Evidence map›Paper›PMID 38868782›Full record

ArticleSpine surgery and related research2024

Predictors of Patient Dissatisfaction after Lumbar Spinal Canal Stenosis Surgery: A Multicenter Retrospective Study.

Yukio Nakajima, Sota Nagai, Takehiro Michikawa, Kurenai Hachiya, Kei Ito, Hiroki Takeda, Soya Kawabata, Atsushi Yoshioka, Daiki Ikeda, Shinjiro Kaneko and 2 more

Abstract read
In one paragraph

Article in Spine surgery and related research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Clinical and biomechanical biomarkers of altered functional transitions in lumbar spinal stenosis with neurogenic claudication.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yukio NakajimaDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.
Sota NagaiDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.
Takehiro MichikawaDepartment of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan.
Kurenai HachiyaDepartment of Orthopaedic Surgery, Hachiya Orthopaedic Hospital, Nagoya, Japan.
Kei ItoDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.
Hiroki TakedaDepartment of Spine and Spinal Cord Surgery, Fujita Health University, Toyoake, Japan.
Soya KawabataDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.
Atsushi YoshiokaDepartment of Orthopaedic Surgery, Hachiya Orthopaedic Hospital, Nagoya, Japan.
Daiki IkedaDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.
Shinjiro KanekoDepartment of Spine and Spinal Cord Surgery, Fujita Health University, Toyoake, Japan.
Yudo HachiyaDepartment of Orthopaedic Surgery, Hachiya Orthopaedic Hospital, Nagoya, Japan.
Nobuyuki FujitaDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Toyoake, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Recently, patient satisfaction has gained prominence as a crucial measure for ensuring patient-centered care. Furthermore, patient satisfaction after lumbar spinal canal stenosis (LCS) surgery is an important metric for physician's decision of surgical indication and informed consent to patient. This study aimed to elucidate how patient satisfaction changed after LCS surgery to identify factors that predict patient dissatisfaction. Methods: We retrospectively reviewed time-course data of patients aged ≥40 years who underwent LCS surgery at multiple hospitals. The participants completed the Zurich Claudication Questionnaire (ZCQ) and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) before surgery and then 6 months and 1 year postsurgery. Patient satisfaction was categorized according to the postoperative score of the satisfaction domain of the ZCQ: satisfied, score ≤2.0; moderately satisfied, 2.0< score ≤2.5; and dissatisfied, score >2.5. Results: The study enrolled 241 patients. Our data indicated a satisfaction rate of around 70% at 6 months and then again 1 year after LCS surgery. Among those who were dissatisfied 6 months after LCS surgery, 47.6% were more satisfied 1 year postsurgery. Furthermore, 86.2% of those who were satisfied 6 months after LCS surgery remained satisfied at 1 year. Multivariable analysis revealed that age (relative risk, 0.5; 95% confidence interval, 0.2-0.8) and preoperative score of psychological disorders on the JOABPEQ (relative risk, 0.2; 95% confidence interval, 0.03-0.08) were significantly associated with LCS surgery dissatisfaction. In addition, the receiver operating characteristic curve analysis revealed that the cutoff value for the preoperative score of psychological disorder of the JOABPEQ was estimated at 40 for LCS surgery dissatisfaction. Conclusions: Age and psychological disorders were identified as significant predictors of dissatisfaction, with a JOABPEQ cutoff value providing potential clinical applicability.

Indexed as

Japanese Orthopaedic Association Back Pain Evaluation Questionnairelumbar spinal canal stenosispatient satisfactionsurgeryZurich Claudication Questionnaire

Identifiers

PMID38868782
PMCPMC11165491

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