Preoperative Depression Screening in Primary Lumbar Fusion: An Evaluation of Its Modifiability on Outcomes in Patients with Diagnosed Depressive Disorder.
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Journal title
World neurosurgeryDate Published
2023-05-11
Metadata
Show full item recordAbstract
Studies have reported the detrimental effects of depression following spine surgery, however none have evaluated whether preoperative depression screening, in patients with a history of depression, is protective from adverse outcomes and lowers healthcare costs. We studied whether depression screenings/psychotherapy visits within 3 months prior to 1-2 level lumbar fusion (1-2LF) were associated with lower: 1) medical complications; 2) emergency department (ED) utilizations; 3) readmissions; and 4) healthcare costs.The PearlDiver database from 2010 to 2020 was queried for depressive disorder (DD) patients undergoing primary 1-2LF. Two cohorts were 1:5 ratio matched and included those with (n=2,622) or without (n=13,058) a pre-operative depression screen/psychotherapy visit within 3 months of LF. A 90-day surveillance period was utilized to compare outcomes. Logistic regression models computed odds ratios (OR) of complications and readmissions. P values less than 0.003 were significant.
DD patients without depression screening had significantly greater incidence and odds of experiencing medical complications (40.57% vs. 16.00%; OR: 2.71,p<0.0001). Rates of ED utilization were increased in patients without screening vs. screening (15.78% vs 4.23%; OR: 4.25,p<0.0001), despite no difference in readmissions (9.31% vs 9.53%; OR: 0.97,p=0.721). Finally, 90-day reimbursements ($51,160 vs $54,731) were significantly lower in the screened cohort (all p<0.0001).
Patients who underwent a pre-operative depression screening within 3 months of lumbar fusion had decreased medical complications, ED utilizations, and lower healthcare costs. Spine surgeons may use this data to counsel their patients with depression prior to surgical intervention.
Citation
Gordon AM, Elali FR, Ton A, Schwartz JM, Miller C, Alluri RK. Preoperative Depression Screening in Primary Lumbar Fusion: An Evaluation of Its Modifiability on Outcomes in Patients with Diagnosed Depressive Disorder. World Neurosurg. 2023 May 11:S1878-8750(23)00635-6. doi: 10.1016/j.wneu.2023.05.024. Epub ahead of print. PMID: 37178911.DOI
10.1016/j.wneu.2023.05.024ae974a485f413a2113503eed53cd6c53
10.1016/j.wneu.2023.05.024
Scopus Count
Collections
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Copyright © 2023 Elsevier Inc. All rights reserved.
Related articles
- Lower Neighborhood Socioeconomic Status May Influence Medical Complications, Emergency Department Utilization, and Costs of Care After 1-2 Level Lumbar Fusion.
- Authors: Gordon AM, Elali FR, Ng MK, Saleh A, Ahn NU
- Issue date: 2023 Feb 3
- Comparison of implant survivability in primary 1- to 2-level lumbar fusion amongst opioid abusers and non-opioid abusers.
- Authors: Vakharia RM, Donnally CJ 3rd, Rush AJ 3rd, Vakharia AM, Berglund DD, Shah NV, Wang MY
- Issue date: 2018 Sep
- How Does Depressive Disorder Impact Outcomes in Patients with Glenohumeral Osteoarthritis Undergoing Primary Reverse Shoulder Arthroplasty?
- Authors: Diamond KB, Gordon AM, Sheth BK, Romeo AA, Choueka J
- Issue date: 2023 Apr 10
- Cannabis Use Disorder Is Associated With Longer In-Hospital Lengths of Stay, Higher Rates of Medical Complications, and Costs of Care Following Primary 1- to 2-Level Lumbar Fusion.
- Authors: Jain S, Cloud GW, Gordon AM, Lam AW, Vakharia RM, Saleh A, Razi AE
- Issue date: 2022 Apr 8
- Spine patients demystified: what are the predictive factors of poor surgical outcome in patients after elective cervical and lumbar spine surgery?
- Authors: Jiménez-Almonte JH, Hautala GS, Abbenhaus EJ, Grabau JD, Nzegwu IN, Mehdi SK, Akhtar ZM, Liu B, Jacobs CA, Cassidy RC
- Issue date: 2020 Oct