5 key points on 12-month patient follow-up after spine surgery: Who gets lost?

A new study published in Spine examines 12-month patient loss to follow up after spine surgery.

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The researchers examined patients at a single institution over a two-year period enrolled in a prospective study. The patients reported outcomes at baseline, three months and 12 months after surgery. There were 1,484 patients included in the study with three-month outcomes. The researchers found:

 

1. Only 15.7 percent of the patients, 233 patients, were lost to follow-up at 12 months.

 

2. There wasn’t a difference in most baseline demographics or comorbidities for patients who had the 12-month follow-up versus those who didn’t. However, there was a difference in age and employment status.

 

3. The younger patients and those who were employed preoperatively were more likely lost to follow-up at 12 months.

 

4. The preoperative pain, disability and quality of life were similar between the two groups. The 90-day morbidity rate was 17.2 percent for the 12-month follow-up group and 16.2 for the non-12 month follow-up group.

 

5. The patients lost to follow up were 51 years old on average, compared with 57 years old among those who had a 12-month follow-up. There were 45.9 percent of the patients in the non-12 month follow-up group that were employed, compared with 41.7 percent in the follow-up group.

 

More articles on spine surgery:
How repetitive scoliosis procedures affect young patients psychologically: 6 key notes
Do you have a lean OR? How to improve quality & cut costs in spine
6 observations on how obesity can affect adult scoliosis correction outcomes

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