Patient-Reported Outcome Tool Developed for Lumbar Spine Sx

Share this content:
Patient-Reported Outcome Tool Developed for Lumbar Spine Sx
Patient-Reported Outcome Tool Developed for Lumbar Spine Sx

THURSDAY, March 8, 2018 (HealthDay News) -- A patient-reported outcome (PRO) tool has been developed and validated to predict response after lumbar spine surgery, according to a study published online March 7 in JAMA Surgery.

Sarah Khor, from the University of Washington in Seattle, and colleagues collected clinical and PRO data from adult candidates for lumbar surgery preoperatively and postoperatively between 2012 and 2016. Prediction models were derived for PRO improvement one year after lumbar fusion surgeries on a random sample of 85 percent of the data; the models were validated in the remaining 15 percent. Overall, 1,965 adult lumbar surgical candidates completed baseline surveys before surgery and at least one postoperative survey within three years.

The researchers found that at 12 months, 58, 68.5, and 76.5 percent of surgical patients whose baseline scores indicated moderate-to-severe symptoms reported improvements in function, back pain, and leg pain, respectively. Among nonoperative patients, improvements were reported by 43.8, 53.4, and 63.9 percent, respectively. The final prediction models included age, sex, race, insurance status, American Society of Anesthesiologists score, smoking status, diagnoses, prior surgery, prescription opioid use, asthma, and baseline PRO scores. In the validation cohort, the models had good predictive performance (concordance statistic, 0.66 to 0.79) and were incorporated into a web-based interactive tool.

"The PRO response prediction tool, informed by population-level data, explained most of the variability in pain reduction and functional improvement after surgery," the authors write.

Several authors disclosed financial ties to the medical device industry.

Abstract/Full Text
Editorial

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Ancient Gene Protects Elephants From Cancer

Ancient Gene Protects Elephants From Cancer

The LIF6 gene destroys cells with damaged DNA

Reasons for Undergoing Cosmetic Procedures Explored

Reasons for Undergoing Cosmetic Procedures Explored

Psychological and emotional motivations more likely in patients wanting acne scar tx, tattoo removal

DNR Orders Linked to Increased Mortality in Older Adults

DNR Orders Linked to Increased Mortality in Older ...

Early versus late DNR tied to shorter median length of stay in hospitalized adults aged 65 years and older

is free, fast, and customized just for you!




Already a member?

Sign In Now »