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Patients' experience on waiting for spinal arthrodesis: a qualitative study.
Paolo Pillastrini1,2, Silvano Ferrari1, Angela Albano1,2
1Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40138, Bologna, Italy.
Patients awaiting lumbar spinal arthrodesis experience significant pain and uncertainty. Improved communication and clearer information about the care pathway are crucial for managing expectations and improving their well-being.
Area of Science:
- Orthopedics
- Psychology
- Patient Experience
Background:
- Previous research on spinal surgery waiting experiences was post-operative.
- This study focuses on the pre-operative waiting period for lumbar spinal arthrodesis.
Purpose of the Study:
- To explore the subjective experiences of patients on the waitlist for lumbar spinal arthrodesis.
- To understand the psychological and functional impact of waiting for spinal surgery.
Main Methods:
- Qualitative study using semi-structured interviews.
- Conducted with 15 patients (10 female, 5 male) awaiting spinal arthrodesis in Italy.
- Thematic analysis by a multidisciplinary team.
Main Results:
- Key themes include pain impact, fear of the unknown, hope for normality, unpredictable waiting times, and need for better communication.
- Persistent pain affects physical and psychological functioning.
- Uncertainty regarding waiting duration and care pathway is a major concern.
Conclusions:
- Patients require more certainty regarding waiting times for spinal arthrodesis.
- Enhanced communication and comprehensive information about the care pathway are essential.
- Addressing these needs can foster patient confidence and realistic expectations.
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