Patients with cervical disease may have high levels of preoperative psychological distress
By Admin | October 03, 2021
Results showed an overall higher level of psychological distress at baseline among patients undergoing surgery for cervical degenerative disease compared with historical controls of lumbar patients.
In a subset analysis of a prospective, double-blind, randomized controlled trial, Shaleen Vira, MD, and colleagues screened 47 patients undergoing surgical treatment for primary cervical degenerative disease for psychological distress using the fear-avoidance beliefs questionnaire (FABQ) and the pain catastrophizing scale (PCS). At baseline, researchers assessed patient outcome expectation, neck disability index (NDI) and EuroQOL-5D.
“Patients were stratified by psychological burden severity as previously published,” Vira said in his presentation at the North American Spine Society Annual Meeting. “Cutoffs and statistics were used to assess a relationship between baseline psychological distress and severity of disability by NDI.”
Vira noted 57.1% of patients had severe FABQ and 40% had severe PCS scores. Patients with cervical degenerative disease had greater levels of psychological distress by PCS scores and FABQ compared with...(More)
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