Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative Kyphosis
Study DesignA prospective study.PurposeTo identify associations between psychiatric factors and patient-reported outcomes after corrective surgery in patients with lumbar degenerative kyphosis (LDK).Overview of LiteratureThus far, to the best of our knowledge, patient factors that may help predict p...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2018-02-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-12-126.pdf |
| _version_ | 1818160196326785024 |
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| author | Tae Sik Goh Jong Ki Shin Myung Soo Youn Jung Sub Lee |
| author_facet | Tae Sik Goh Jong Ki Shin Myung Soo Youn Jung Sub Lee |
| author_sort | Tae Sik Goh |
| collection | DOAJ |
| description | Study DesignA prospective study.PurposeTo identify associations between psychiatric factors and patient-reported outcomes after corrective surgery in patients with lumbar degenerative kyphosis (LDK).Overview of LiteratureThus far, to the best of our knowledge, patient factors that may help predict patient-reported outcomes after corrective surgery for LDK have not been studied.MethodsWe prospectively investigated 46 patients with LDK who underwent surgical correction with a minimum follow-up of 2 years. Demographic data were collected. Short form-36, mental component scores (MCS), physical component scores (PCS), Scoliosis Research Society-22 (SRS-22) scores, and Roland-Morris Disability Questionnaire (RMDQ) scores were determined before the surgery and after 2 years of follow-up. Psychiatric conditions were preoperatively evaluated using the Zung depression scale (ZDS) and Zung anxiety scale (ZAS). Patients were divided into two groups (with or without psychiatric issues), according to baseline ZDS and ZAS scores.ResultsPatients included 43 women and 3 men. Twelve patients were deemed to have psychiatric problems (P group) and 34 patients had no psychiatric problems (NP group). No significant intergroup differences were found in MCS, PCS, SRS-22, and RMDQ scores preoperatively. However, at the 2-year follow-up, a significant intergroup difference was observed between PCS and RMDQ scores. Multiple regression analysis revealed that only the presence of a preoperative psychiatric problem can predict PCS and RMDQ scores. Other factors, such as, gender, age, body mass index, bone mineral density, osteotomy site, number of fusion segments, and instrumented levels did not affect PCS or RMDQ scores.ConclusionsThe presence of a psychiatric factor may be an important risk factor underlying poor physical and pain scores after corrective surgery in patients with LDK. The findings presented here suggest that psychiatric factors should be evaluated prior to surgery for determining the risk of a poor outcome. |
| first_indexed | 2024-12-11T15:58:02Z |
| format | Article |
| id | doaj.art-e1eb8eba0e774236ad4fc4d1a38893fc |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-11T15:58:02Z |
| publishDate | 2018-02-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-e1eb8eba0e774236ad4fc4d1a38893fc2022-12-22T00:59:22ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462018-02-0112112613110.4184/asj.2018.12.1.126325Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative KyphosisTae Sik Goh0Jong Ki Shin1Myung Soo Youn2Jung Sub Lee3Department of Orthopaedic Surgery, Biomedical Research Institute, Pusan National University School of Medicine, Busan, Korea.Department of Orthopaedic Surgery, Biomedical Research Institute, Pusan National University School of Medicine, Busan, Korea.Department of Orthopaedic Surgery, Myungeun Hospital, Busan, Korea.Department of Orthopaedic Surgery, Biomedical Research Institute, Pusan National University School of Medicine, Busan, Korea.Study DesignA prospective study.PurposeTo identify associations between psychiatric factors and patient-reported outcomes after corrective surgery in patients with lumbar degenerative kyphosis (LDK).Overview of LiteratureThus far, to the best of our knowledge, patient factors that may help predict patient-reported outcomes after corrective surgery for LDK have not been studied.MethodsWe prospectively investigated 46 patients with LDK who underwent surgical correction with a minimum follow-up of 2 years. Demographic data were collected. Short form-36, mental component scores (MCS), physical component scores (PCS), Scoliosis Research Society-22 (SRS-22) scores, and Roland-Morris Disability Questionnaire (RMDQ) scores were determined before the surgery and after 2 years of follow-up. Psychiatric conditions were preoperatively evaluated using the Zung depression scale (ZDS) and Zung anxiety scale (ZAS). Patients were divided into two groups (with or without psychiatric issues), according to baseline ZDS and ZAS scores.ResultsPatients included 43 women and 3 men. Twelve patients were deemed to have psychiatric problems (P group) and 34 patients had no psychiatric problems (NP group). No significant intergroup differences were found in MCS, PCS, SRS-22, and RMDQ scores preoperatively. However, at the 2-year follow-up, a significant intergroup difference was observed between PCS and RMDQ scores. Multiple regression analysis revealed that only the presence of a preoperative psychiatric problem can predict PCS and RMDQ scores. Other factors, such as, gender, age, body mass index, bone mineral density, osteotomy site, number of fusion segments, and instrumented levels did not affect PCS or RMDQ scores.ConclusionsThe presence of a psychiatric factor may be an important risk factor underlying poor physical and pain scores after corrective surgery in patients with LDK. The findings presented here suggest that psychiatric factors should be evaluated prior to surgery for determining the risk of a poor outcome.http://www.asianspinejournal.org/upload/pdf/asj-12-126.pdfLumbar vertebraeDegenerative diseaseKyphosisOutcomePsychiatric diagnosis |
| spellingShingle | Tae Sik Goh Jong Ki Shin Myung Soo Youn Jung Sub Lee Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative Kyphosis Asian Spine Journal Lumbar vertebrae Degenerative disease Kyphosis Outcome Psychiatric diagnosis |
| title | Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative Kyphosis |
| title_full | Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative Kyphosis |
| title_fullStr | Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative Kyphosis |
| title_full_unstemmed | Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative Kyphosis |
| title_short | Effects of Psychiatric Factors on Patient-Reported Outcomes after Surgical Correction of Lumbar Degenerative Kyphosis |
| title_sort | effects of psychiatric factors on patient reported outcomes after surgical correction of lumbar degenerative kyphosis |
| topic | Lumbar vertebrae Degenerative disease Kyphosis Outcome Psychiatric diagnosis |
| url | http://www.asianspinejournal.org/upload/pdf/asj-12-126.pdf |
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