Evidence map›Paper›PMID 39267017›Full record

ArticleBMC musculoskeletal disorders2024

Patient lived experiences of functioning and disability following lumbar discectomy: a secondary analysis of qualitative data.

Jai Mistry, Louise White, Karl Baraks, Chris Davis, Pulak Parikh, Siobhan Schabrun, Nicola Heneghan, Tim Noblet, David Walton, Alison Rushton

Abstract read
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In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Jai MistrySchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
Louise WhiteQueen Elizabeth Hospital Birmingham, Physiotherapy, Birmingham, UK.
Karl BaraksPhysiotherapy Department, Sandwell and West Birmingham Hospitals Trust, Birmingham, UK.
Chris DavisSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
Pulak ParikhSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
Siobhan SchabrunSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
Nicola HeneghanCentre of Precision Rehabilitation for Spinal Pain, University of Birmingham, Birmingham, UK. N.Heneghan@bham.ac.uk.
Tim NobletSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
David WaltonSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.
Alison RushtonSchool of Physical Therapy, Faculty of Health Sciences, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnowledge of patient lived experiences of functioning and disability is limited. This study aims to address the gap in the literature by exploring patient lived experiences of functioning and disability following lumbar discectomy.

methodA secondary analysis, reported in line with the Standards for Reporting Qualitative Research, was conducted of qualitative data exploring patient journeys following lumbar discectomy surgery (DiscJourn). Adult patients (≥ 16 years) undergoing elective or emergency primary lumbar discectomy were recruited from one National Health Service secondary care centre in the UK. Semi-structured interviews were conducted at 1-3 weeks and 1-year post surgery. Participants who completed both semi-structured interviews were eligible for the secondary analysis. Transcripts from the semi-structured interviews were analysed using interpretative phenomenological analysis (IPA). IPA involved two independent reviewers identifying themes for individual data sets followed by an iterative process involving the wider research team to identify overarching themes that represented the whole date set. Subthemes generated from the IPA were mapped against the International Classification of Functioning, Disability and Health (ICF) framework at the level of chapters, in order to ascertain the ICF's utility in capturing experiences of functioning and disability. Strategies to enhance trustworthiness of data analysis included blind coding, peer examination and debrief, declaration of pre-conceived beliefs and active reflexivity throughout the study.

resultsNine participants met the eligibility criteria and their interview transcripts were analysed. Patient lived experiences of functioning and disability were captured by three overarching themes: Immediate impact following surgery, Multiple roads to recovery over 1 year, and Functioning influenced by personal loci of control. Each theme consisted of three subthemes which were subsequently mapped onto the ICF. Three subthemes mapped to the ICF's body component, 1 to activity and participation and 3 to environment. Two subthemes themes did not map onto the ICF.

conclusionFindings provide valuable insights into patient experiences of functioning and disability following lumbar discectomy. Convergence in experiences of functioning and disability were identified immediately following surgery. Divergence in such experiences were identified with regards to the roads to recovery over 1 year and the individuals' locus of control. Findings build on the body of literature exploring patients functioning and disability following discectomy and make recommendations for future research and clinical practice.

Indexed as

DiskectomyLumbar VertebraeQualitative ResearchAdultDisability EvaluationFemaleHumansInterviews as TopicMaleMiddle AgedPersons with DisabilitiesDisabilityExperienceFunctioningLumbar discectomyPatient

Identifiers

PMID39267017
PMCPMC11395569

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.