AANS Beyond 2021: Scientific Papers Collection-The Effect of Approach On Patient Satisfaction Following Fusion for Degenerative Lumbar Disease

The Effect of Approach On Patient Satisfaction Following Fusion for Degenerative Lumbar Disease

Video Transcription

Video Summary

In this video, Michael Schost presents a study on patient satisfaction following fusion surgery for degenerative lumbar disease. The study compares the effectiveness of posterior and anterior approaches using the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) survey. The survey is a tool used by CMS to assess patient satisfaction and determine reimbursement. The study includes 173 patients who underwent lumbar spine surgery at the Cleveland Clinic between 2010 and 2020. The results show that the posterior fusion group had a 12% higher overall provider rating compared to the anterior fusion group in the HCAHPS survey. There were no significant differences in PROMIS scores between the two groups, but the posterior group had better back pain improvement at the three-month visit. Both groups showed significant improvement in back pain at the six-month visit. The study suggests that there is a difference in patient satisfaction based on the surgical approach and highlights the need for interventions to minimize pain in the early post-operative period for better patient satisfaction.

Keywords

Michael Schost

patient satisfaction

fusion surgery

posterior approach

anterior approach