Analysis of Factors Affecting Baseline SF-36 Mental Component Summary in Adult Spinal Deformity and Its Impact on Surgical Outcomes

Overview

Journal Acta Orthop Traumatol Turc

Specialties Emergency Medicine
Orthopedics

Date 2018 Mar 6

PMID 29503080

Citations 4

Authors

Tiro Mmopelwa

Selim Ayhan

Selcen Yuksel

Vugar Nabiyev

Asli Niyazi

Ferran Pellise

Ahmet Alanay

Francisco Javier Sanchez Perez Grueso

Frank Kleinstuck

Ibrahim Obeid

Emre Acaroglu

Affiliations

Soon will be listed here.

Abstract

Objectives: To identify the factors that affect SF-36 mental component summary (MCS) in patients with adult spinal deformity (ASD) at the time of presentation, and to analyse the effect of SF-36 MCS on clinical outcomes in surgically treated patients.

Methods: Prospectively collected data from a multicentric ASD database was analysed for baseline parameters. Then, the same database for surgically treated patients with a minimum of 1-year follow-up was analysed to see the effect of baseline SF-36 MCS on treatment results. A clinically useful SF-36 MCS was determined by ROC Curve analysis.

Results: A total of 229 patients with the baseline parameters were analysed. A strong correlation between SF-36 MCS and SRS-22, ODI, gender, and diagnosis were found (p < 0.05). For the second part of the study, a total of 186 surgically treated patients were analysed. Only for SF-36 PCS, the un-improved cohort based on minimum clinically important differences had significantly lower mean baseline SF-36 MCS (p < 0.001). SF-36 MCS was found to have an odds ratio of 0.914 in improving SF-36 PCS score (unit by unit) (p < 0.001). A cut-off point of 43.97 for SF-36 MCS was found to be predictive of SF-36 PCS (AUC = 0.631; p < 0.001).

Conclusions: The factors effective on the baseline SF-36 MCS in an ASD population are other HRQOL parameters such as SRS-22 and ODI as well as the baseline thoracic kyphosis and gender. This study has also demonstrated that baseline SF-36 MCS does not necessarily have any effect on the treatment results by surgery as assessed by SRS-22 or ODI.

Level Of Evidence: Level III, prognostic study.

Citing Articles

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Hayashi K, Boissiere L, Guevara-Villazon F, Larrieu D, Bourghli A, Gille O Eur Spine J. 2019; 29(1):63-72.

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References

Van Susante J, Van de Schaaf D, PAVLOV P . Psychological distress deteriorates the subjective outcome of lumbosacral fusion. A prospective study. Acta Orthop Belg. 1999; 64(4):371-7. View

Bess S, Boachie-Adjei O, Burton D, Cunningham M, Shaffrey C, Shelokov A . Pain and disability determine treatment modality for older patients with adult scoliosis, while deformity guides treatment for younger patients. Spine (Phila Pa 1976). 2009; 34(20):2186-90. DOI: 10.1097/BRS.0b013e3181b05146. View

Longworth L, Rowen D . Mapping to obtain EQ-5D utility values for use in NICE health technology assessments. Value Health. 2013; 16(1):202-10. DOI: 10.1016/j.jval.2012.10.010. View

Acaroglu E, Cetinyurek Yavuz A, Guler U, Yuksel S, Yavuz Y, Domingo-Sabat M . A decision analysis to identify the ideal treatment for adult spinal deformity: is surgery better than non-surgical treatment in improving health-related quality of life and decreasing the disease burden?. Eur Spine J. 2016; 25(8):2390-400. DOI: 10.1007/s00586-016-4413-8. View

Walsh T, Homa K, Hanscom B, Lurie J, Sepulveda M, Abdu W . Screening for depressive symptoms in patients with chronic spinal pain using the SF-36 Health Survey. Spine J. 2006; 6(3):316-20. DOI: 10.1016/j.spinee.2005.11.004. View

Kristjansdottir J, Olsson G, Sundelin C, Naessen T . Could SF-36 be used as a screening instrument for depression in a Swedish youth population?. Scand J Caring Sci. 2010; 25(2):262-8. DOI: 10.1111/j.1471-6712.2010.00821.x. View

Obeid I, Boissiere L, Yilgor C, Larrieu D, Pellise F, Alanay A . Global tilt: a single parameter incorporating spinal and pelvic sagittal parameters and least affected by patient positioning. Eur Spine J. 2016; 25(11):3644-3649. DOI: 10.1007/s00586-016-4649-3. View

Kothari P, Lee N, Leven D, Lakomkin N, Shin J, Skovrlj B . Impact of Gender on 30-Day Complications After Adult Spinal Deformity Surgery. Spine (Phila Pa 1976). 2016; 41(14):1133-1138. DOI: 10.1097/BRS.0000000000001499. View

Bartley E, Fillingim R . Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013; 111(1):52-8. PMC: 3690315. DOI: 10.1093/bja/aet127. View

10.

Acaroglu R, Dede O, Pellise F, Guler U, Domingo-Sabat M, Alanay A . Adult spinal deformity: a very heterogeneous population of patients with different needs. Acta Orthop Traumatol Turc. 2016; 50(1):57-62. DOI: 10.3944/AOTT.2016.14.0421. View

11.

da Rocha N, Schuch F, de Almeida Fleck M . Gender differences in perception of quality of life in adults with and without chronic health conditions: the role of depressive symptoms. J Health Psychol. 2013; 19(6):721-9. DOI: 10.1177/1359105313478644. View

12.

Acaroglu E, Guler U, Olgun Z, Yavuz Y, Pellise F, Domingo-Sabat M . Multiple Regression Analysis of Factors Affecting Health-Related Quality of Life in Adult Spinal Deformity. Spine Deform. 2016; 3(4):360-366. DOI: 10.1016/j.jspd.2014.11.004. View

13.

Pakarinen M, Vanhanen S, Sinikallio S, Aalto T, Lehto S, Airaksinen O . Depressive burden is associated with a poorer surgical outcome among lumbar spinal stenosis patients: a 5-year follow-up study. Spine J. 2014; 14(10):2392-6. DOI: 10.1016/j.spinee.2014.01.047. View

14.

Miller J, Derakhshan A, Lubelski D, Alvin M, McGirt M, Benzel E . The impact of preoperative depression on quality of life outcomes after lumbar surgery. Spine J. 2014; 15(1):58-64. DOI: 10.1016/j.spinee.2014.06.020. View

15.

Greenough C, Taylor L, Fraser R . Anterior lumbar fusion: results, assessment techniques and prognostic factors. Eur Spine J. 1994; 3(4):225-30. DOI: 10.1007/BF02221598. View

16.

Elliott T, Renier C, Palcher J . Chronic pain, depression, and quality of life: correlations and predictive value of the SF-36. Pain Med. 2004; 4(4):331-9. DOI: 10.1111/j.1526-4637.2003.03040.x. View

17.

Emery C, Frid D, Engebretson T, Alonzo A, Fish A, Ferketich A . Gender differences in quality of life among cardiac patients. Psychosom Med. 2004; 66(2):190-7. DOI: 10.1097/01.psy.0000116775.98593.f4. View

18.

Hofstetter C, Hofer A, Wang M . Economic impact of minimally invasive lumbar surgery. World J Orthop. 2015; 6(2):190-201. PMC: 4363801. DOI: 10.5312/wjo.v6.i2.190. View

19.

Greenough C, Taylor L, Fraser R . Anterior lumbar fusion. A comparison of noncompensation patients with compensation patients. Clin Orthop Relat Res. 1994; (300):30-7. View

20.

Glassman S, Schwab F, Bridwell K, Ondra S, Berven S, Lenke L . The selection of operative versus nonoperative treatment in patients with adult scoliosis. Spine (Phila Pa 1976). 2007; 32(1):93-7. DOI: 10.1097/01.brs.0000251022.18847.77. View