Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
September 10, 2025Neurosurgery

Positive Preprocedure Depression Screening Is Associated With Worse Outcomes After Single-Level Posterior-Only Lumbar Fusion: A Retrospective Cohort Analysis

View Full Paper
Ask AI
Bookmark
Share

Authors

EXEmily XuYale UniversityRKRitesh KarsaliaCalifornia University of PennsylvaniaJAJohn D. ArenaUniversity of Pennsylvania

Discussion

Loading...

Member takes

Implication

Retrospective cohort analysis finds higher emergency visits post-surgery in patients with depression, indicating the need for early screening.

Key Points

  • Patients with higher preoperative PHQ-2 scores had significantly more emergency department visits within 90 days after surgery, indicating worse outcomes.
  • Among 3225 patients, 306 experienced high risk for depression, highlighting a critical area for preoperative assessment and intervention.
  • Although no differences in reoperations or complications were found, elevation in emergency visits points to potential for enhanced resource allocation.
  • Identifying undiagnosed depression via the PHQ-2 could enable targeted strategies to improve postoperative care and resource utilization.

Cite This Study

Xu et al. (2025) studied this question.

synapsesocial.com/papers/68c1bd4254b1d3bfb60ee9e5https://doi.org/10.1227/neu.0000000000003644
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of surgical outcome and their assessment2005 · 185 citations
  2. 2Psychosocial Variables Contribute to Length of Stay and Discharge Destination After Lumbar Surgery Independent of Demographic and Clinical Variables2017 · 25 citations
  3. 3Charlson comorbidity index is predictive of postoperative clinical outcome after single-level posterior lumbar interbody fusion surgery2021 · 59 citations
  4. 4Smoking and Perioperative Outcomes2011 · 389 citations
  5. 5Depression Is a Risk Factor for Noncompliance With Medical Treatment2000 · 4,213 citations