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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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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 |
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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 |
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