Objectives: The aims of this study are to answer the following questions (1) How does the pain intensity of lumbar and cervical disc surgery patients change within a postoperative time frame of 5 years? (2) Which sociodemographic, medical, work-related, and psychological factors are associated with postoperative pain in lumbar and cervical disc surgery patients? Methods: The baseline survey (T0; n = 534) was conducted 3.6 days (SD 2.48) post-surgery in the form of face-to-face interviews. The follow-up interviews were conducted 3 months (T1; n = 486 patients), 9 months (T2; n = 457), 15 months (T3; n = 438), and 5 years (T4; n = 404) post-surgery. Pain intensity was measured on a numeric rating-scale (NRS 0–100). Estimated changes to and influences on postoperative pain by random effects were accounted by regression models. Results: Average pain decreased continuously over time in patients with lumbar herniated disc (Wald Chi² = 25.97, p<0.001). In patients with cervical herniated disc a reduction of pain was observed, albeit not significant (Chi² = 7.02, p = 0.135). Two predictors were associated with postoperative pain in lumbar and cervical disc surgery patients: the subjective prognosis of gainful employment (p<0.001) and depression (p<0.001). Conclusion: In the majority of disc surgery patients, a long-term reduction of pain was observed. Cervical surgery patients seemed to benefit less from surgery than the lumbar surgery patients. A negative subjective prognosis of gainful employment and stronger depressive symptoms were associated with postoperative pain. The findings may promote multimodal rehabilitation concepts including psychological and work-related support.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa:de:qucosa:14815 |
| Date | January 2016 |
| Creators | Dorow, Marie, Löbner, Margrit, Stein, Janine, Pabst, Alexander, Konnopka, Alexander, Meisel, Hans J., Günther, Lutz, Meixensberger, Jürgen, Stengler, Katarina, Riedel-Heller, Steffi G. |
| Contributors | Universität Leipzig, Universität Hamburg, Berufsgenossenschaftliche Kliniken Bergmannstrost, Klinikum St. Georg |
| Publisher | Public Library of Science |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | doc-type:article, info:eu-repo/semantics/article, doc-type:Text |
| Source | PLoS ONE 11(5): e0156647. doi:10.1371/journal. pone.0156647 |
| Rights | info:eu-repo/semantics/openAccess |
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