Risk factor for poor patient satisfaction after lumbar spine surgery in elderly patients aged over 80 years

Tomohiro Hikata; Ken Ishii; Morio Matsumoto; Kazuyoshi Kobayashi; Shiro Imagama; Kei Ando; Naoki Ishiguro; Masaomi Yamashita; Shoji Seki; Hidetomi Terai; Akinobu Suzuki; Koji Tamai; Masaaki Aramomi; Tetsuhiro Ishikawa; Atsushi Kimura; Hirokazu Inoue; Gen Inoue; Masayuki Miyagi; Wataru Saito; Kei Yamada; Michio Hongo; Kenji Endo; Hidekazu Suzuki; Atsushi Nakano; Kazuyuki Watanabe; Junichi Ohya; Hirotaka Chikuda; Yasuchika Aoki; Masayuki Shimizu; Toshimasa Futatsugi; Keijiro Mukaiyama; Masaichi Hasegawa; Katsuhito Kiyasu; Haku Iizuka; Ryoichi Kobayashi; Yoichi Iizuka; Kotaro Nishida; Kenichiro Kakutani; Hideaki Nakajima; Hideki Murakami; Satoru Demura; Satoshi Kato; Katsuhito Yoshioka; Takashi Namikawa; Kei Watanabe; Kazuyoshi Nakanishi; Yukihiro Nakagawa; Mitsunori Yoshimoto; Hiroyasu Fujiwara; Norihiro Nishida; Yasuaki Imajo; Masashi Yamazaki; Tetsuya Abe; Kengo Fujii; Takashi Kaito; Yawara Eguchi; Takeo Furuya; Sumihisa Orita; Seiji Ohtori

doi:10.1097/BSD.0000000000001101

Risk factor for poor patient satisfaction after lumbar spine surgery in elderly patients aged over 80 years

Tomohiro Hikata, Ken Ishii, Morio Matsumoto, Kazuyoshi Kobayashi, Shiro Imagama, Kei Ando, Naoki Ishiguro, Masaomi Yamashita, Shoji Seki, Hidetomi Terai, Akinobu Suzuki, Koji Tamai, Masaaki Aramomi, Tetsuhiro Ishikawa, Atsushi Kimura, Hirokazu Inoue, Gen Inoue, Masayuki Miyagi, Wataru Saito, Kei YamadaMichio Hongo, Kenji Endo, Hidekazu Suzuki, Atsushi Nakano, Kazuyuki Watanabe, Junichi Ohya, Hirotaka Chikuda, Yasuchika Aoki, Masayuki Shimizu, Toshimasa Futatsugi, Keijiro Mukaiyama, Masaichi Hasegawa, Katsuhito Kiyasu, Haku Iizuka, Ryoichi Kobayashi, Yoichi Iizuka, Kotaro Nishida, Kenichiro Kakutani, Hideaki Nakajima, Hideki Murakami, Satoru Demura, Satoshi Kato, Katsuhito Yoshioka, Takashi Namikawa, Kei Watanabe, Kazuyoshi Nakanishi, Yukihiro Nakagawa, Mitsunori Yoshimoto, Hiroyasu Fujiwara, Norihiro Nishida, Yasuaki Imajo, Masashi Yamazaki, Tetsuya Abe, Kengo Fujii, Takashi Kaito, Yawara Eguchi, Takeo Furuya, Sumihisa Orita, Seiji Ohtori

整形外科学

研究成果: Article › 査読

4 被引用数 (Scopus)

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Study Design: Retrospective cohort study. Objective: To clarify the poor patient satisfaction after lumbar spinal surgery in elderly patients. Summary of Background Data: As the global population continues to age, it is important to consider the surgical outcome and patient satisfaction in the elderly. No studies have assessed patient satisfaction in elderly patients undergoing surgical treatment and risk factors for poor satisfaction in elderly patients after lumbar spinal surgery. Materials and Methods: A retrospective multicenter survey was performed in 169 patients aged above 80 years who underwent lumbar spinal surgery. Patients were followed up for at least 1 year after surgery. We assessed patient satisfaction from the results of surgery by using a newly developed patient questionnaire. Patients were assessed by demographic data, surgical procedures, complications, reoperation rate, pain improvement, and risk factors for poor patient satisfaction with surgery for lumbar spinal disease. Results: In total, 131 patients (77.5%, G-group) were satisfied and 38 patients (22.5%, P-group) were dissatisfied with surgery. The 2 groups did not differ significantly in baseline characteristics and surgical data. Postoperative visual analog scale score for low back pain and leg pain were significantly higher in the P-group than in the G-group (low back pain: G-group, 1.7 ± 1.9 vs. P-group, 5.2 ± 2.5, P < 0.001; leg pain: G-group, 1.4 ± 2.0 vs. P-group, 5.5 ± 2.6, P < 0.001). Multivariate regression analysis revealed that postoperative vertebral fracture (P=0.049; odds ratio, 3.096; 95% confidence interval, 1.004-9.547) and reoperation (P=0.025; odds ratio, 5.692; 95% confidence interval, 1.250-25.913) were significantly associated with the patient satisfaction after lumbar spinal surgery. Conclusions: Postoperative vertebral fracture and reoperation were found to be risk factors for poor patient satisfaction after lumbar spinal surgery in elderly patients, which suggests a need for careful treatment of osteoporosis in addition to careful determination of surgical indication and procedure in elderly patients.

本文言語	English
ページ（範囲）	E223-E228
ジャーナル	Clinical Spine Surgery
巻	34
号	4
DOI	https://doi.org/10.1097/BSD.0000000000001101
出版ステータス	Published - 2021 5月

ASJC Scopus subject areas

外科
整形外科およびスポーツ医学
臨床神経学

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10.1097/BSD.0000000000001101

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引用スタイル

Hikata, T., Ishii, K., Matsumoto, M., Kobayashi, K., Imagama, S., Ando, K., Ishiguro, N., Yamashita, M., Seki, S., Terai, H., Suzuki, A., Tamai, K., Aramomi, M., Ishikawa, T., Kimura, A., Inoue, H., Inoue, G., Miyagi, M., Saito, W., ... Ohtori, S. (2021). Risk factor for poor patient satisfaction after lumbar spine surgery in elderly patients aged over 80 years. Clinical Spine Surgery, 34(4), E223-E228. https://doi.org/10.1097/BSD.0000000000001101

Hikata, T, Ishii, K, Matsumoto, M, Kobayashi, K, Imagama, S, Ando, K, Ishiguro, N, Yamashita, M, Seki, S, Terai, H, Suzuki, A, Tamai, K, Aramomi, M, Ishikawa, T, Kimura, A, Inoue, H, Inoue, G, Miyagi, M, Saito, W, Yamada, K, Hongo, M, Endo, K, Suzuki, H, Nakano, A, Watanabe, K, Ohya, J, Chikuda, H, Aoki, Y, Shimizu, M, Futatsugi, T, Mukaiyama, K, Hasegawa, M, Kiyasu, K, Iizuka, H, Kobayashi, R, Iizuka, Y, Nishida, K, Kakutani, K, Nakajima, H, Murakami, H, Demura, S, Kato, S, Yoshioka, K, Namikawa, T, Watanabe, K, Nakanishi, K, Nakagawa, Y, Yoshimoto, M, Fujiwara, H, Nishida, N, Imajo, Y, Yamazaki, M, Abe, T, Fujii, K, Kaito, T, Eguchi, Y, Furuya, T, Orita, S & Ohtori, S 2021, 'Risk factor for poor patient satisfaction after lumbar spine surgery in elderly patients aged over 80 years', Clinical Spine Surgery, vol. 34, no. 4, pp. E223-E228. https://doi.org/10.1097/BSD.0000000000001101

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title = "Risk factor for poor patient satisfaction after lumbar spine surgery in elderly patients aged over 80 years",

abstract = "Study Design: Retrospective cohort study. Objective: To clarify the poor patient satisfaction after lumbar spinal surgery in elderly patients. Summary of Background Data: As the global population continues to age, it is important to consider the surgical outcome and patient satisfaction in the elderly. No studies have assessed patient satisfaction in elderly patients undergoing surgical treatment and risk factors for poor satisfaction in elderly patients after lumbar spinal surgery. Materials and Methods: A retrospective multicenter survey was performed in 169 patients aged above 80 years who underwent lumbar spinal surgery. Patients were followed up for at least 1 year after surgery. We assessed patient satisfaction from the results of surgery by using a newly developed patient questionnaire. Patients were assessed by demographic data, surgical procedures, complications, reoperation rate, pain improvement, and risk factors for poor patient satisfaction with surgery for lumbar spinal disease. Results: In total, 131 patients (77.5%, G-group) were satisfied and 38 patients (22.5%, P-group) were dissatisfied with surgery. The 2 groups did not differ significantly in baseline characteristics and surgical data. Postoperative visual analog scale score for low back pain and leg pain were significantly higher in the P-group than in the G-group (low back pain: G-group, 1.7 ± 1.9 vs. P-group, 5.2 ± 2.5, P < 0.001; leg pain: G-group, 1.4 ± 2.0 vs. P-group, 5.5 ± 2.6, P < 0.001). Multivariate regression analysis revealed that postoperative vertebral fracture (P=0.049; odds ratio, 3.096; 95% confidence interval, 1.004-9.547) and reoperation (P=0.025; odds ratio, 5.692; 95% confidence interval, 1.250-25.913) were significantly associated with the patient satisfaction after lumbar spinal surgery. Conclusions: Postoperative vertebral fracture and reoperation were found to be risk factors for poor patient satisfaction after lumbar spinal surgery in elderly patients, which suggests a need for careful treatment of osteoporosis in addition to careful determination of surgical indication and procedure in elderly patients.",

keywords = "Elderly, Lumbar spinal surgery, Reoperation, Satisfaction, Vertebral fracture",

author = "Tomohiro Hikata and Ken Ishii and Morio Matsumoto and Kazuyoshi Kobayashi and Shiro Imagama and Kei Ando and Naoki Ishiguro and Masaomi Yamashita and Shoji Seki and Hidetomi Terai and Akinobu Suzuki and Koji Tamai and Masaaki Aramomi and Tetsuhiro Ishikawa and Atsushi Kimura and Hirokazu Inoue and Gen Inoue and Masayuki Miyagi and Wataru Saito and Kei Yamada and Michio Hongo and Kenji Endo and Hidekazu Suzuki and Atsushi Nakano and Kazuyuki Watanabe and Junichi Ohya and Hirotaka Chikuda and Yasuchika Aoki and Masayuki Shimizu and Toshimasa Futatsugi and Keijiro Mukaiyama and Masaichi Hasegawa and Katsuhito Kiyasu and Haku Iizuka and Ryoichi Kobayashi and Yoichi Iizuka and Kotaro Nishida and Kenichiro Kakutani and Hideaki Nakajima and Hideki Murakami and Satoru Demura and Satoshi Kato and Katsuhito Yoshioka and Takashi Namikawa and Kei Watanabe and Kazuyoshi Nakanishi and Yukihiro Nakagawa and Mitsunori Yoshimoto and Hiroyasu Fujiwara and Norihiro Nishida and Yasuaki Imajo and Masashi Yamazaki and Tetsuya Abe and Kengo Fujii and Takashi Kaito and Yawara Eguchi and Takeo Furuya and Sumihisa Orita and Seiji Ohtori",

year = "2021",

month = may,

doi = "10.1097/BSD.0000000000001101",

language = "English",

volume = "34",

pages = "E223--E228",

journal = "Clinical Spine Surgery",

issn = "2380-0186",

publisher = "Lippincott Williams and Wilkins",

number = "4",

}

TY - JOUR

T1 - Risk factor for poor patient satisfaction after lumbar spine surgery in elderly patients aged over 80 years

AU - Hikata, Tomohiro

AU - Ishii, Ken

AU - Matsumoto, Morio

AU - Kobayashi, Kazuyoshi

AU - Imagama, Shiro

AU - Ando, Kei

AU - Ishiguro, Naoki

AU - Yamashita, Masaomi

AU - Seki, Shoji

AU - Terai, Hidetomi

AU - Suzuki, Akinobu

AU - Tamai, Koji

AU - Aramomi, Masaaki

AU - Ishikawa, Tetsuhiro

AU - Kimura, Atsushi

AU - Inoue, Hirokazu

AU - Inoue, Gen

AU - Miyagi, Masayuki

AU - Saito, Wataru

AU - Yamada, Kei

AU - Hongo, Michio

AU - Endo, Kenji

AU - Suzuki, Hidekazu

AU - Nakano, Atsushi

AU - Watanabe, Kazuyuki

AU - Ohya, Junichi

AU - Chikuda, Hirotaka

AU - Aoki, Yasuchika

AU - Shimizu, Masayuki

AU - Futatsugi, Toshimasa

AU - Mukaiyama, Keijiro

AU - Hasegawa, Masaichi

AU - Kiyasu, Katsuhito

AU - Iizuka, Haku

AU - Kobayashi, Ryoichi

AU - Iizuka, Yoichi

AU - Nishida, Kotaro

AU - Kakutani, Kenichiro

AU - Nakajima, Hideaki

AU - Murakami, Hideki

AU - Demura, Satoru

AU - Kato, Satoshi

AU - Yoshioka, Katsuhito

AU - Namikawa, Takashi

AU - Watanabe, Kei

AU - Nakanishi, Kazuyoshi

AU - Nakagawa, Yukihiro

AU - Yoshimoto, Mitsunori

AU - Fujiwara, Hiroyasu

AU - Nishida, Norihiro

AU - Imajo, Yasuaki

AU - Yamazaki, Masashi

AU - Abe, Tetsuya

AU - Fujii, Kengo

AU - Kaito, Takashi

AU - Eguchi, Yawara

AU - Furuya, Takeo

AU - Orita, Sumihisa

AU - Ohtori, Seiji

PY - 2021/5

Y1 - 2021/5

N2 - Study Design: Retrospective cohort study. Objective: To clarify the poor patient satisfaction after lumbar spinal surgery in elderly patients. Summary of Background Data: As the global population continues to age, it is important to consider the surgical outcome and patient satisfaction in the elderly. No studies have assessed patient satisfaction in elderly patients undergoing surgical treatment and risk factors for poor satisfaction in elderly patients after lumbar spinal surgery. Materials and Methods: A retrospective multicenter survey was performed in 169 patients aged above 80 years who underwent lumbar spinal surgery. Patients were followed up for at least 1 year after surgery. We assessed patient satisfaction from the results of surgery by using a newly developed patient questionnaire. Patients were assessed by demographic data, surgical procedures, complications, reoperation rate, pain improvement, and risk factors for poor patient satisfaction with surgery for lumbar spinal disease. Results: In total, 131 patients (77.5%, G-group) were satisfied and 38 patients (22.5%, P-group) were dissatisfied with surgery. The 2 groups did not differ significantly in baseline characteristics and surgical data. Postoperative visual analog scale score for low back pain and leg pain were significantly higher in the P-group than in the G-group (low back pain: G-group, 1.7 ± 1.9 vs. P-group, 5.2 ± 2.5, P < 0.001; leg pain: G-group, 1.4 ± 2.0 vs. P-group, 5.5 ± 2.6, P < 0.001). Multivariate regression analysis revealed that postoperative vertebral fracture (P=0.049; odds ratio, 3.096; 95% confidence interval, 1.004-9.547) and reoperation (P=0.025; odds ratio, 5.692; 95% confidence interval, 1.250-25.913) were significantly associated with the patient satisfaction after lumbar spinal surgery. Conclusions: Postoperative vertebral fracture and reoperation were found to be risk factors for poor patient satisfaction after lumbar spinal surgery in elderly patients, which suggests a need for careful treatment of osteoporosis in addition to careful determination of surgical indication and procedure in elderly patients.

AB - Study Design: Retrospective cohort study. Objective: To clarify the poor patient satisfaction after lumbar spinal surgery in elderly patients. Summary of Background Data: As the global population continues to age, it is important to consider the surgical outcome and patient satisfaction in the elderly. No studies have assessed patient satisfaction in elderly patients undergoing surgical treatment and risk factors for poor satisfaction in elderly patients after lumbar spinal surgery. Materials and Methods: A retrospective multicenter survey was performed in 169 patients aged above 80 years who underwent lumbar spinal surgery. Patients were followed up for at least 1 year after surgery. We assessed patient satisfaction from the results of surgery by using a newly developed patient questionnaire. Patients were assessed by demographic data, surgical procedures, complications, reoperation rate, pain improvement, and risk factors for poor patient satisfaction with surgery for lumbar spinal disease. Results: In total, 131 patients (77.5%, G-group) were satisfied and 38 patients (22.5%, P-group) were dissatisfied with surgery. The 2 groups did not differ significantly in baseline characteristics and surgical data. Postoperative visual analog scale score for low back pain and leg pain were significantly higher in the P-group than in the G-group (low back pain: G-group, 1.7 ± 1.9 vs. P-group, 5.2 ± 2.5, P < 0.001; leg pain: G-group, 1.4 ± 2.0 vs. P-group, 5.5 ± 2.6, P < 0.001). Multivariate regression analysis revealed that postoperative vertebral fracture (P=0.049; odds ratio, 3.096; 95% confidence interval, 1.004-9.547) and reoperation (P=0.025; odds ratio, 5.692; 95% confidence interval, 1.250-25.913) were significantly associated with the patient satisfaction after lumbar spinal surgery. Conclusions: Postoperative vertebral fracture and reoperation were found to be risk factors for poor patient satisfaction after lumbar spinal surgery in elderly patients, which suggests a need for careful treatment of osteoporosis in addition to careful determination of surgical indication and procedure in elderly patients.

KW - Elderly

KW - Lumbar spinal surgery

KW - Reoperation

KW - Satisfaction

KW - Vertebral fracture

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JO - Clinical Spine Surgery

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Risk factor for poor patient satisfaction after lumbar spine surgery in elderly patients aged over 80 years

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