Patient-reported outcome scores underestimate the impact of major complications in patients undergoing spine surgery for degenerative conditions

• Published in: Journal of neurosurgery. Spine Vol. 27; no. 4; p. 397
• Main Authors: Gvozdyev, Borys V, Carreon, Leah Y, Graves, Christopher M, Riley, Stephanie A, McGraw, Katlyn E, Head, R Joseph, Dimar, 2nd, John R, Glassman, Steven D
• Format: Journal Article
• Language: English
• Published: United States 01.10.2017
• Subjects: Comorbidity; Female; Follow-Up Studies; Humans; Intervertebral Disc Degeneration - complications; Intervertebral Disc Degeneration - diagnosis; Intervertebral Disc Degeneration - psychology; Intervertebral Disc Degeneration - surgery; Lumbar Vertebrae - surgery; Male; Middle Aged; Patient Reported Outcome Measures; Postoperative Complications - diagnosis; Postoperative Complications - psychology; Quality of Life; Severity of Illness Index; Oswestry Disability Index; complication; EQ-5D = EuroQol-5D; QOD; DVT = deep venous thrombosis; QOD = Quality Outcomes Database; ODI = Oswestry Disability Index; Charlson Comorbidity Index; lumbar fusion; clinical outcomes; PE = pulmonary embolus; Quality Outcomes Database; BMI = body mass index; CCMI = Charlson Comorbidity Index; QOL = quality of life; PRO = patient-reported outcome; degenerative; MI = myocardial infarction

OBJECTIVE Patient-reported outcomes (PROs) such as the Oswestry Disability Index (ODI) and EuroQol-5D (EQ-5D) are widely used to evaluate treatment outcomes following spine surgery for degenerative conditions. The goal of this study was to use the Charlson Comorbidity Index (CCMI) as a measure of ge...