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The Effect of Perioperative Adverse Events on Long-Term Patient-Reported Outcomes After Lumbar Spine Surgery

Ayling, Oliver G S ; Ailon, Tamir ; Street, John T ; Dea, Nicolas ; McIntosh, Greg ; Abraham, Edward ; Jacobs, W Bradly ; Soroceanu, Alex ; Johnson, Michael G ; Paquet, Jerome ; Rasoulinejad, Parham ; Phan, Phillipe ; Yee, Albert ; Christie, Sean ; Nataraj, Andrew ; Glennie, R Andrew ; Hall, Hamilton ; Manson, Neil ; Rampersaud, Y Raja ; Thomas, Kenneth ; Fisher, Charles G

Neurosurgery, 2021-02, Vol.88 (2), p.420-427 [Periódico revisado por pares]

United States: Oxford University Press

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Título:
The Effect of Perioperative Adverse Events on Long-Term Patient-Reported Outcomes After Lumbar Spine Surgery
Autor: Ayling, Oliver G S ; Ailon, Tamir ; Street, John T ; Dea, Nicolas ; McIntosh, Greg ; Abraham, Edward ; Jacobs, W Bradly ; Soroceanu, Alex ; Johnson, Michael G ; Paquet, Jerome ; Rasoulinejad, Parham ; Phan, Phillipe ; Yee, Albert ; Christie, Sean ; Nataraj, Andrew ; Glennie, R Andrew ; Hall, Hamilton ; Manson, Neil ; Rampersaud, Y Raja ; Thomas, Kenneth ; Fisher, Charles G
Assuntos: Adult ; Aged ; Back surgery ; Body mass index ; Canada ; Data collection ; Disability Evaluation ; Female ; Humans ; Iatrogenesis ; Lumbar Vertebrae - surgery ; Male ; Medical personnel ; Middle Aged ; Neurosurgery ; Neurosurgical Procedures - adverse effects ; Patient Reported Outcome Measures ; Patients ; Postoperative Complications - epidemiology ; Regression analysis ; Spinal Diseases - surgery ; Spine ; Surgery ; Surgical outcomes ; Treatment Outcome ; Variables ; Variance analysis
É parte de: Neurosurgery, 2021-02, Vol.88 (2), p.420-427
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Abstract BACKGROUND Perioperative adverse events (AEs) lead to patient disappointment and greater costs. There is a paucity of data on how AEs affect long-term outcomes. OBJECTIVE To examine perioperative AEs and their impact on outcome after lumbar spine surgery. METHODS A total of 3556 consecutive patients undergoing surgery for lumbar degenerative disorders enrolled in the Canadian Spine Outcomes and Research Network were analyzed. AEs were defined using the validated Spine AdVerse Events Severity system. Outcomes at 3, 12, and 24 mo postoperatively included the Owestry Disability Index (ODI), 12-Item Short-Form Health Survey (SF-12) Physical (PCS) and Mental (MCS) Component Summary scales, visual analog scale (VAS) leg and back, EuroQol-5D (EQ5D), and satisfaction. RESULTS AEs occurred in 767 (21.6%) patients, and 85 (2.4%) patients suffered major AEs. Patients with major AEs had worse ODI scores and did not reach minimum clinically important differences at 2 yr (no AE: 25.7 ± 19.2, major: 36.4 ± 19.1, P < .001). Major AEs were associated with worse ODI scores on multivariable linear regression (P = .011). PCS scores were lower after major AEs (43.8 ± 9.5, vs 37.7 ± 20.3, P = .002). On VAS leg and back and EQ5D, the 2-yr outcomes were significantly different between the major and no AE groups (<0.01), but these differences were small (VAS leg: 3.4 ± 3.0 vs 4.0 ± 3.3; VAS back: 3.5 ± 2.7 vs 4.5 ± 2.6; EQ5D: 0.75 ± 0.2 vs 0.64 ± 0.2). SF12 MCS scores were not different. Rates of satisfaction were lower after major AEs (no AE: 84.6%, major: 72.3%, P < .05). CONCLUSION Major AEs after lumbar spine surgery lead to worse functional outcomes and lower satisfaction. This highlights the need to implement strategies aimed at reducing AEs. Graphical Abstract Graphical Abstract
Editor: United States: Oxford University Press
Idioma: Inglês

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The Effect of Perioperative Adverse Events on Long-Term Patient-Reported Outcomes After Lumbar Spine Surgery

United States: Oxford University Press

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