Key result
Workers' compensation claimants with poorer baseline mental health (SF-12 MCS <41) demonstrated higher rates of overall clinically meaningful improvements for disability (53.3% vs 31.7%, p=0.043) and mental health compared to those with better baseline mental health.
Why the study?
No studies had evaluated the impact of preoperative mental functioning on patient-reported outcomes following MIS TLIF among workers' compensation claimants.
Does baseline mental health influence patient-reported outcomes in workers' compensation claimants undergoing minimally invasive transforaminal lumbar interbody fusion?
Cohort (n=93)
No
Does baseline mental health influence patient-reported outcomes in workers' compensation claimants undergoing minimally invasive transforaminal lumbar interbody fusion?
Absolute Event Rate: 53.3% vs 31.7%
p-value: p=0.043
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Baseline mental health may inform prognosis in workers' compensation claimants; leaves open whether screening alters surgical decision-making.
Patel et al. (2022) conducted a cohort in Lumbar spinal pathology requiring fusion in workers' compensation claimants (n=93). Poorer preoperative mental health (SF-12 MCS <41) vs. Better preoperative mental health (SF-12 MCS ≥41) was evaluated on Overall minimal clinically important difference (MCID) achievement for Oswestry Disability Index (ODI) (p=0.043). Workers' compensation claimants with poorer baseline mental health (SF-12 MCS <41) demonstrated higher rates of overall clinically meaningful improvements for disability (53.3% vs 31.7%, p=0.043) and mental health compared to those with better baseline mental health.
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