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Influence of depression on patients&#8217 ; satisfaction with the outcome of microsurgical &#8220 ; keyhole&#8221 ; or classic discectomy: A matched-cohort study


Stančić, Marin; Ljubičić Bistrović, Ivana
Influence of depression on patients&#8217 ; satisfaction with the outcome of microsurgical &#8220 ; keyhole&#8221 ; or classic discectomy: A matched-cohort study // World Spine 2- The Second Interdisciplinary Congress on Spine Care / Benzel, Edward C. (ur.).
Chicago, 2003. (poster, međunarodna recenzija, sažetak, znanstveni)


Naslov
Influence of depression on patients&#8217 ; satisfaction with the outcome of microsurgical &#8220 ; keyhole&#8221 ; or classic discectomy: A matched-cohort study

Autori
Stančić, Marin ; Ljubičić Bistrović, Ivana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
World Spine 2- The Second Interdisciplinary Congress on Spine Care / Benzel, Edward C. - Chicago, 2003

Skup
World Spine 2- The Second Interdisciplinary Congress on Spine Care

Mjesto i datum
Chicago, SAD, 10.-13. 08. 2003

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
depression; discectomy; outcome assessment; spine; quality of life; lumbosacral region; myelography

Sažetak
BACKGROUND. Lumbar discectomy, although considered as the most optimistic part of neurological surgery, is connected with an unacceptably high unsuccessful outcome rate, up to 60%. Three mortal sins responsible for failed back surgery that surgeons admit are: doing the wrong operation, doing the correct operation at the wrong level, and operating on the wrong patients. AIM. To assess influence of depression to the patients&#8217 ; satisfaction with two different lumbar discectomy surgical techniques. METHODS. A matched-cohort analysis of classic lumbar discectomy following static imaging (N= 45) and microlumbar &#8220 ; key-hole&#8221 ; discectomy after dynamic CT/myelography (N= 55) was performed. The outcome was independently assessed using Prolo activity (E) and pain (F) scale, and depressiveness according to Hamilton rating scale. Patients without improvement on Prolo scale were classified as failed back surgery syndrome, and with a Hamilton score 17 or more, as depressive. RESULTS. The groups were well matched by age, sex, clinical presentation and incidence of depression. In the &#8220 ; key-hole&#8221 ; group, both activity and pain outcome was better than in the classic technique group (median E score (range) = 4 (2-5) vs. 3 (2-4), p=0.002, median F score (range) = 4 (2-5) vs. 4 (1-5), p=0.008). Eighteen patients were classified as failed back syndrome, 6 in the &#8220 ; key-hole&#8221 ; group, and 12 in the classic group (z=3.16, p=0.075). Incidence of failed back syndrome among non-depressive patients was significantly lower in &#8220 ; key-hole&#8221 ; group (2/55 patients vs. 8/45, z=2.345, p=0.009). Occurrence of unsatisfactory results among depressive patients was very similar in both groups (4/55 patients vs. 4/45, z=0.296, p=0.384). CONCLUSIONS. Introduction of functional imaging and &#8220 ; key-hole&#8221 ; technique decreased incidence of failed back syndrome among non-depressive patients. Unsatisfactory outcome among depressive patients was unrelated to the imaging and surgical technique. Connection between depression and failed back syndrome, although detected, remains unclear and must be further investigated. Results of the study suggest that preoperative work up of the patients with low back pain should include Hamilton and/or Beck depression rating scale.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Projekt / tema
0062076

Ustanove
Medicinski fakultet, Rijeka

Profili:

Avatar Url Marin Stančić (autor)

Citiraj ovu publikaciju

Stančić, Marin; Ljubičić Bistrović, Ivana
Influence of depression on patients&#8217 ; satisfaction with the outcome of microsurgical &#8220 ; keyhole&#8221 ; or classic discectomy: A matched-cohort study // World Spine 2- The Second Interdisciplinary Congress on Spine Care / Benzel, Edward C. (ur.).
Chicago, 2003. (poster, međunarodna recenzija, sažetak, znanstveni)
Stančić, M. & Ljubičić Bistrović, I. (2003) Influence of depression on patients&#8217 ; satisfaction with the outcome of microsurgical &#8220 ; keyhole&#8221 ; or classic discectomy: A matched-cohort study. U: Benzel, E. (ur.)World Spine 2- The Second Interdisciplinary Congress on Spine Care.
@article{article, editor = {Benzel, E.}, year = {2003}, keywords = {depression, discectomy, outcome assessment, spine, quality of life, lumbosacral region, myelography}, title = {Influence of depression on patients and \#38;\#8217 ; satisfaction with the outcome of microsurgical and \#38;\#8220 ; keyhole and \#38;\#8221 ; or classic discectomy: A matched-cohort study}, keyword = {depression, discectomy, outcome assessment, spine, quality of life, lumbosacral region, myelography}, publisherplace = {Chicago, SAD} }