Key result
Absence of morbidities like smoking (p=0.05), hypertension (p=0.04), diabetes (p=0.01), and sedentary lifestyle (p=0.019) was associated with better SF-36 scores 6 months after lumbar surgery.
Why the study?
Does patient profile (morbidities and social security benefits) affect clinical and quality of life improvement after lumbar spinal stenosis surgery?
Cohort (n=37)
Does patient profile (morbidities and social security benefits) affect clinical and quality of life improvement after lumbar spinal stenosis surgery?
Patients without morbidities or social security benefits experience better quality of life improvements following lumbar spinal stenosis surgery.
Comorbidity burden may temper quality-of-life gains after lumbar stenosis surgery; hypothesis-generating and should not yet change practice.
OBJECTIVE: To identify the patient profile that obtains better clinical and quality of life improvement after lumbar spinal stenosis surgery, comparing the results in the pre and postoperative periods. METHODS: Thirty-seven patients with lumbar spine stenosis submitted to surgery were prospectively evaluated. Through the 36-Item Short Form General Health Survey (SF-36) questionnaire we performed a preoperative analysis to identify morbidities and social security benefit earning. The SF-36 is a subjective postoperative questionnaire to assess surgical success six months after the surgery. RESULTS: There were unfavorable outcomes in patients who received social security benefits and in those who had morbidities. According to the SF-36 score, the surgical result is better when the patient is non-smoker (p=0.05), non-hypertense (p=0.040), non-diabetic (p =0.010) or non sedentary (p=0.019), respectively on mental health, pain, social aspects and general health domains. CONCLUSION: The patient profiles that best benefit from the surgery are those who do not have morbidities and had no social security benefit. Evidence Level II, Prospective Study.
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Brêtas et al. (2016) conducted a cohort in lumbar spinal stenosis (n=37). Morbidities and social security benefit earning vs. Absence of morbidities and social security benefits was evaluated on Surgical success assessed by SF-36 score. Absence of morbidities like smoking (p=0.05), hypertension (p=0.04), diabetes (p=0.01), and sedentary lifestyle (p=0.019) was associated with better SF-36 scores 6 months after lumbar surgery.
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