A prospective study of the relation of patient-reported outcome measures with lumbar disc surgery for herniated lumbar disc

Authors

DOI:

https://doi.org/10.3126/njn.v18i3.36403

Keywords:

Depressive Symptoms, Herniated lumbar disc, Montgomery Asberg Depression Rating Scale, Quality of Life, Short Form-36, Visual Analog Scale

Abstract

Introduction: The aim of this 6-month prospective study was to seek out the factors affecting surgical outcome, predictors of treatment response and their correlates in open discectomy for herniated lumbar disc.

Methods and Materials: Eighty patients who fulfilled the required criteria were chosen. Socio-demographic, clinical data proforma, Visual Analogue Scale for pain (VAS), Japanese Orthopedic Association (JOA) Scale for subjective and objective pain related QoL, General Health Questionnaire-12 (GHQ-12) for screening mental health, Short Form-36 (SF-36) Health Survey for assessing Health-related Quality of Life (HRQOL) and Montgomery Asberg Depression Rating Scale (MADRS) for measurement of clinical depression were used at the preoperative stage and reassessed again at 1 month, 3 months and 6 months post-discectomy.

Results: Postoperatively, VAS and JOA Scale scores continued to show improvement at each follow up (p<0.001). Majority of the SF-36 subscales showed significant improvement at 3-months and 6-months of the postoperative period. A significant correlation was seen between the duration of pain symptoms and depression scores at 6 months (rho 0.301 p<0.01). Baseline VAS score had a significant negative correlation with baseline Physical Functioning and General Health scores at 6 months. The duration and severity of pain symptoms before surgery predicted the depression scores at 6 months (adjusted R square 0.056 p<0.001) postoperatively.

Conclusion: The discectomy procedure resulted in significant improvement in baseline subjective pain symptoms and overall HRQOL. Greater the duration and intensity of pain symptoms at baseline, greater was the depression scores and lesser was the SF-36 physical functioning and general health at 6-month postoperative period.

Downloads

Download data is not yet available.
Abstract
26
PDF
23

Author Biographies

Samarendra Nath Ghosh, Professor and Ex-Head, Department of Neurosurgery, Bangur Institute of Neurosciences, IPGME&R, Kolkata, West Bengal, Pin Code: 700025 India

Professor and Ex-Head, Department of Neurosurgery, Bangur Institute of Neurosciences, IPGME&R, Kolkata, West Bengal, Pin Code: 700025 India

Pradeep Saha, Department of Psychiatry, Institute of Postgraduate Medical Education and Research (IPGME&R), Kolkata, West Bengal, Pin Code: 700025 India

Professor and Head, Department of Psychiatry, Institute of Postgraduate Medical Education and Research (IPGME&R), and Director, Institute of Psychiatry Kolkata, West Bengal, Pin Code: 700025 India

Downloads

Published

2021-09-01

How to Cite

Naik, H. S., Ghosh, S. N., Saha, P., & Biswas, P. (2021). A prospective study of the relation of patient-reported outcome measures with lumbar disc surgery for herniated lumbar disc. Nepal Journal of Neuroscience, 18(3), 10–19. https://doi.org/10.3126/njn.v18i3.36403

Issue

Section

Original Articles