Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study

Introduction: The Quality of Recovery (QoR-15) score evaluates patient's recovery after surgery and anesthesia. There is a lack of studies focusing on the patients' quality of recovery in the early post-discharge phase after elective lumbar spine surgery. Research question: We aimed to ide...

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Main Authors: Marianne Dyrby Lorenzen, Casper Friis Pedersen, Leah Y. Carreon, Jane Clemensen, Mikkel O. Andersen
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Brain and Spine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772529424000237
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author Marianne Dyrby Lorenzen
Casper Friis Pedersen
Leah Y. Carreon
Jane Clemensen
Mikkel O. Andersen
author_facet Marianne Dyrby Lorenzen
Casper Friis Pedersen
Leah Y. Carreon
Jane Clemensen
Mikkel O. Andersen
author_sort Marianne Dyrby Lorenzen
collection DOAJ
description Introduction: The Quality of Recovery (QoR-15) score evaluates patient's recovery after surgery and anesthesia. There is a lack of studies focusing on the patients' quality of recovery in the early post-discharge phase after elective lumbar spine surgery. Research question: We aimed to identify the QoR-15 score in patients who underwent surgery for degenerative low back conditions. Furthermore, we aimed to identify the individual items of the QoR-15 that are crucial for the patients’ quality of recovery. Material and methods: The study was conducted at a spine center in Denmark from December 2021 to September 2022. Data were collected, using a mobile health application, preoperatively and at 3 time points after hospital discharge. Descriptive analysis followed by within-subjects longitudinal repeated measures was conducted. The individual items of the QoR-15 score were explored using a heatmap. Results: Data from 46 patients were analysed. The mean QoR-15 sum score at baseline was 105.4 ± 18.3. The mean QoR-15 sum scores were 108.1 ± 19.2 on post-discharge day 1, 118.5 ± 17.4 on day 7, and 120.7 ± 20.9 on day 14. The mean QoR-15 score from day 1 to day 7 improved significantly. Eight of the 15 items influenced the overall QoR-15 score. Discussion and conclusion: This study applied the QoR-15 score in lumbar spine surgery patients. We identified specific items from the QoR-15 scale that are crucial to improving patients’ recovery after hospital discharge. Further research is needed to identify specific needs in the post-discharge period in this group of patients.
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spelling doaj-art-9b34f64a3d62416ba1872dde8bb4fcb12024-12-15T06:18:12ZengElsevierBrain and Spine2772-52942024-01-014102767Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational studyMarianne Dyrby Lorenzen0Casper Friis Pedersen1Leah Y. Carreon2Jane Clemensen3Mikkel O. Andersen4Center for Spine Surgery and Research, Region of Southern Denmark, Oestre Hougvej 55, DK-5500, Middelfart, Denmark; Institute of Regional Health Research, University of Southern Denmark, Winsloewsparken 19, 3, DK-5000, Odense, Denmark; Corresponding author. Center for Spine Surgery and Research, Region of Southern Denmark, Oestre Hougvej 55, DK-5500, Middelfart, Denmark.Center for Spine Surgery and Research, Region of Southern Denmark, Oestre Hougvej 55, DK-5500, Middelfart, DenmarkCenter for Spine Surgery and Research, Region of Southern Denmark, Oestre Hougvej 55, DK-5500, Middelfart, Denmark; Institute of Regional Health Research, University of Southern Denmark, Winsloewsparken 19, 3, DK-5000, Odense, DenmarkInstitute of Regional Health Research, University of Southern Denmark, Winsloewsparken 19, 3, DK-5000, Odense, Denmark; Hans Christian Andersen Children's Hospital, Odense University Hospital, Region of Southern Denmark, DK-5000, Odense, Denmark; Centre for Innovative Medical Technology, Odense University Hospital, Region of Southern Denmark, DK-5000, Odense, Denmark; Centre of Compassion in Healthcare, Clinical Institute/Institute for Regional Health Research, University of Southern Denmark, DK-5000, Odense, DenmarkCenter for Spine Surgery and Research, Region of Southern Denmark, Oestre Hougvej 55, DK-5500, Middelfart, Denmark; Institute of Regional Health Research, University of Southern Denmark, Winsloewsparken 19, 3, DK-5000, Odense, DenmarkIntroduction: The Quality of Recovery (QoR-15) score evaluates patient's recovery after surgery and anesthesia. There is a lack of studies focusing on the patients' quality of recovery in the early post-discharge phase after elective lumbar spine surgery. Research question: We aimed to identify the QoR-15 score in patients who underwent surgery for degenerative low back conditions. Furthermore, we aimed to identify the individual items of the QoR-15 that are crucial for the patients’ quality of recovery. Material and methods: The study was conducted at a spine center in Denmark from December 2021 to September 2022. Data were collected, using a mobile health application, preoperatively and at 3 time points after hospital discharge. Descriptive analysis followed by within-subjects longitudinal repeated measures was conducted. The individual items of the QoR-15 score were explored using a heatmap. Results: Data from 46 patients were analysed. The mean QoR-15 sum score at baseline was 105.4 ± 18.3. The mean QoR-15 sum scores were 108.1 ± 19.2 on post-discharge day 1, 118.5 ± 17.4 on day 7, and 120.7 ± 20.9 on day 14. The mean QoR-15 score from day 1 to day 7 improved significantly. Eight of the 15 items influenced the overall QoR-15 score. Discussion and conclusion: This study applied the QoR-15 score in lumbar spine surgery patients. We identified specific items from the QoR-15 scale that are crucial to improving patients’ recovery after hospital discharge. Further research is needed to identify specific needs in the post-discharge period in this group of patients.http://www.sciencedirect.com/science/article/pii/S2772529424000237Lumbar degenerative surgeryPatient-reported outcome measuresQuality of recoveryMobile health applicationPost-discharge recovery
spellingShingle Marianne Dyrby Lorenzen
Casper Friis Pedersen
Leah Y. Carreon
Jane Clemensen
Mikkel O. Andersen
Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study
Brain and Spine
Lumbar degenerative surgery
Patient-reported outcome measures
Quality of recovery
Mobile health application
Post-discharge recovery
title Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study
title_full Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study
title_fullStr Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study
title_full_unstemmed Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study
title_short Measuring quality of recovery (QoR-15) after degenerative spinal surgery: A prospective observational study
title_sort measuring quality of recovery qor 15 after degenerative spinal surgery a prospective observational study
topic Lumbar degenerative surgery
Patient-reported outcome measures
Quality of recovery
Mobile health application
Post-discharge recovery
url http://www.sciencedirect.com/science/article/pii/S2772529424000237
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