Pre-operative expectations of patients with Degenerative Cervical Myelopathy
By Admin | May 04, 2024
ABSTRACT
Background
Despite an abundance of literature on degenerative cervical myelopathy (DCM), little is known about pre-operative expectations of these patients.
Purpose
The primary objective was to describe patient pre-operative expectations. Secondary objectives included identifying patient characteristics associated with high pre-operative expectations and to determine if expectations varied depending on myelopathy severity.
Study design
This was a retrospective study of a prospective multicenter, observational cohort of patients with DCM.
Patient Sample
Patients who consented to undergo surgical treatment between January 2019 and September 2022 were included.
Outcomes Measures
An 11-domain expectation questionnaire was completed pre-operatively whereby patients quantified the expected change in each domain.
Methods
The most important expected change was captured. A standardized expectation score was calculated as the sum of each expectation divided by the maximal possible score. The high expectation group was defined by patients who had an expectation score above the 75th percentile. Predictors of patients with high expectations were determined using multivariable logistic regression models.
Results
There were 262 patients included. The most important patient expectation was preventing neurological worsening (40.8%) followed by improving balance when standing or walking (14.5%), improving independence in everyday activities (10.3%), and relieving arm tingling, burning and numbness (10%). Patients with mild myelopathy were more likely to select...(More)
For more info please read, Pre-operative expectations of patients with Degenerative Cervical Myelopathy, ScienceDirect
