title: Life dissatisfaction burden is associated with a poor surgical outcome among lumbar spinal stenosis patients: a 5-year follow-up study.
abstract: Dissatisfaction with life has been found to be associated with somatic health and the short-term surgery outcome in lumbar spinal stenosis (LSS) patients. This study investigated the effects of the long-term life dissatisfaction burden on the surgery outcome in LSS patients with a 5-year follow-up. This was a prospective clinical study. Altogether, 102 patients who underwent decompressive surgery completed a set of questionnaires preoperatively, 3 and 6 months, and 1, 2 and 5 years after the surgery. The final study population at the 5-year follow-up included 67 patients. The mean age of the patients was 67 years and 35% of the patients were men. Life satisfaction was evaluated using a four-item Life Satisfaction Scale. The life dissatisfaction burden was the sum of all six life satisfaction scores recorded during the follow-up. The outcome of surgery was evaluated using the Oswestry Disability Index (ODI), pain evaluation (Visual Analogue Scale; VAS), overall satisfaction with the surgery and self-reported walking capacity. In linear regression, the long-term life dissatisfaction burden was associated with the 5-year ODI, even after adjusting for age, sex, marital status, preoperative ODI and the 5-year VAS. It was not associated with the 5-year VAS score. Monitoring the life satisfaction of surgically treated LSS patients may enable detection of those at risk of a poorer surgery outcome.
authors.affiliation: aDepartment of Psychiatry, Kuopio University Hospital and Institute of Clinical Medicine bInstitute of Public Health and Clinical Nutrition, University of Eastern Finland cDepartment of Rehabilitation, Kuopio University Hospital, Kuopio dSouth-Savonia Hospital District eKyyhkylä Rehabilitation Center, Mikkeli fSOSTERI, Savonlinna gSOTE, Iisalmi hLapland Hospital District, Rovaniemi iNorth Karelia Central Hospital, Joensuu, Finland.
authors.forename: Maarit
authors.initials: M
authors.lastname: Pakarinen
authors.forename: Heli
authors.initials: H
authors.lastname: Koivumaa-Honkanen
authors.forename: Sanna
authors.initials: S
authors.lastname: Sinikallio
authors.forename: Soili M
authors.initials: SM
authors.lastname: Lehto
authors.forename: Timo
authors.initials: T
authors.lastname: Aalto
authors.forename: Olavi
authors.initials: O
authors.lastname: Airaksinen
authors.forename: Heimo
authors.initials: H
authors.lastname: Viinamäki
mesh_terms: D000368:Aged; D017281:Cost of Illness; D019299:Decompression, Surgical / Q000523:psychology* / Q000534:rehabilitation*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000523:psychology* / Q000534:rehabilitation*; D008137:Longitudinal Studies; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000523:psychology / Q000534:rehabilitation*; D011183:Postoperative Complications / Q000523:psychology* / Q000534:rehabilitation*; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D018570:Risk Assessment; D013123:Spinal Fusion / Q000523:psychology* / Q000534:rehabilitation*; D013130:Spinal Stenosis / Q000523:psychology* / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome