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Depressive burden in the preoperative and early recovery phase predicts poorer surgery outcome among lumbar spinal stenosis patients: a one-year prospective follow-up study.
Spine (Phila Pa 1976). 2009 Nov 01; 34(23):2573-8.S

Abstract

STUDY DESIGN

Prospective clinical study.

OBJECTIVE

(1) To determine the prevalence of depression at the 1-year postoperative stage among spinal stenosis patients. (2) To assess the predictive value of preoperative and 3-month depressive symptoms regarding the 1-year surgery outcome.

SUMMARY OF BACKGROUND DATA

Some studies have found preoperative depressive symptoms to be associated with a poorer spinal stenosis surgery outcome. However, only the effect of preoperative depressiveness has been evaluated. The prevalence of depressiveness on 1-year follow-up among spinal stenosis patients is unclear.

METHODS

One hundred two patients (mean age, 62 years) with symptomatic lumbar spinal stenosis underwent decompressive surgery. They completed the same set of questionnaires before surgery, 3 months, and 1 year after surgery. Depression was assessed with the 21-item Beck Depression Inventory. Physical functioning and pain were assessed with the Oswestry Disability Index, the Stucki Questionnaire, self-reported walking ability, the visual analogue scale and pain drawing. Logistic regression was used to examine the preoperative factors associated with a poorer surgery outcome on 1-year follow-up. In further analysis, a depressive burden variable (sum of preoperative and 3-month Beck Depression Inventory scores) was included as a predictor.

RESULTS

Eighteen percent of spinal stenosis patients were depressed on 1-year follow-up. Higher preoperative Beck Depression Inventory scores and depressive burden scores burden were independently associated with a poorer self-reported functional ability, symptom severity and a poorer walking capacity on 1-year follow-up. As a dichotomous predictor, a high depressive burden was independently associated with all the postoperative outcome variables at the 1-year stage: greater disability, pain and symptom severity, and a poorer walking capacity.

CONCLUSION

The prevalence of depression was notable among 1-year postoperative spinal stenosis patients. Depressive symptoms in the preoperative and early recovery phase were strong predictors of a poorer self-reported surgery outcome on 1-year follow-up. The results call for intervention strategies to detect and treat depression during both the preoperative and postoperative phase.

Authors+Show Affiliations

Department of Rehabilitation, Kuopio University Hospital, Kuopio, Finland. sanna.sinikallio@kuh.fiNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19927107

Citation

Sinikallio, Sanna, et al. "Depressive Burden in the Preoperative and Early Recovery Phase Predicts Poorer Surgery Outcome Among Lumbar Spinal Stenosis Patients: a One-year Prospective Follow-up Study." Spine, vol. 34, no. 23, 2009, pp. 2573-8.
Sinikallio S, Aalto T, Airaksinen O, et al. Depressive burden in the preoperative and early recovery phase predicts poorer surgery outcome among lumbar spinal stenosis patients: a one-year prospective follow-up study. Spine (Phila Pa 1976). 2009;34(23):2573-8.
Sinikallio, S., Aalto, T., Airaksinen, O., Herno, A., Kröger, H., & Viinamäki, H. (2009). Depressive burden in the preoperative and early recovery phase predicts poorer surgery outcome among lumbar spinal stenosis patients: a one-year prospective follow-up study. Spine, 34(23), 2573-8. https://doi.org/10.1097/BRS.0b013e3181b317bd
Sinikallio S, et al. Depressive Burden in the Preoperative and Early Recovery Phase Predicts Poorer Surgery Outcome Among Lumbar Spinal Stenosis Patients: a One-year Prospective Follow-up Study. Spine (Phila Pa 1976). 2009 Nov 1;34(23):2573-8. PubMed PMID: 19927107.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Depressive burden in the preoperative and early recovery phase predicts poorer surgery outcome among lumbar spinal stenosis patients: a one-year prospective follow-up study. AU - Sinikallio,Sanna, AU - Aalto,Timo, AU - Airaksinen,Olavi, AU - Herno,Arto, AU - Kröger,Heikki, AU - Viinamäki,Heimo, PY - 2009/11/21/entrez PY - 2009/11/21/pubmed PY - 2010/1/27/medline SP - 2573 EP - 8 JF - Spine JO - Spine (Phila Pa 1976) VL - 34 IS - 23 N2 - STUDY DESIGN: Prospective clinical study. OBJECTIVE: (1) To determine the prevalence of depression at the 1-year postoperative stage among spinal stenosis patients. (2) To assess the predictive value of preoperative and 3-month depressive symptoms regarding the 1-year surgery outcome. SUMMARY OF BACKGROUND DATA: Some studies have found preoperative depressive symptoms to be associated with a poorer spinal stenosis surgery outcome. However, only the effect of preoperative depressiveness has been evaluated. The prevalence of depressiveness on 1-year follow-up among spinal stenosis patients is unclear. METHODS: One hundred two patients (mean age, 62 years) with symptomatic lumbar spinal stenosis underwent decompressive surgery. They completed the same set of questionnaires before surgery, 3 months, and 1 year after surgery. Depression was assessed with the 21-item Beck Depression Inventory. Physical functioning and pain were assessed with the Oswestry Disability Index, the Stucki Questionnaire, self-reported walking ability, the visual analogue scale and pain drawing. Logistic regression was used to examine the preoperative factors associated with a poorer surgery outcome on 1-year follow-up. In further analysis, a depressive burden variable (sum of preoperative and 3-month Beck Depression Inventory scores) was included as a predictor. RESULTS: Eighteen percent of spinal stenosis patients were depressed on 1-year follow-up. Higher preoperative Beck Depression Inventory scores and depressive burden scores burden were independently associated with a poorer self-reported functional ability, symptom severity and a poorer walking capacity on 1-year follow-up. As a dichotomous predictor, a high depressive burden was independently associated with all the postoperative outcome variables at the 1-year stage: greater disability, pain and symptom severity, and a poorer walking capacity. CONCLUSION: The prevalence of depression was notable among 1-year postoperative spinal stenosis patients. Depressive symptoms in the preoperative and early recovery phase were strong predictors of a poorer self-reported surgery outcome on 1-year follow-up. The results call for intervention strategies to detect and treat depression during both the preoperative and postoperative phase. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/19927107/Depressive_burden_in_the_preoperative_and_early_recovery_phase_predicts_poorer_surgery_outcome_among_lumbar_spinal_stenosis_patients:_a_one_year_prospective_follow_up_study_ L2 - https://doi.org/10.1097/BRS.0b013e3181b317bd DB - PRIME DP - Unbound Medicine ER -