scholarly journals Is the Hospital Anxiety and Depression Scale Associated With Outcomes After Lumbar Spine Surgery?

2019 ◽  
Vol 10 (3) ◽  
pp. 266-271 ◽  
Author(s):  
Leah Y. Carreon ◽  
Annette B. Jespersen ◽  
Christian C. Støttrup ◽  
Karen H. Hansen ◽  
Mikkel O. Andersen
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Short Form ◽  
Depression Scale ◽  
Leg Pain ◽  
Anxiety And Depression ◽  
Lumbar Spine Surgery ◽  
Consecutive Series ◽  
Medical Patients ◽  
Hospital Anxiety

Study Design:Longitudinal cohort.Objectives:The Hospital Anxiety and Depression Scale (HADS) was developed to provide clinicians a reliable, valid, and practical tool to identify and quantify the anxiety and depression in medical patients. Several studies have shown that patients with chronic low back pain may have subclinical depression and impairments in mental health and that these in turn may lead to less than optimal results after lumbar spine surgery. The purpose of this study is to determine if there are associations between preoperative HADS and differences in pre- and postoperative health-related quality-of-life (HRQOLs) scores after spine surgery.Methods:From a single center, a consecutive series of patients completed the HADS, Oswestry Disability Index (ODI), Short Form-36 (SF-36), EuroQOL-5D (EQ-5D), and Visual Analog Scale (VAS) for back and leg pain. Except for HADS, the patients completed the same HRQOLs 1 year after surgery.Results:Of 308 eligible cases, 208 (68%) had follow-up data available and were included in the analysis. Patients in the HADS-Anxiety (HADS-A) Abnormal category had the worst preoperative HRQOLs but had the greatest improvement in 1-year postoperative scores. Except for VAS Leg Pain, preoperative HRQOLs were better in patients in the HADS-Depressed (HADS-D) Normal category. Patients in the HADS-D Abnormal category had statistically significantly greater improvement in 1-year postoperative EQ-5D and ODI scores when compared with the other cohorts.Conclusion:Worse HADS-A and HADS-D scores are associated with worse preoperative HRQOL scores in patients with lumbar degenerative disorders scheduled for spine surgery. However, similar improvements in HRQOLs can be expected 1 year postoperative regardless of the patients’ HADS scores.

scholarly journals Postoperative Outcomes After Degenerative Lumbar Spine Surgery in Rheumatoid Arthritis Patients -a Propensity Score-matched Analysis

2021 ◽  
Author(s):  
So Kato ◽  
Hideki Nakamoto ◽  
Yoshitaka Matsubayashi ◽  
Yuki Taniguchi ◽  
Toru Doi ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Lumbar Spine ◽  
Propensity Score ◽  
Spine Surgery ◽  
Short Form ◽  
Postoperative Outcomes ◽  
Leg Pain ◽  
Lumbar Spine Surgery ◽  
Patient Reported ◽  
Degenerative Lumbar Disease

Abstract Background. Although treatment options for rheumatoid arthritis (RA) have evolved significantly since the introduction of biologic agents, degenerative lumbar disease in RA patients remains a major challenge. Well-controlled comparisons between RA patients and their non-RA counterparts have not yet been reported. The objective of the present study was to compare postoperative outcomes of lumbar spine surgery between RA and non-RA patients by a retrospective propensity score-matched analysis.Methods. Patients who underwent primary posterior spine surgery for degenerative lumbar disease in our prospective multicenter study group between 2017 and 2020 were enrolled. Demographic data including age, sex, body mass index (BMI), American Society of Anesthesiologists (ASA) physical status classification, diabetes mellitus, smoking, steroid usage, number of spinal levels involved, and preoperative patient-reported outcome (PRO) scores (numerical rating scale [NRS] for back pain and leg pain, Short Form-12 physical component summary [PCS], EuroQOL 5-dimension [EQ-5D], and Oswestry Disability Index [ODI]) were used to calculate a propensity score for RA diagnosis. One-to-one matching was performed and 1-year postoperative outcomes were compared between groups.Results. Among the 4567 patients included, 90 had RA (2.0%). RA patients in our cohort were more likely to be female, with lower BMI, higher ASA grade and lower current smoking rate than non-RA patients. Preoperative NRS scores for leg pain, PCS, EQ-5D, and ODI were worse in RA patients. Propensity score matching generated 61 pairs of RA and non-RA patients who underwent posterior lumbar surgery. After background adjustment, RA patients reported worse postoperative PCS (28.4 vs. 37.2, p=0.008) and EQ-5D (0.640 vs. 0.738, p=0.03), although these differences were not significant between RA and non-RA patients not on steroids.Conclusions. RA patients showed worse postoperative outcomes after posterior surgery for degenerative lumbar disease, while steroid-independent RA cases showed equivalent outcomes to non-RA patients.

scholarly journals AB0414 CROSS-CULTURAL ADAPTATION, CONVERGENT VALIDITY, AND RELIABILITY OF THE TURKISH VERSION OF THE COCHIN 17-ITEM SCLERODERMA FUNCTIONAL SCALE

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1235-1235
Author(s):  
N. G. Tore ◽  
D. Oskay ◽  
A. Avanoglu Guler ◽  
A. Tufan
Keyword(s):  
Health Assessment Questionnaire ◽  
Convergent Validity ◽  
Short Form ◽  
Health Assessment ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Turkish Version ◽  
Hospital Anxiety ◽  
Functional Scale ◽  
Assessment Questionnaire

Background:The Cochin 17-item Scleroderma Functional (CSF-17) Scale is a patient-reported outcome measure evaluating activities and participation in patients with systemic sclerosis (SSc).Objectives:The aim of the present study was to translate and cross-culturally adapt the CSF-17 into the Turkish language and investigate its convergent validity and reliability in Turkish-speaking patients with SSc.Methods:The CSF-17 was cross-culturally adapted according to Beaton’s guideline. Participants completed CSF-17 Scale, Scleroderma Health Assessment Questionnaire (SHAQ), Short Form-12 (SF-12) Health Survey and Hospital Anxiety and Depression Scale (HADS). Internal consistency and test-retest reliability were determined interpreting Cronbach’s alpha and Intraclass Correlation Coefficient (ICC) values, respectively. Convergent validity was tested using Pearson’s correlation coefficient.Results:Fifty-six patients with SSc were enrolled in the study. Cronbach’s alpha and ICC values of the CSF-17 total score were found to be as 0.963 and 0.958, respectively, indicating excellent reliability. As for the convergent validity, it was determined that CSF-17 total score has a good correlation with SHAQ. Correlations of subscales of CSF-17 with subscales of SF-12 and HADS ranged from poor to moderate (Table 1).Conclusion:Tukish version of CSF-17 met the set criteria of reliability and convergent validity. According to the results of the analysis, it was concluded that the Turkish version of the CSF-17 is a reliable and valid tool for Turkish-speaking SSc patients.References:[1]Daste C, Abdoul H, Foissac F et al. Development of a new patient-reported outcome measure to assess activities and participation in people with systemic sclerosis: the Cochin 17-item Scleroderma Functional scale. British Journal of Dermatology 2020; 183:710-718.[2]Beaton DE, Bombardier C, Guillemin F et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25(24):3186-3191.[3]Karadag DT, Karakas F, Tekeoglu S et al. Validation of Turkish version of the Scleroderma Health Assessment Questionnaire. Clin Rheumatol, 2019,38(7):1917-1923.[4]Ware Jr J, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med. Care, 1996,34:220-233.[5]Zigmond A, Snaith R. The hospital anxiety and depression scale. Acta Psychiatr Scand, 1983,67:361-370.[6]Terwee CB, Bot SD, de Boer MR et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol, 2007,60:34–42.Table 1.Convergent validity of the CSF-17ScalesCSF-17Section ASection BTotalSHAQ0.680**0.640**0.702**HADS-A0.405*0.472**HADS-D0.460**0.605**SF-12 MCS-0.482**-0.491**SF-12 PCS-0.745**-0.700**CSF-17: Cochin 17-item Scleroderma Functional scale, SHAQ: Scleroderma Health Assessment Questionnaire, HADS-A: Hospital Anxiety and Depression Scale-Anxiety, HADS-D: Hospital Anxiety and Depression Scale-Depression, SF 12 MCS: Short Form-12 Mental Component Score, SF-12 PSC: Short Form-12 Physical Component Score.*p<0.05, **p<0.001Disclosure of Interests:None declared

scholarly journals Assessing the Predictor Roles of Mindfulness and Spiritual Intelligence for Depressive and Anxiety Symptoms

2020 ◽  
Vol 5 (3) ◽  
pp. 273-285
Author(s):  
Pınar Ünal-Aydın ◽  
Yasin Arslan ◽  
Orkun Aydın
Keyword(s):  
Short Form ◽  
Linear Regression Analysis ◽  
Depression Scale ◽  
Spiritual Intelligence ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Five Facet Mindfulness Questionnaire ◽  
Hospital Anxiety ◽  
Web Based ◽  
Predictors Of Depression

The goal of this study was to examine the effects of mindfulness (MF) and spiritual intelligence (SI) as predictors of depression and anxiety, the most frequent manifestations of mental disorders – among 184 Turkish participants of diverse ages, predominantly students, living in Istanbul and Sarajevo. Four instruments were administered either directly or via web-based services: Scale for Spiritual Intelligence (SSI), Hospital anxiety and depression scale (HADS), Five Facet Mindfulness Questionnaire – Short Form (FFMQ-S) and Sociodemographic Information Form. Through the use of linear regression analysis, Actaware (b=-.19, p≤.001), Nonjudge (b=-.22, p≤.001), Nonreact (b=-.19, p≤.001) subscales of FFMQ-S were found to be negative predictors for depression and anxiety, whereas, Self-understanding subscale of SSI was not significant. Although our findings suggest that spiritual intelligence is not significant in prediction of depression and anxiety, our research provides empirical evidence for the link between MF, SI, depression and anxiety, as well as revealing MF as predictor for anxiety and depression which may be useful for further improvements in the scope of current interventions.

scholarly journals Depression Subscale of the Hospital Anxiety and Depression Scale applied preoperatively in spinal surgery

2012 ◽  
Vol 70 (5) ◽  
pp. 352-356 ◽  
Author(s):  
Asdrubal Falavigna ◽  
Orlando Righesso ◽  
Alisson Roberto Teles ◽  
Natália Baseggio ◽  
Maíra Cristina Velho ◽  
...  
Keyword(s):  
Spine Surgery ◽  
Depression Scale ◽  
Positive Likelihood Ratio ◽  
Anxiety And Depression ◽  
Hospital Anxiety ◽  
Cronbach’S Alpha ◽  
Good Reliability ◽  
Cross Sectional ◽  
Cronbach's Alpha ◽  
Depression Subscale

OBJECTIVE: To evaluate the accuracy of the Depression Subscale of Hospital Anxiety and Depression Scale (HADS-D) in spine surgery, comparing it to Beck Depression Inventory (BDI). METHODS: In a cross-sectional study, the HADS-D and the BDI were applied to patients undergoing spine surgery for lumbar (n=139) or cervical spondylosis (n=17). Spearman correlation tests for HADS-D and BDI were applied. The internal consistency of HADS-D was estimated by Cronbach's alpha coefficient. RESULTS: According to the BDI, the prevalence of depression was of 28.8% (n=45). The Spearman r coefficient between HADS-D and BDI was 0.714 (p<0.001). Cronbach's alpha for HADS-D was 0.795. The area of the ROC curve was 0.845. Using a cutoff for HADS-D >10, there was a sensitivity of 71.1%, specificity of 95.4%, and positive likelihood-ratio of 15.78. CONCLUSIONS: HADS-D showed a strong correlation with BDI and good reliability. HADS-D is a good alternative for screening depression and assessing its severity.

Correlation between the Oswestry Disability Index and the 4-item short forms for physical function and pain interference from PROMIS

2019 ◽  
Vol 31 (5) ◽  
pp. 691-696 ◽  
Author(s):  
Timothy J. Yee ◽  
Brandon W. Smith ◽  
Jacob R. Joseph ◽  
Yamaan S. Saadeh ◽  
Jay K. Nathan ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Physical Function ◽  
Spine Surgery ◽  
Oswestry Disability Index ◽  
Short Form ◽  
Pearson Correlation ◽  
Pain Interference ◽  
Lumbar Spine Surgery ◽  
Time Points ◽  
Patient Reported

OBJECTIVEThe Oswestry Disability Index (ODI) is one of the most commonly used patient-reported outcome instruments, but completion of this 10-question survey can be cumbersome. Tools from the Patient-Reported Outcomes Measurement Information System (PROMIS) are an alternative, and potentially more efficient, means of assessing physical, mental, and social outcomes in spine surgery. Authors of this retrospective study assessed whether scores on the 4-item surveys of function and pain from the PROMIS initiative correlate with those on the ODI in lumbar spine surgery.METHODSPatients evaluated in the adult neurosurgery spine clinic at a single institution completed the ODI, PROMIS Short Form v2.0 Physical Function 4a (PROMIS PF), and PROMIS Short Form v1.0 Pain Interference 4a (PROMIS PI) at various time points in their care. Score data were retrospectively analyzed using linear regressions with calculation of the Pearson correlation coefficient.RESULTSThree hundred forty-three sets of surveys (ODI, PROMIS PF, and PROMIS PI) were obtained from patients across initial visits (n = 147), 3-month follow-ups (n = 107), 12-month follow-ups (n = 52), and 24-month follow-ups (n = 37). ODI scores strongly correlated with PROMIS PF t-scores at baseline (r = −0.72, p < 0.0001), 3 months (r = −0.79, p < 0.0001), 12 months (r = −0.85, p < 0.0001), and 24 months (r = −0.89, p < 0.0001). ODI scores also correlated strongly with PROMIS PI t-scores at baseline (r = 0.71, p < 0.0001), at 3 months (r = 0.82, p < 0.0001), at 12 months (r = 0.86, p < 0.0001), and at 24 months (r = 0.88, p < 0.0001). Changes in ODI scores moderately correlated with changes in PROMIS PF t-scores (r = −0.68, p = 0.0003) and changes in PROMIS PI t-scores (r = 0.57, p = 0.0047) at 3 months postoperatively.CONCLUSIONSA strong correlation was found between the ODI and the 4-item PROMIS PF/PI at isolated time points for patients undergoing lumbar spine surgery. Large cohort studies are needed to determine longitudinal accuracy and precision and to assess possible benefits of time savings and improved rates of survey completion.

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