Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy

Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with c...
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Autor*in:	Wichmann, Thea Overgaard [verfasserIn] Rasmussen, Mikkel Mylius [verfasserIn] Einarsson, Halldór Bjarki [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course

Übergeordnetes Werk:	Enthalten in: Clinical neurology and neurosurgery - Amsterdam [u.a.] : Elsevier Science, 1974, 205
Übergeordnetes Werk:	volume:205

DOI / URN:	10.1016/j.clineuro.2021.106648

Katalog-ID:	ELV00603182X

Internformat


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245	1	0	\|a Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
264		1	\|c 2021
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337			\|a Computermedien \|b c \|2 rdamedia
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520			\|a Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction.
650		4	\|a Cervical spine surgery
650		4	\|a Cervical radiculopathy
650		4	\|a Degenerative spine disease
650		4	\|a Predictors
650		4	\|a Clinical course
700	1		\|a Rasmussen, Mikkel Mylius \|e verfasserin \|4 aut
700	1		\|a Einarsson, Halldór Bjarki \|e verfasserin \|4 aut
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936	b	k	\|a 44.90 \|j Neurologie
936	b	k	\|a 44.65 \|j Chirurgie
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publishDate	2021
allfields	10.1016/j.clineuro.2021.106648 doi (DE-627)ELV00603182X (ELSEVIER)S0303-8467(21)00175-X DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl 44.65 bkl Wichmann, Thea Overgaard verfasserin aut Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction. Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course Rasmussen, Mikkel Mylius verfasserin aut Einarsson, Halldór Bjarki verfasserin aut Enthalten in Clinical neurology and neurosurgery Amsterdam [u.a.] : Elsevier Science, 1974 205 Online-Ressource (DE-627)320438236 (DE-600)2004613-3 (DE-576)261862197 1872-6968 nnns volume:205 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie 44.65 Chirurgie AR 205
spelling	10.1016/j.clineuro.2021.106648 doi (DE-627)ELV00603182X (ELSEVIER)S0303-8467(21)00175-X DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl 44.65 bkl Wichmann, Thea Overgaard verfasserin aut Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction. Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course Rasmussen, Mikkel Mylius verfasserin aut Einarsson, Halldór Bjarki verfasserin aut Enthalten in Clinical neurology and neurosurgery Amsterdam [u.a.] : Elsevier Science, 1974 205 Online-Ressource (DE-627)320438236 (DE-600)2004613-3 (DE-576)261862197 1872-6968 nnns volume:205 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie 44.65 Chirurgie AR 205
allfields_unstemmed	10.1016/j.clineuro.2021.106648 doi (DE-627)ELV00603182X (ELSEVIER)S0303-8467(21)00175-X DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl 44.65 bkl Wichmann, Thea Overgaard verfasserin aut Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction. Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course Rasmussen, Mikkel Mylius verfasserin aut Einarsson, Halldór Bjarki verfasserin aut Enthalten in Clinical neurology and neurosurgery Amsterdam [u.a.] : Elsevier Science, 1974 205 Online-Ressource (DE-627)320438236 (DE-600)2004613-3 (DE-576)261862197 1872-6968 nnns volume:205 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie 44.65 Chirurgie AR 205
allfieldsGer	10.1016/j.clineuro.2021.106648 doi (DE-627)ELV00603182X (ELSEVIER)S0303-8467(21)00175-X DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl 44.65 bkl Wichmann, Thea Overgaard verfasserin aut Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction. Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course Rasmussen, Mikkel Mylius verfasserin aut Einarsson, Halldór Bjarki verfasserin aut Enthalten in Clinical neurology and neurosurgery Amsterdam [u.a.] : Elsevier Science, 1974 205 Online-Ressource (DE-627)320438236 (DE-600)2004613-3 (DE-576)261862197 1872-6968 nnns volume:205 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie 44.65 Chirurgie AR 205
allfieldsSound	10.1016/j.clineuro.2021.106648 doi (DE-627)ELV00603182X (ELSEVIER)S0303-8467(21)00175-X DE-627 ger DE-627 rda eng 610 DE-600 44.90 bkl 44.65 bkl Wichmann, Thea Overgaard verfasserin aut Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy 2021 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction. Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course Rasmussen, Mikkel Mylius verfasserin aut Einarsson, Halldór Bjarki verfasserin aut Enthalten in Clinical neurology and neurosurgery Amsterdam [u.a.] : Elsevier Science, 1974 205 Online-Ressource (DE-627)320438236 (DE-600)2004613-3 (DE-576)261862197 1872-6968 nnns volume:205 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.90 Neurologie 44.65 Chirurgie AR 205
language	English
source	Enthalten in Clinical neurology and neurosurgery 205 volume:205
sourceStr	Enthalten in Clinical neurology and neurosurgery 205 volume:205
format_phy_str_mv	Article
bklname	Neurologie Chirurgie
institution	findex.gbv.de
topic_facet	Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course
dewey-raw	610
isfreeaccess_bool	false
container_title	Clinical neurology and neurosurgery
authorswithroles_txt_mv	Wichmann, Thea Overgaard @@aut@@ Rasmussen, Mikkel Mylius @@aut@@ Einarsson, Halldór Bjarki @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	320438236
dewey-sort	3610
id	ELV00603182X
language_de	englisch
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Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. 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author	Wichmann, Thea Overgaard
spellingShingle	Wichmann, Thea Overgaard ddc 610 bkl 44.90 bkl 44.65 misc Cervical spine surgery misc Cervical radiculopathy misc Degenerative spine disease misc Predictors misc Clinical course Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
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topic_title	610 DE-600 44.90 bkl 44.65 bkl Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy Cervical spine surgery Cervical radiculopathy Degenerative spine disease Predictors Clinical course
topic	ddc 610 bkl 44.90 bkl 44.65 misc Cervical spine surgery misc Cervical radiculopathy misc Degenerative spine disease misc Predictors misc Clinical course
topic_unstemmed	ddc 610 bkl 44.90 bkl 44.65 misc Cervical spine surgery misc Cervical radiculopathy misc Degenerative spine disease misc Predictors misc Clinical course
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title	Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
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title_full	Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
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author_browse	Wichmann, Thea Overgaard Rasmussen, Mikkel Mylius Einarsson, Halldór Bjarki
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title_sort	predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
title_auth	Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
abstract	Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction.
abstractGer	Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction.
abstract_unstemmed	Objective: To evaluate whether preoperative patient-reported outcome measures (PROMs) and immediate postoperative arm pain improvement can predict patient satisfaction following anterior cervical spine surgery.Methods: A retrospective analysis of prospectively collected data from 193 patients with cervical radiculopathy undergoing surgery at Aarhus University Hospital was performed. Standardized questionnaires were used to assess demographics, clinical outcomes and complications preoperatively, postoperatively and at 1-year follow-up. PROMs covered Visual Analogue Scale for arm pain (VAS-AP) and neck pain (VAS-NP), Neck Disability Index (NDI), EQ-5D 3-level version (EQ‐5D‐3L), and satisfaction. Immediate upper extremity pain status was assembled from medical records.Results: PROMs significantly improved (p < 0.001) and most patients (66%) were satisfied with the surgical result at follow-up. Complications and complaints occurred in 3.6% intraoperatively, 1.5% postoperatively in-hospital, and 43% postoperatively post-discharge. Patients with a symptom duration exceeding 24 months had significantly decreased odds of being satisfied compared to patients with a symptom duration less than 3 months (OR: 0.32, 95% CI: 0.10–0.98, p = 0.046). Neither baseline PROMs nor immediate pain improvement significantly predicted patient satisfaction. Despite being non-significant, patients experiencing immediate pain improvement had increased odds of being satisfied compared to patients not experiencing immediate improvement (OR: 1.62, 95% CI: 0.65–4.05).Conclusions: Prolonged symptom duration and immediate pain improvement may have an impact on patient satisfaction.
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title_short	Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy
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up_date	2024-07-06T19:59:23.944Z
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Predictors of patient satisfaction following anterior cervical discectomy and fusion for cervical radiculopathy

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