title: Do surgical expectations change depending on first time surgery or reoperation? A prospective cohort study in lumbar spine surgery.
abstract: OBJECTIVE
  To assess whether patients undergoing lumbar spine surgery for the first time (Group 1) had different expectations from those undergoing lumbar spine surgery for a failed previous procedure (Group 2).
  
  
  METHODS
  A prospective study that included 77 patients. A set of self-reported questionnaires was pre-operatively administered including VAS, Oswestry Disability Index (ODI), Zung Depression Scale and the NASS lumbar spine questionnaire (expectations scale).
  
  
  RESULTS
  Fifty-six patients in Group 1 and 21 patients in Group 2. Both groups had high expectations with regard to the surgical procedure (n.s.). Depressed patients, despite being more disabled than non-depressed according to ODI (p 0.001), had similar expectations than non-depressed patients (n.s.).
  
  
  CONCLUSIONS
  Patients' expectations remained very high despite having had a failed previous surgery for the same procedure.
authors: Institut Universitari Quirón-Dexeus, ICATME, Universitat Autónoma de Barcelona, C/Sabino Arana 5-19, 08028, Barcelona, Spain. gvilacanet@gmail.com.
authors: G
authors: G
authors: Vilà-Canet
authors: Institut Universitari Quirón-Dexeus, ICATME, Universitat Autónoma de Barcelona, C/Sabino Arana 5-19, 08028, Barcelona, Spain.
authors: A
authors: A
authors: Covaro
authors: Institut Universitari Quirón-Dexeus, ICATME, Universitat Autónoma de Barcelona, C/Sabino Arana 5-19, 08028, Barcelona, Spain.
authors: A García
authors: AG
authors: de Frutos
authors: Institut Universitari Quirón-Dexeus, ICATME, Universitat Autónoma de Barcelona, C/Sabino Arana 5-19, 08028, Barcelona, Spain.
authors: M T
authors: MT
authors: Ubierna
authors: Institut Universitari Quirón-Dexeus, ICATME, Universitat Autónoma de Barcelona, C/Sabino Arana 5-19, 08028, Barcelona, Spain.
authors: S
authors: S
authors: Rodríguez-Alabau
authors: Methodological and Statistical Consulting PRBB, Barcelona, Spain.
authors: S
authors: S
authors: Mojal
authors: Institut Universitari Quirón-Dexeus, ICATME, Universitat Autónoma de Barcelona, C/Sabino Arana 5-19, 08028, Barcelona, Spain.
authors: E
authors: E
authors: Cáceres
mesh_terms: D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000523:psychology*; D011446:Prospective Studies; D012086:Reoperation / Q000523:psychology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: First procedure; Lumbar spine surgery; Reoperation; Surgical expectations