高的手术前期望可能不需要担心
Joseph Wick1, Preston Jelen1, Katherine Wick2
1Twin Cities Spine Center, Minneapolis, MN.
Spine
|November 4, 2024
概括
手术前对缓解疼痛的预期与前宫手术后的结果没有相关性. 然而,手术前的不满与更大的功能改善有关,这表明满意度可能预测手术益处.
科学领域:
- 脊柱手术研究结果研究结果
- 患者报告的结果衡量结果.
- 宫脊椎疾病 宫脊椎疾病
背景情况:
- 有限的数据存在于前椎手术后的患者期望和结果之间的关系.
- 了解这种关系可以帮助识别那些可能从手术干预中受益最多的患者.
研究的目的:
- 评估手术前对缓解疼痛的预期与12个月后的功能结果和初级前宫手术后的患者满意度之间的相关性.
- 探索手术前期望对手术成功的预测价值.
主要方法:
- 对1-2级初级前椎间盘切除和融合 (ACDF) 或宫椎间盘关节整形 (CDR) 患者 (2016-2021) 的回顾性研究.
- 评估了手术前的疼痛缓解预期 (5点利克特) 和满意度 (7点利克特).
- 线性回归模型分析了期望,12个月部残疾指数 (NDI) 变化,临床重要差异最小值 (MCID) 成绩和满意度之间的关联,控制共变量.
主要成果:
- 在术前疼痛缓解期望和12个月NDI改善或MCID成就之间没有发现显著的相关性.
- 手术前的期望与12个月的患者满意度没有关联.
- 较大的手术前不满意度与12个月NDI的更大改善有显著的相关性.
结论:
- 手术前对缓解疼痛的预期不能预测12个月后1-2级初级ACDF或CDR后的功能结果或满意度.
- 手术前患者的不满与更大的功能改善有关,这表明它可能是手术效益的更好指标.
- 评估手术前的满意度,而不是预期,可能有助于确定最有可能从椎手术中受益的患者.
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