Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity
Abstract Purpose The study aimed to assess the link between preoperative psychological distress and postoperative decisional regret in adult spinal deformity (ASD) surgery patients. We hypothesized that greater pre-surgery distress would correlate with higher post-surgery regret. This evaluation was...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-12-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-08126-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846137545931358208 |
|---|---|
| author | Jesse Shen Philip Louie Takeshi Fujii Caroline E. Drolet Aiyush Bansal Venu Nemani Jean-Christophe Leveque Rajiv Sethi |
| author_facet | Jesse Shen Philip Louie Takeshi Fujii Caroline E. Drolet Aiyush Bansal Venu Nemani Jean-Christophe Leveque Rajiv Sethi |
| author_sort | Jesse Shen |
| collection | DOAJ |
| description | Abstract Purpose The study aimed to assess the link between preoperative psychological distress and postoperative decisional regret in adult spinal deformity (ASD) surgery patients. We hypothesized that greater pre-surgery distress would correlate with higher post-surgery regret. This evaluation was based on a retrospective case series from an institution with standardized surgical guidelines for ASD. Methods This IRB-approved retrospective study analyzed our institution’s ASD database from 2014 to 2020. Eligible patients had a minimum two-year post-op follow-up and preoperative psychological distress assessment. Patients were grouped based on psychological distress levels: green, yellow, and yellow minus. Regret post-surgery was assessed using the Decision Regret Scale and SRS-22 Question 22. Logistic regression evaluated the impact of distress levels on regret, controlling for age and sex. Results Out of 167 eligible patients, 112 responded and were analyzed. No significant demographic differences were observed between responders and non-responders. Using the Decision Regret Scale, 41% expressed no regret, while 63% expressed no regret with the SRS-22 questionnaire’s Single-Item scale. Only the yellow minus group showed significant regret difference based on osteotomy, with non-recipients more likely to express regret. Conclusion This study found no significant link between psychological distress and post-operative regret in adult spinal deformity surgery after a minimum 2-year follow-up. Although nearly 60% exhibited some post-surgery regret, predicting regret based on psychological burden or demographics remains challenging. Further research is essential to identify factors contributing to post-operative regret in spinal deformity surgery patients. |
| format | Article |
| id | doaj-art-ec6033fa1e8647859d0448a8e5b2abf9 |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-ec6033fa1e8647859d0448a8e5b2abf92024-12-08T12:06:43ZengBMCBMC Musculoskeletal Disorders1471-24742024-12-012511610.1186/s12891-024-08126-1Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformityJesse Shen0Philip Louie1Takeshi Fujii2Caroline E. Drolet3Aiyush Bansal4Venu Nemani5Jean-Christophe Leveque6Rajiv Sethi7Faculty of Medicine, Department of Surgery, CHUM, University of MontrealDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Medical CenterDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Medical CenterDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Medical CenterDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Medical CenterDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Medical CenterDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Medical CenterDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Medical CenterAbstract Purpose The study aimed to assess the link between preoperative psychological distress and postoperative decisional regret in adult spinal deformity (ASD) surgery patients. We hypothesized that greater pre-surgery distress would correlate with higher post-surgery regret. This evaluation was based on a retrospective case series from an institution with standardized surgical guidelines for ASD. Methods This IRB-approved retrospective study analyzed our institution’s ASD database from 2014 to 2020. Eligible patients had a minimum two-year post-op follow-up and preoperative psychological distress assessment. Patients were grouped based on psychological distress levels: green, yellow, and yellow minus. Regret post-surgery was assessed using the Decision Regret Scale and SRS-22 Question 22. Logistic regression evaluated the impact of distress levels on regret, controlling for age and sex. Results Out of 167 eligible patients, 112 responded and were analyzed. No significant demographic differences were observed between responders and non-responders. Using the Decision Regret Scale, 41% expressed no regret, while 63% expressed no regret with the SRS-22 questionnaire’s Single-Item scale. Only the yellow minus group showed significant regret difference based on osteotomy, with non-recipients more likely to express regret. Conclusion This study found no significant link between psychological distress and post-operative regret in adult spinal deformity surgery after a minimum 2-year follow-up. Although nearly 60% exhibited some post-surgery regret, predicting regret based on psychological burden or demographics remains challenging. Further research is essential to identify factors contributing to post-operative regret in spinal deformity surgery patients.https://doi.org/10.1186/s12891-024-08126-1Psychological regretDecisional regretAdult spinal deformitySRS-22 |
| spellingShingle | Jesse Shen Philip Louie Takeshi Fujii Caroline E. Drolet Aiyush Bansal Venu Nemani Jean-Christophe Leveque Rajiv Sethi Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity BMC Musculoskeletal Disorders Psychological regret Decisional regret Adult spinal deformity SRS-22 |
| title | Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity |
| title_full | Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity |
| title_fullStr | Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity |
| title_full_unstemmed | Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity |
| title_short | Psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity |
| title_sort | psychological distress does not predict decisional regret in patients undergoing spinal reconstruction for adult spinal deformity |
| topic | Psychological regret Decisional regret Adult spinal deformity SRS-22 |
| url | https://doi.org/10.1186/s12891-024-08126-1 |
| work_keys_str_mv | AT jesseshen psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity AT philiplouie psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity AT takeshifujii psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity AT carolineedrolet psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity AT aiyushbansal psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity AT venunemani psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity AT jeanchristopheleveque psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity AT rajivsethi psychologicaldistressdoesnotpredictdecisionalregretinpatientsundergoingspinalreconstructionforadultspinaldeformity |