HCPLive Network

Wait Time to Lumbar Discectomy Linked to Post-Op Pain

TUESDAY, Jan. 21, 2014 (HealthDay News) -- The likelihood of experiencing worse pain at six months post-surgery is increased with a waiting time of 12 weeks or more for elective surgical lumbar discectomy (ESLD), according to a study published in the Dec. 1 issue of The Spine Journal.

Jeffrey A. Quon, D.C., Ph.D., from the University of British Columbia in Vancouver, Canada, and colleagues assessed whether a system-imposed delay in treatment (a longer waiting time) for ESLD correlates with residual postoperative pain in a cohort of 291 patients, aged 16 years or older with advanced imaging-confirmed sciatica because of herniated lumbar disc, but excluding those with significant comorbidity or emergency indications for surgery. Pain intensity was assessed on the 11-point numerical rating scale at waitlist enrollment and six months postoperatively.

The researchers found that at six months, long-wait patients were 80 percent more likely than short-wait patients to experience higher ordinal pain intensity in unadjusted analyses (unadjusted proportional odds ratio [POR], 1.8). After controlling for all imbalances in measured confounders the association persisted, with long-wait patients 70 percent more likely to report worse pain (adjusted POR, 1.7).

"In jurisdictions where highly constrained access to ESLD is managed through waitlists, the expected waiting time for the operation could be an informative deciding criterion for patients with otherwise unresolved preferences for operative treatment," the authors write.

Several authors disclosed financial ties to the medical device industry.

Abstract


Full Text (subscription or payment may be required)


Copyright © 2014 HealthDay. All rights reserved.



Further Reading
In what could be New York City’s first case of Ebola, a doctor identified by the NY Post as Craig Spencer, 33, MD an emergency medicine physician at New York Hospital/Columbia-Presbyterian was rushed to a special Ebola unit at city-run Bellevue Hospital Center in Manhattan. Spencer returned 10 days ago from a stint as a volunteer with Doctors without Borders, caring for Ebola victims in Guinea, one of three West African nations with major outbreaks.
Patients diagnosed with diabetic retinopathy may be able to get a sense of how their condition has progressed without having to leave the comfort of their own home.
Monika Fischer, MD, talks about focusing research on patients with more severe IBD symptoms at 2014 ACG Annual Scientific Meeting in Philadelphia, PA.
Monika Fischer, MD, discusses the outcomes of a study assessing fecal microbiota transplantation for c. difficile infection at the 2014 ACG Annual Scientific Meeting in Philadelphia, PA.
Over the last decade, mortality rates for patients undergoing surgical repair for aortic dissection have improved, according to a study published online Oct. 21 in Circulation: Cardiovascular Quality and Outcomes.
A collaborative effort from researchers at the University of Pennsylvania and University of Florida has yielded plant leaves as a viable treatment for pulmonary hypertension.
Among Latinos, a Native American heritage was linked to a lower rate of asthma development, while an African lineage resulted in an increased asthma risk, researchers at University of California San Francisco found.
More Reading