The researchers examined data from 3,073 patients who underwent elective spine surgery for degenerative lumbar diseases from the N2QOD registry. The researchers found:
1. The three-month ODI scores had an 11.9±10.8 difference from the 12-month scores. Predictive modeling estimated 12-month ODI scores had a mean difference from the actual ODI scores of 10.7±9.
2. More than half — 64 percent — of patients achieved the minimal clinically important difference for ODI at three months, slightly lower than the 67 percent at 12 months.
3. There were 51 percent of the patients who achieved substantial clinical benefit for ODI at three months and 61 percent at 12 months.
4. Nearly 20 percent of the patients reported ODI scores that varied by at least 20 points from the three to 12 month values.
5. Positive and negative three-month ODI predictive values were 56 percent for MCID and 82 percent for SCB; at 12 months they were 60 percent for MCID and 67 percent for SCB.
6. The researchers concluded predictive methods for functional outcome based on the early patient experience “should be used to help evaluate the effectiveness of procedures in patient populations rather than serving as a proxy for long-term individual patient experience.”
7. The prospective longitudinal registries should span 12 months, according to the study authors, to determine the spine care effectiveness for the individual patient and practitioner.
More articles on spine surgery:
Spinal surgery revisions for proximal junctional failure cost millions: 5 key notes
8 things for spine surgeons to know
The state of minimally invasive spine surgery
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
