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The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study

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The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study. / Dorow, Marie; Löbner, Margrit; Stein, Janine; Pabst, Alexander; Konnopka, Alexander; Meisel, Hans J; Günther, Lutz; Meixensberger, Jürgen; Stengler, Katarina; König, Hans-Helmut; Riedel-Heller, Steffi G.

in: PLOS ONE, Jahrgang 11, Nr. 5, 31.05.2016, S. e0156647.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Dorow, M, Löbner, M, Stein, J, Pabst, A, Konnopka, A, Meisel, HJ, Günther, L, Meixensberger, J, Stengler, K, König, H-H & Riedel-Heller, SG 2016, 'The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study', PLOS ONE, Jg. 11, Nr. 5, S. e0156647. https://doi.org/10.1371/journal.pone.0156647

APA

Dorow, M., Löbner, M., Stein, J., Pabst, A., Konnopka, A., Meisel, H. J., Günther, L., Meixensberger, J., Stengler, K., König, H-H., & Riedel-Heller, S. G. (2016). The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study. PLOS ONE, 11(5), e0156647. https://doi.org/10.1371/journal.pone.0156647

Vancouver

Dorow M, Löbner M, Stein J, Pabst A, Konnopka A, Meisel HJ et al. The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study. PLOS ONE. 2016 Mai 31;11(5):e0156647. https://doi.org/10.1371/journal.pone.0156647

Bibtex

@article{cc921d8244264a2491f42e90bd0d6909,
title = "The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study",
abstract = "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.",
author = "Marie Dorow and Margrit L{\"o}bner and Janine Stein and Alexander Pabst and Alexander Konnopka and Meisel, {Hans J} and Lutz G{\"u}nther and J{\"u}rgen Meixensberger and Katarina Stengler and Hans-Helmut K{\"o}nig and Riedel-Heller, {Steffi G}",
year = "2016",
month = may,
day = "31",
doi = "10.1371/journal.pone.0156647",
language = "English",
volume = "11",
pages = "e0156647",
journal = "PLOS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "5",

}

RIS

TY - JOUR

T1 - The Course of Pain Intensity in Patients Undergoing Herniated Disc Surgery: A 5-Year Longitudinal Observational Study

AU - Dorow, Marie

AU - Löbner, Margrit

AU - Stein, Janine

AU - Pabst, Alexander

AU - Konnopka, Alexander

AU - Meisel, Hans J

AU - Günther, Lutz

AU - Meixensberger, Jürgen

AU - Stengler, Katarina

AU - König, Hans-Helmut

AU - Riedel-Heller, Steffi G

PY - 2016/5/31

Y1 - 2016/5/31

N2 - 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.

AB - 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.

U2 - 10.1371/journal.pone.0156647

DO - 10.1371/journal.pone.0156647

M3 - SCORING: Journal article

C2 - 27243810

VL - 11

SP - e0156647

JO - PLOS ONE

JF - PLOS ONE

SN - 1932-6203

IS - 5

ER -