Cargando…

Correlating Psychological Comorbidities and Outcomes After Spine Surgery

STUDY DESIGN: Literature review. OBJECTIVE: The aim of this literature review is to examine the effects of psychological disorders on postoperative complications, surgical outcomes, and long-term narcotic use. We also hope to detail the value of preoperative identification and treatment of these pat...

Descripción completa

Detalles Bibliográficos
Autores principales: Jackson, Keith L., Rumley, Jacob, Griffith, Matthew, Agochukwu, Uzondu, DeVine, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7485071/
https://www.ncbi.nlm.nih.gov/pubmed/32905726
http://dx.doi.org/10.1177/2192568219886595
_version_ 1783581086479024128
author Jackson, Keith L.
Rumley, Jacob
Griffith, Matthew
Agochukwu, Uzondu
DeVine, John
author_facet Jackson, Keith L.
Rumley, Jacob
Griffith, Matthew
Agochukwu, Uzondu
DeVine, John
author_sort Jackson, Keith L.
collection PubMed
description STUDY DESIGN: Literature review. OBJECTIVE: The aim of this literature review is to examine the effects of psychological disorders on postoperative complications, surgical outcomes, and long-term narcotic use. We also hope to detail the value of preoperative identification and treatment of these pathologies. METHODS: A series of systematic reviews of the relevant literature examining the effects of psychological disorders and spine surgery was conducted using PubMed and Cochrane databases. RESULTS: Combined, the database queries yielded 2275 articles for consideration. After applying screening criteria, 96 articles were selected for inclusion. Patients with underlying psychological disease have higher rates of delirium, readmission, longer hospital stays, and higher rates of nonroutine discharge following spine surgery. They also have higher rates of chronic postoperative narcotic use and may experience worse surgical outcomes. Because of these defined issues, researchers have developed multiple screening tools to help identify patients with psychological disorders preoperatively for potential treatment. Treatment of these disorders prior to surgery may significantly improve surgical outcomes. CONCLUSION: Patients with psychological disorders represent a unique population with respect to their higher rates of spinal pain complaints, postoperative complications, and worsened functional outcomes. However, proper identification and treatment of these conditions prior to surgery may significantly improve many outcome measures in this population. Future investigations in this field should attempt to develop and validate current strategies to identify and treat individuals with psychological disorders before surgery to further improve outcomes.
format Online
Article
Text
id pubmed-7485071
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-74850712020-09-17 Correlating Psychological Comorbidities and Outcomes After Spine Surgery Jackson, Keith L. Rumley, Jacob Griffith, Matthew Agochukwu, Uzondu DeVine, John Global Spine J Review Articles STUDY DESIGN: Literature review. OBJECTIVE: The aim of this literature review is to examine the effects of psychological disorders on postoperative complications, surgical outcomes, and long-term narcotic use. We also hope to detail the value of preoperative identification and treatment of these pathologies. METHODS: A series of systematic reviews of the relevant literature examining the effects of psychological disorders and spine surgery was conducted using PubMed and Cochrane databases. RESULTS: Combined, the database queries yielded 2275 articles for consideration. After applying screening criteria, 96 articles were selected for inclusion. Patients with underlying psychological disease have higher rates of delirium, readmission, longer hospital stays, and higher rates of nonroutine discharge following spine surgery. They also have higher rates of chronic postoperative narcotic use and may experience worse surgical outcomes. Because of these defined issues, researchers have developed multiple screening tools to help identify patients with psychological disorders preoperatively for potential treatment. Treatment of these disorders prior to surgery may significantly improve surgical outcomes. CONCLUSION: Patients with psychological disorders represent a unique population with respect to their higher rates of spinal pain complaints, postoperative complications, and worsened functional outcomes. However, proper identification and treatment of these conditions prior to surgery may significantly improve many outcome measures in this population. Future investigations in this field should attempt to develop and validate current strategies to identify and treat individuals with psychological disorders before surgery to further improve outcomes. SAGE Publications 2019-11-22 2020-10 /pmc/articles/PMC7485071/ /pubmed/32905726 http://dx.doi.org/10.1177/2192568219886595 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review Articles
Jackson, Keith L.
Rumley, Jacob
Griffith, Matthew
Agochukwu, Uzondu
DeVine, John
Correlating Psychological Comorbidities and Outcomes After Spine Surgery
title Correlating Psychological Comorbidities and Outcomes After Spine Surgery
title_full Correlating Psychological Comorbidities and Outcomes After Spine Surgery
title_fullStr Correlating Psychological Comorbidities and Outcomes After Spine Surgery
title_full_unstemmed Correlating Psychological Comorbidities and Outcomes After Spine Surgery
title_short Correlating Psychological Comorbidities and Outcomes After Spine Surgery
title_sort correlating psychological comorbidities and outcomes after spine surgery
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7485071/
https://www.ncbi.nlm.nih.gov/pubmed/32905726
http://dx.doi.org/10.1177/2192568219886595
work_keys_str_mv AT jacksonkeithl correlatingpsychologicalcomorbiditiesandoutcomesafterspinesurgery
AT rumleyjacob correlatingpsychologicalcomorbiditiesandoutcomesafterspinesurgery
AT griffithmatthew correlatingpsychologicalcomorbiditiesandoutcomesafterspinesurgery
AT agochukwuuzondu correlatingpsychologicalcomorbiditiesandoutcomesafterspinesurgery
AT devinejohn correlatingpsychologicalcomorbiditiesandoutcomesafterspinesurgery