The Impact of Major Depressive Disorder on Somatic and Psychiatric Outcomes Following Elective Single-Level Lumbar Fusion: A Propensity Score-Matched Analysis
Retrospective analysis shows preoperative MDD increases psychiatric and somatic issues post-surgery, suggesting screening is beneficial.
Key Points
This study aims to assess the impact of major depressive disorder on the risk of adverse psychiatric and somatic outcomes following elective single-level lumbar fusion.
Retrospective database study utilizing a national electronic health record network.
Patients with recurrent MDD were compared with those without MDD using one-to-one propensity score matching.
Outcomes were assessed at 90 days and 1 year after surgery.
Patients with MDD had higher rates of newly diagnosed psychiatric conditions at both follow-up points.
MDD was associated with increased postoperative somatic symptom diagnoses, such as chest pain and dizziness.
Higher emergency department utilization and increased inpatient readmission rates were observed at 1 year, with no differences in reoperation rates or mortality.