Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study

Area of Science:

• Spinal surgery outcomes
• Patient education materials
• Health information standards

Background:

• Postoperative information for lumbar discectomy patients is crucial for recovery.
• Existing resources may not meet National Health Service (NHS) Information Standards.
• Expert and patient consensus is vital for effective health communication.

Purpose of the Study:

• To develop free, expert-informed postoperative information for lumbar discectomy patients.
• To ensure the developed patient information satisfies UK National Health Service Information Standards.
• To create a patient-centered resource for lumbar discectomy recovery.

Main Methods:

• A mixed-methods approach was employed, integrating the Delphi technique with focus groups.
• Data was gathered from five UK spinal centres involving 23 physiotherapists, 11 patients, and 17 spinal surgeons.
• Three rounds of questionnaires and clinician/patient focus groups were conducted to achieve consensus.

Main Results:

• High response rates were achieved across the Delphi technique rounds (85%, 26%, 35%).
• Consensus on leaflet sections was reached in round 1, with content finalisation in round 3.
• Focus groups provided valuable input for refining the patient information leaflet.

Conclusions:

• A consensus-driven, Information Standard-compliant patient leaflet for lumbar discectomy was successfully produced.
• The leaflet covers essential topics including spine anatomy, disc herniation, surgical details, and back protection.
• Included exercise illustrations allow for patient-specific tailoring, enhancing usability and recovery support.