Key result
Maximizing a patient's physiological and psychological status prior to elective spine surgery may reduce complications and improve patient-reported outcomes.
Why the study?
This review aimed to summarize the current literature on modifiable preoperative risk factors in spinal surgery patients to help reduce complications and improve patient-reported outcomes.
Does preoperative optimization of modifiable risk factors reduce complications and improve patient-reported outcomes in spinal surgery patients?
Does preoperative optimization of modifiable risk factors reduce complications and improve patient-reported outcomes in spinal surgery patients?
Preoperative optimization of modifiable risk factors in spinal surgery patients may reduce complications and improve patient-reported outcomes.
May inform preoperative risk assessment in spine surgery; leaves open whether optimization improves outcomes.
STUDY DESIGN: Invited narrative review. OBJECTIVES: The aim of this review was to summarize current literature regarding risk factors that surgeons can optimize in the preoperative setting in the spinal surgery patient, in order to reduce complications and improve patient-reported outcomes. METHODS: Review of the relevant literature by the authors. RESULTS: Modifiable risk factors identified relative to the patient include obesity, malnutrition/nutrient deficiency, diabetes/hyperglycemia, preoperative anemia, vitamin D/DEXA (dual-energy radiograph absorptiometry), nicotine use/smoking, and opioid use/psychosocial factors. CONCLUSION: By maximizing a patient's physiological and psychological status prior to elective spine surgery, we may move closer to achieving the goals of value-based care: improving patient-reported outcomes while decreasing the cost of care.
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Maitra et al. (2020) conducted a review in Spinal surgery. Preoperative optimization of modifiable risk factors was evaluated. Maximizing a patient's physiological and psychological status prior to elective spine surgery may reduce complications and improve patient-reported outcomes.
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