Patients' satisfaction with provided care/information and expectations on clinical outcome after lumbar disc herniation surgery

• STUDY DESIGN. A prospective study of patients undergoing lumbar disc herniation surgery. OBJECTIVES. To assess patients' satisfaction with care/preoperative information, if expectations on surgical results and ability to return to work are related to baseline characteristics, and/or can predict self-reported outcome. Self-reported outcome was compared with objective outcome. SUMMARY OF BACKGROUND DATA. Patients' expectations on treatment results have been discussed as a predictive factor for postoperative outcome and satisfaction demonstrated to be directly related to patient expectations. METHODS. The study includes 148 patients, 46% women, mean age 40 (range 18-66). Before and 2 years after surgery, questionnaires about given information/care, expected/present work ability, and expectations on/obtained improvement of physical functions/symptoms (leg and back pain, sensibility, and muscle function) were filled in. The visual analog scale leg pain, Zung Depression Scale, and Oswestry Disability Index were used as baseline characteristics. At 2-year follow-up, self-reported and objective outcome was assessed. RESULTS. Satisfaction with given information/care were reported by 46% and 82%, respectively. Zung Depression Scale related to expectations on leg pain recovery (P = 0.022), work ability (P = 0.046), and satisfaction with given information (P = 0.031). Patients who expected to return (76%) and not return (24%) to work, returned in 78% and 26%, respectively (P = 0.021). A high agreement between self-reported outcome and objective outcome were found (P < 0.001). CONCLUSIONS. Patients undergoing lumbar disc herniation surgery are mostly satisfied with provided care before and after surgery, however, less satisfied with information provided. Further, patients with preoperative positive expectations on work return and realistic expectations on pain and physical recovery have a greater chance to be satisfied with the surgical results. © 2007 Lippincott Williams & Wilkins, Inc.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Nyckelord

Expectation

Lumbar disc herniation

Outcome

Satisfaction

adult

aged

article

clinical assessment

comparative study

controlled study

convalescence

depression

expectation

female

human

job performance

leg pain

lumbar disk hernia

major clinical study

male

medical care

medical information

patient satisfaction

prediction

preoperative period

priority journal

prospective study

rating scale

self report

spine surgery

statistical significance

treatment outcome

Adult

Aged

Diskectomy

Female

Humans

Intervertebral Disk Displacement

Lumbar Vertebrae

Male

Middle Aged

Pain

Postoperative

Patient Education

Patient Satisfaction

Postoperative Care

Preoperative Care

Prospective Studies

Recovery of Function

Treatment Outcome

Work

Surgery

Kirurgi

Informatik

Informatics

Adult

Aged

*Diskectomy

Female

Humans

Intervertebral Disk Displacement/*psychology/*surgery

Lumbar Vertebrae/*surgery

Male

Middle Aged

Pain

Postoperative/physiopathology

Patient Education

*Patient Satisfaction

Postoperative Care

Preoperative Care

Prospective Studies

Recovery of Function

Treatment Outcome

Work

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