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Spine Patient Satisfaction

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https://www.readbyqxmd.com/read/30077043/predictive-factors-of-positive-online-patient-ratings-of-spine-surgeons
#1
Saisanjana Kalagara, Adam E M Eltorai, J Mason DePasse, Alan H Daniels
BACKGROUND: Online physician rating websites are increasingly utilized by patients to evaluate their doctors. The purpose of this investigation was to evaluate factors associated with better spine surgeon ratings. METHODS: Orthopedic spine surgeons were randomly selected from the North American Spine Society directory utilizing a random number generator. Surgeon profiles on three physician rating websites, www.HealthGrades.com, www.Vitals.com, and www.RateMDs.com, were analyzed to gather qualitative and quantitative data on patients' perceptions of the surgeons...
August 1, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/30073471/life-satisfaction-and-pain-interference-in-spine-surgery-patients-before-and-after-surgery-comparison-between-on-opioid-and-opioid-na%C3%A3-ve-patients
#2
Moona Kuronen, Hannu Kokki, Timo Nyyssönen, Sakari Savolainen, Merja Kokki
PURPOSE: Pain has a negative impact on life satisfaction (LS). Our primary aims were to compare LS in on-opioid and opioid-naïve spine surgery patients and to evaluate whether surgery affects LS during the first 3 weeks after surgery. METHODS: After informed consent 200 patients (99 on-opioid, 101 opioid-naïve; 112 male; aged 23-71 years) having elective spine surgery were enrolled. Their LS was evaluated using a four-item Life Satisfaction Scale (4-20, lower score more satisfied) and pain interference using Brief Pain Inventory (BPI)-questionnaire (0-10, lower score, less interference) before and 21 days after surgery...
August 2, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/30062942/implant-density-is-not-related-to-patient-reported-outcome-in-the-surgical-treatment-of-patients-with-idiopathic-scoliosis
#3
A Charalampidis, A Möller, M-L Wretling, T Brismar, P Gerdhem
Aims: There is little information about the optimum number of implants to be used in the surgical treatment of idiopathic scoliosis. Retrospective analysis of prospectively collected data from the Swedish spine register was undertaken to discover whether more implants per operated vertebra (implant density) leads to a better outcome in the treatment of idiopathic scoliosis. The hypothesis was that implant density is not associated with patient-reported outcomes, the correction of the curve or the rate of reoperation...
August 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/30059490/the-duration-of-symptoms-does-not-impact-clinical-outcomes-following-lumbar-decompression-surgery
#4
Kamran Movassaghi, Bryce A Basques, Philip K Louie, Jannat M Khan, Peter B Derman, Michael T Nolte, Justin C Paul, Edward J Goldberg, Howard S An
STUDY DESIGN: Retrospective cohort analysis OBJECTIVE.: To assess whether duration of symptoms (DOS) has an effect on clinical outcomes in patients undergoing lumbar decompression. SUMMARY OF BACKGROUND: The success of surgical interventions for lumbar spinal stenosis varies depending on numerous factors, including DOS. However, existing literature does not provide a clear indication of the outcome of lumbar decompression surgery in regard to DOS secondary to nerve root compression...
July 27, 2018: Spine
https://www.readbyqxmd.com/read/30057723/a-consideration-for-the-utility-of-the-post-operative-oswestry-disability-index-for-measuring-outcomes-after-sacroiliac-joint-fusion
#5
Gordon Mao, Nouman Aldahak, Dorian Kusyk, Matthew Yeager, Daniel Cook, Jeffrey Cameron, Boyle Cheng, Michael Oh
Sacroiliac joint (SIJ) dysfunction and its surgical treatment remain a controversial topic in spine surgery. Determining success after SIJ fusion may be difficult due to preexisting back pain, lumbar fusion (LF), and functional disability. We examine the utility of Oswestry Disability Index (ODI) as a measure of clinical outcomes after minimally invasive SIJ fusion. A retrospective review of 24 patients with at least 12- months follow-up. Patients were divided into two groups based on presence of previous LF...
June 14, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/30008531/technical-pearls-and-surgical-outcome-of-early-transitional-period-experience-in-minimally-invasive-lumbar-discectomy-a-prospective-study
#6
Suyash Singh, Jayesh C Sardhara, Deepak Khatri, Jeena Joseph, Abhijit N Parab, Kamlesh S Bhaisora, Kuntal Kanti Das, Anant Mehrotra, Arun Kumar Srivastava, Sanjay Behari
Background: There is growing indications of minimally invasive spine surgery. The inherent attitude and institutive learning curve limit transition from standard open surgery to minimally invasive surgery demanding understanding of new instruments and correlative anatomy. Materials and Methods: In this prospective study, 80 patients operated for lumbar disc prolapse were included in the study (between January 2016 and March 2018). Fifty patients (Group A) operated by various minimally invasive spine surgery (MISS) techniques for herniated disc disease were compared with randomly selected 30 patients (Group B) operated between the same time interval by standard open approach...
April 2018: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/30008109/comparison-of-combined-posterior-and-anterior-spondylodesis-versus-hybrid-stabilization-in-unstable-burst-fractures-at-the-thoracolumbar-spine-in-patients-between-60-and-70-years-of-age
#7
Ulrich J Spiegl, Brian M Devitt, Ihor Kasivskiy, Jan-Sven Jarvers, Christoph Josten, Christoph-Eckhard Heyde, Hannes M Fakler
INTRODUCTION: Surgical treatment of unstable burst fractures of the thoracolumbar spine in the elderly population is highly variable with combined posterior and anterior stabilization (CPAS) and posterior augmented stabilization with cementation of the vertebral body (hybrid) being two commonly used techniques. The aim of this study was to compare the clinical and radiographic outcomes of CPAS versus hybrid stabilization for the treatment of unstable burst fractures of the thoracolumbar spine in patients aged between 60 and 70 years...
July 14, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29977719/preoperative-leg-pain-score-predicts-patient-satisfaction-after-transforaminal-lumbar-interbody-fusion-surgery
#8
Jason Beng Teck Lim, William Yeo, John Li Tat Chen
Study Design: Retrospective cohort study. Objectives: This study aims to determine the preoperative predictors of postoperative satisfaction in transforaminal lumbar interbody fusion (TLIF) surgery in order to improve management of patient groups at high risk of dissatisfaction. We retrospectively reviewed prospectively collected data on patients who underwent open TLIF in a tertiary hospital between 2008 and 2012 with 2-year follow-up and performed multivariate analysis for their preoperative variables...
June 2018: Global Spine Journal
https://www.readbyqxmd.com/read/29975328/analysis-of-internet-review-site-comments-for-spine-surgeons-how-office-staff-physician-likeability-and-patient-outcome-are-associated-with-online-evaluations
#9
Chester J Donnally, Eric S Roth, Deborah J Li, James A Maguire, Johnathon R McCormick, Grant P Barker, Sebastian Rivera, Nathan H Lebwohl
STUDY DESIGN: Observational study. OBJECTIVE: To evaluate how online patient comments will affect website ratings for spine surgeons. SUMMARY OF BACKGROUND DATA: With the ever-growing utilization of physician review websites, healthcare consumers are assuming more control over whom they choose for care. We evaluated patient feedback and satisfaction scores of spine surgeons using comments from three leading physician rating websites: Healthgrades...
July 2, 2018: Spine
https://www.readbyqxmd.com/read/29968070/real-time-fusion-imaging-in-low-back-pain-a-new-navigation-system-for-facet-joint-injections
#10
Elena Massone, Davide Orlandi, Alberto Bellelli, Fabio Martino, Luca Cavagnaro, Matteo Formica, Pietro Caruso, Enzo Silvestri
AIMS AND OBJECTIVES: The aim of the current study is to present our experience in lumbar spine interventional procedures performed with a newly developed multimodal echo-navigator (EcoNav) and to evaluate short-term clinical outcomes of a series of patients affected by facet joint disease (FJD) treated with steroid and anaesthetic injection under fusion-imaging guidance, compared to a cohort of patients that received the same treatment under computed tomography (CT) guidance. METHODS: Sixty-five consecutive patients (34 females; mean age 68...
July 3, 2018: La Radiologia Medica
https://www.readbyqxmd.com/read/29935322/the-frequency-of-re-surgery-after-cervical-disc-nucleoplasty
#11
Stephan Klessinger
OBJECTIVE: In percutaneous cervical nucleoplasty (PCN) a portion of the nucleus tissue is ablated using the Coblation technique. Re-surgery is an important factor for the clinical outcome. However, the rate of subsequent surgery after PCN is still unknown. The aim of this study was to investigate the frequency of an additional open surgery after PCN in a retrospective of more than 10 years. METHODS: Retrospective observational study. Consecutive patients with PCN between 2005 and 2007 were included...
June 20, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29933336/determinants-of-patient-satisfaction-two-year-after-spinal-deformity-surgery-a-latent-class-analysis
#12
Jingyan Yang, Virginie Lafage, Renaud Lafage, Justin Smith, Eric O Klineberg, Christopher I Shaffrey, Gregory Mundis, Richard Hostin, Douglas Burton, Christopher P Ames, Shay Bess, Han Jo Kim, Frank Schwab
STUDY DESIGN: Retrospective review of prospective multicenter database. OBJECTIVE: To investigate the determinants of patient satisfaction with respect to changes in functional limitations two-year after spinal deformity surgery. SUMMARY OF BACKGROUND DATA: For operatively treated adult spine deformity (ASD), patient satisfaction has become an important component of evaluating quality of care. METHODS: 430 operative ASD patients with two-year follow-up were analyzed...
June 21, 2018: Spine
https://www.readbyqxmd.com/read/29912730/predictors-and-long-term-outcome-of-sexual-function-after-surgical-treatment-for-single-level-lumbar-disk-herniation-among-patients-in-a-german-spine-center
#13
Alaa E Elsharkawy, Bettina Lange, Fernando Caldas, Abdel H Alabbasi, Peter D Klassen
STUDY DESIGN: This is a retrospective, self-controlled cohort study, at a single center. OBJECTIVE: The aim of this study was to evaluate the long-term outcome of sexual function after surgical treatment of single-level lumbar disk herniation (LDH). SUMMARY OF BACKGROUND DATA: The impact of surgical treatment on sexual activity is still unknown and not well researched. MATERIALS AND METHODS: In total, 114 patients who underwent disk surgery for LDH between 2009 and 2015 were included in the study (mean age, 46...
June 15, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29910145/therapeutic-impact-of-motor-cortex-rtms-in-patients-with-chronic-neuropathic-pain-even-in-the-absence-of-an-analgesic-response-a-case-report
#14
Hasan Hodaj, Jean-François Payen, Jean-Pascal Lefaucheur
OBJECTIVE: To show that repetitive transcranial magnetic stimulation (rTMS) delivered at high frequency over the motor cortex can improve patients with chronic pain syndrome even if this procedure does not provide an analgesic response. CASE REPORT: A 77-year-old woman presented with drug-resistant chronic neuropathic pain affecting both lower limbs due to segmental spine compression at T9-T10 level. She underwent an rTMS protocol with an induction phase of 12 rTMS sessions during three weeks and a maintenance phase of 3 additional rTMS sessions for 5 weeks...
June 14, 2018: Neurophysiologie Clinique, Clinical Neurophysiology
https://www.readbyqxmd.com/read/29904824/patient-satisfaction-and-efficacy-of-switching-from-weekly-bisphosphonates-to-monthly-minodronate-for-treatment-and-prevention-of-glucocorticoid-induced-osteoporosis-in-japanese-patients-with-systemic-rheumatic-diseases-a-randomized-clinical-trial
#15
Shin-Ya Tamechika, Kaneshige Sasaki, Yoshihito Hayami, Shin-Ichiro Ohmura, Shinji Maeda, Shiho Iwagaitsu, Taio Naniwa
The randomized, clinical trial demonstrated that switching to monthly minodronate from weekly alendronate and risedronate provides greater increases in patients' satisfaction and bone mineral density and more substantial decreases in a bone resorption marker than continuing weekly alendronate and risedronate in patients with systemic rheumatic diseases on glucocorticoid therapy. PURPOSE: Osteoporosis and associated fractures are major concerns for patients with systemic rheumatic diseases on long-term glucocorticoid therapy...
June 13, 2018: Archives of Osteoporosis
https://www.readbyqxmd.com/read/29902639/outpatient-anterior-cervical-discectomy-a-french-study-and-literature-review
#16
Antoine Gennari, Simon Mazas, Pierre Coudert, Olivier Gille, Jean-Marc Vital
INTRODUCTION: In France, surgery for lumbar disc herniation is now being done in the outpatient ambulatory setting at select facilities. However, surgery for the cervical spine in this setting is controversial because of the dangers of neck hematoma. We wanted to share our experience with performing ambulatory anterior cervical discectomy in 30 patients at our facility. RESULTS: Since 2014, 30 patients (16 men, 14 women; mean age of 47.2 years) with cervical radiculopathy due to single-level cervical disc disease (19 at C5-C6 and 11 at C6-C7) were operated at our ambulatory surgery center...
June 11, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29894441/nurse-practitioner-triage-of-the-neurosurgical-patient-a-patient-centered-care-delivery-model
#17
Jody L Miniard, Kathleen Ballman
BACKGROUND: Nurse practitioners (NPs) are helping to bridge the gap not only in primary care but also in specialty practice. In an outpatient, neurosurgical spinal clinic in the midwest, patient volume exceeded provider availability, and to rectify this problem, a proposal for an NP triage system and an NP-led spinal clinic was presented. PURPOSE: The aim of this project was to use NPs to facilitate patient triage in an outpatient neurosurgical practice to expedite patients' access to care and ultimately improve patient satisfaction, outcomes, and healthcare expenditure...
August 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29864645/comparing-outcomes-of-fusion-versus-repeat-discectomy-for-recurrent-lumbar-disc-herniation-a-systematic-review-and-meta-analysis
#18
Panagiotis Kerezoudis, Sandy Goncalves, Joseph D Cesare, Mohammed Ali Alvi, Dennis P Kurian, Arjun S Sebastian, Ahmad Nassr, Mohamad Bydon
OBJECTIVES: Current surgical treatment options for one-time recurrent lumbar disc herniation (RLDH) include repeat discectomy or discectomy supplemented with fusion. Significant contention exists within the surgical spine community with regard to the most effective treatment modality. The objective of this study is to compare reoperation rates and patient reported outcomes following fusion versus repeat discectomy for RLDH. PATIENTS AND METHODS: The electronic literature search was performed in Ovid Medline/Pubmed, EMBASE and Cochrane, Scopus and China National Knowledge Infrastructure for human studies directly comparing repeat discectomy with fusion for ipsilateral or contralateral RLDH...
August 2018: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29864076/patient-reported-allergies-are-associated-with-preoperative-psychological-distress-and-less-satisfying-patient-experience-in-a-lumbar-spine-surgery-population
#19
Jay M Levin, Spencer Boyle, Robert D Winkelman, Joseph E Tanenbaum, Kalil G Abdullah, Michael P Steinmetz, Thomas E Mroz
STUDY DESIGN: This was a retrospective cohort study. OBJECTIVE: The main objectives of this study were: (1) to determine whether patient-reported allergies (PRAs) are associated with patient satisfaction scores, and (2) to clarify the association between PRAs and preoperative anxiety and depression in a lumbar spine surgery population. SUMMARY OF BACKGROUND DATA: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is currently used to measure the patient experience and there is concern that psychosocial factors are unaccounted for...
June 1, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29802423/direct-anterior-approach-to-the-hip-joint-in-the-lateral-decubitus-position-for-joint-replacement
#20
REVIEW
R S Camenzind, K Stoffel, N J Lash, M Beck
SURGICAL PRINCIPLE AND OBJECTIVE: The direct anterior approach for total hip arthroplasty is associated with higher complication rates and difficult femoral component positioning. Performing a modified technique in the lateral position allows secure component positioning. INDICATIONS: Primary hip replacement (including femoral neck fracture) and cup revision without bone deficiency. CONTRAINDICATIONS: Destruction/deformities of proximal femur or acetabulum, bone deficiency or malignancy...
May 25, 2018: Operative Orthopädie und Traumatologie
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