In gratitude of the loyal support of our members, the CNS is offering complimentary 2021 Annual Meeting registration to all members! Learn more.

  • Investigating employment status and education level as factors in patient outcome following lumbar surgery: Single surgeon N2QOD sub-analysis

    Final Number:
    356

    Authors:
    Timothy C. Ryken MD MS FACS; Kelly Ward; Steven Dillavou BS, MS, PA-C; Laura Chapin PhD

    Study Design:
    Clinical Trial

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2014 Annual Meeting

    Introduction: Socioeconomic factors influence outcomes following lumbar surgery. We examined level of education, and employment status were significant factors in overall patient satisfaction following lumbar spine surgery.

    Methods: A single-surgeon sub-analysis (n=120) of the N2QOD outcomes analysis based on employment and education was performed. Patient satisfaction, ODI and EQ-5D questionnaires were completed preop, 3 and 12 months postop. Education categories included: Less than high school, High school or GED, 2-year college degree, 4-year college degree, and post-college. Employment categories included: Full-time employment, Part-time employment, Retired, Homemaker, Student, Unemployed, on Disability due to a spinal problem, and on Disability due to a problem other than the spine. Chi-squared and/or ANOVA analysis was performed.

    Results: Comparison of “High school or less”, and “More than high school”, there were no significant differences in ODI or EQ-5D scores, or Satisfaction groups. Employment status was a significant factor in patient Satisfaction at the 3-month time point (Chi-squared, p=0.001), with the Disability group having greater number of Dissatisfied patients than expected. Employment is also a significant factor in ODI and EQ-5D scores (ANOVA, p<0.001), with Disability patients having the worst scores. When comparing the amount of score improvement at 3- and 12-month time points, improvement in ODI scores from Baseline to 3 months, and Baseline to 12 months, employment status was a significant factor (ANOVA, p values less than 0.006). Employment status is also a significant factor in the improvement of EQ-5D scores between Baseline and 12-month scores (ANOVA, p=0.032).

    Conclusions: Highest level of education is not a significant factor in patient satisfaction, ODI or EQ-5D scores following lumbar spine surgery. Patients not on disability leave had better significantly better outcomes. Employment status is a significant factor in patient satisfaction. Unemployed patients, including homemakers, students, and retirees, showed the greatest amount of improvement in ODI scores.

    Patient Care: Improved patient selection and tailored patient care.

    Learning Objectives: Discuss factors leading to patient satisfaction following lumbar spine surgery

    References:

We use cookies to improve the performance of our site, to analyze the traffic to our site, and to personalize your experience of the site. You can control cookies through your browser settings. Please find more information on the cookies used on our site. Privacy Policy