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13-09-2023 | Original Article

Poor patient-reported mental health correlates with inferior patient-reported outcome measures following cervical disc replacement

Authors: Keith R. MacGregor, Timothy J. Hartman, James W. Nie, Eileen Zheng, Omolabake O. Oyetayo, Dustin H. Massel, Arash J. Sayari, Kern Singh

Published in: Acta Neurochirurgica | Issue 11/2023

Abstract

Purpose

This study aims to assess the correlation between the patient-reported mental health and the self-reported outcome measures (PROMs) physical function, pain, and disability at different time points following disc replacement (CDR).

Methods

A single-surgeon registry was searched for patients who had undergone CDR, excluding those with indication for infection, cancer, or trauma. One hundred fifty-one patients were included. PROMs were collected preoperatively as well as 6 weeks, 3 months, 6 months, and 1 year postoperatively. Mental health measures evaluated included 12-Item Short Form (SF-12), Mental Component Score (MCS), and Patient Health Questionnaire-9 (PHQ-9) which were individually assessed via Pearson’s correlation tests in relation to Patient-Reported Outcome Measurement Information System Physical Function (PROMIS-PF), SF-12 Physical Component Score (PCS), visual analog scale (VAS) neck and arm pain, and Neck Disability Index (NDI).

Results

SF-12 MCS positively correlated with PROMIS-PF (range: r = 0.369–0.614) and SF-12 PCS (range: r = 0.208–0.585) with significance found at two or more time points for each (p ≤ 0.009, all). SF-12 MCS negatively correlated with VAS neck (range: r = − 0.259 to − 0.464), VAS arm (range: r = − 0.281 to − 0.567), and NDI (range: r = − 0.474 to − 831) with significance found at three or more time points (p ≤ 0.028, all). PHQ-9 significantly negatively correlated with PROMIS-PF (range: r = − 0.457 to − 0.732) and SF-12 PCS (range: r = − 0.332 to − 0.629) at all time points (p ≤ 0.013, all). PHQ-9 positively correlated with VAS neck (range: r = 0.351–0.711), VAS arm (range: r = 0.239–0.572), and NDI (range: r = 0.602–0.837) at four or more periods (p ≤ 0.032, all).

Conclusion

Patients undergoing CDR who reported lower mental health scores via either SF-12 MCS or PHQ-9 were associated with increased perception of pain and disability. Disability level correlated with mental health at all time periods. Patients with optimized mental health may report higher outcome scores following CDR.

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Title: Poor patient-reported mental health correlates with inferior patient-reported outcome measures following cervical disc replacement
Authors: Keith R. MacGregor
Timothy J. Hartman
James W. Nie
Eileen Zheng
Omolabake O. Oyetayo
Dustin H. Massel
Arash J. Sayari
Kern Singh
Publication date: 13-09-2023
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 11/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05774-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Poor patient-reported mental health correlates with inferior patient-reported outcome measures following cervical disc replacement

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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