality Outcomes Database.Neurosurg Focus 48, no. 5 (May 1, 2020): E5. https://doi.org/10.3171/2020.2.FOCUS191022.
DiGiorgio AM, Mummaneni PV, Park P, Chan AK, Bisson EF, Bydon M, et al. Correlation of return to work with patient satisfaction after surgery for lumbar spondylolisthesis: an analysis of the Quality Outcomes Database. Neurosurg Focus. 2020 May 1;48(5):E5.
DiGiorgio, Anthony M., et al. “Correlation of return to work with patient satisfaction after surgery for lumbar spondylolisthesis: an analysis of the Quality Outcomes Database.Neurosurg Focus, vol. 48, no. 5, May 2020, p. E5. Pubmed, doi:10.3171/2020.2.FOCUS191022.
DiGiorgio AM, Mummaneni PV, Park P, Chan AK, Bisson EF, Bydon M, Foley KT, Glassman SD, Shaffrey CI, Potts EA, Shaffrey ME, Coric D, Knightly JJ, Wang MY, Fu K-M, Asher AL, Virk MS, Kerezoudis P, Alvi MA, Guan J, Haid RW, Slotkin JR. Correlation of return to work with patient satisfaction after surgery for lumbar spondylolisthesis: an analysis of the Quality Outcomes Database. Neurosurg Focus. 2020 May 1;48(5):E5.

Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

May 1, 2020

Volume

48

Issue

5

Start / End Page

E5

Location

United States

Related Subject Headings

  • Spondylolisthesis
  • Return to Work
  • Prospective Studies
  • Patient Satisfaction
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Lumbar Vertebrae
  • Humans
  • Female