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European Spine Journal

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01-02-2017 | Original Article

Determinants of patient satisfaction after surgery for central spinal stenosis without concomitant spondylolisthesis: a register study of 5100 patients

Authors: Freyr Gauti Sigmundsson, Bo Jönsson, Björn Strömqvist

Published in: European Spine Journal | Issue 2/2017

Abstract

Purpose

Satisfaction with the outcome of treatment is a widely used outcome measure but information about the determinants of patient satisfaction after surgery for central spinal stenosis (CSS) are lacking. The aim of the study was to analyze determinants of patient satisfaction 1 year after surgery for CSS without degenerative spondylolisthesis (DS).

Methods

This prospective register study included 5100 patients operated for CSS without DS. 88 % received decompression only (D) and 12 % had decompression and fusion (DF). The patient reported outcome measures were the EuroQol-5D, the Short-Form 36, the visual analogue scale for leg and back pain, the Oswestry disability index and the self-estimated walking distance. Logistic regression reporting odds ratios (OR) for being satisfied was utilized.

Results

There were significant baseline differences between satisfied and dissatisfied patients in all patient reported outcome measures except leg pain. Factors decreasing the likelihood for satisfaction included previous spine surgery OR: 0.4 (95 % CI: 0.3–0.5), smoking OR: 0.6 (95 % CI: 0.4–0.8), unemployment OR: 0.6 (95 % CI: 0.4–0.9), back pain exceeding 1 year OR: 0.6 (95 % CI: 0.4–0.9), back pain predominance OR: 0.7 (95 % CI: 0.5–0.8). Fusion surgery did not predict satisfaction OR: 1.3 (95 % CI: 0.9–1.9). Preoperative self-estimated walking distance >1000 m predicted satisfaction, OR: 2.4 (95 %: 1.6–3.6).

Conclusions

Numerous factors have predictive value for satisfaction of outcome after surgery for CSS without DS. The results from this study can constitute background data in the shared decision making process when discussing surgery with patients suffering from CSS.

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Title: Determinants of patient satisfaction after surgery for central spinal stenosis without concomitant spondylolisthesis: a register study of 5100 patients
Authors: Freyr Gauti Sigmundsson
Bo Jönsson
Björn Strömqvist
Publication date: 01-02-2017
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 2/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4495-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Determinants of patient satisfaction after surgery for central spinal stenosis without concomitant spondylolisthesis: a register study of 5100 patients

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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