Observational studyBMJ open2023
Associations between future health expectations and patient satisfaction after lumbar spine surgery: a longitudinal observational study of 9929 lumbar spine surgery procedures.
Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
3 citing papers in PubMed, 1 citations in OpenAlex.
- Preoperative patient expectations and postoperative satisfaction following singlelevel unilateral biportal endoscopic lumbar discectomy: Are higher expectations associated with lower satisfaction?Acta orthopaedica et traumatologica turcica · 2026Article
- Is pain relief enough? Early response discordance after lumbar decompressive surgery: a prospective cohort study.BMC musculoskeletal disorders · 2026Observational
- Patient-reported outcome measure completion in lumbar spine surgery: Rates and determinants in a multicenter registry.Brain & spine · 2026Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to investigate the associations between general health expectations and patient satisfaction with treatment for the two common spine surgery procedures diskectomy for lumbar disk herniation (LDH) and decompression for lumbar spinal stenosis (LSS).
designRegister study with prospectively collected preoperative and 1-year postoperative data.
settingNational outcome data from Swespine, the national Swedish spine register.
participantsA total of 9929 patients, aged between 20 and 85 years, who were self-reported non-smokers, and were operated between 2007 and 2016 for one-level LSS without degenerative spondylolisthesis, or one-level LDH, were identified in the national Swedish spine register (Swespine). We used SF-36 items 11c and 11d to assess future health expectations and present health perceptions. Satisfaction with treatment was assessed using the Swespine satisfaction item.
interventionsOne-level diskectomy for LDH or one-level decompression for LSS. PRIMARY OUTCOME MEASURES: Satisfaction with treatment.
resultsFor LSS, the year 1 satisfaction ratio among patients with negative future health expectations preoperatively was 60% (95% CI 58% to 63%), while it was 75% (95% CI 73% to 76%) for patients with positive future health expectations preoperatively. The corresponding numbers for LDH were 73% (95% CI 71% to 75%) and 84% (95% CI 83% to 85%), respectively.
conclusionsPatients operated for the common lumbar spine diseases LSS or LDH, with negative future general health expectations, were significantly less satisfied with treatment than patients with positive expectations with regard to future general health. These findings are important for patients, and for the surgeons who counsel them, when surgery is a treatment option for LSS or LDH.
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Registered trials
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