Failure Rate of Spine Surgeons in Preoperative Clinical Screening of Severe Psychological Disorders
Clinics in Orthopedic Surgery
;
: 164-167, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-138583
ABSTRACT
BACKGROUND:
The surgeon's attention to the patient's underlying psychological state is essential to attaining desired outcomes. We aimed to investigate the prevalence and severity of psychological disorders in patients undergoing elective spine surgery.METHODS:
In this case-control study, associated psychological disorders were assessed using the Hospital Anxiety and Depression Scale (HADS) questionnaire at a single academic spine surgery center from August 2013 to June 2015. The case group consisted of 68 adult patients (mean age, 38.2 ± 9.6 years; malefemale = 4127) undergoing elective spine surgery and the control group included 69 healthy visitors of the orthopedic patients (mean age, 37.1 ± 6.9 years; malefemale = 4029) who voluntarily participated in the study. The 2 groups were compared for statistical analysis and a p-value < 5% was considered significance.RESULTS:
There was no statistically significant intergroup difference with regard to gender and age. The incidences of abnormal anxiety and depression were the same in the case group (14 patients, 20.6%). The values were 3 (4.3%) and 5 (7.2%), respectively, in the control group, showing statistically significant difference. Any association between the severity of depression and age or sex could not be identified.CONCLUSIONS:
In spite of spine surgeons' attempts to screen severe psychological disorders preoperatively, up to 21% of which cannot be diagnosed prior to elective spine surgery. Therefore, we believe the use of a questionnaire would be helpful in assessing patients' underlying psychological state before elective spine surgery.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Ansiedad
/
Ortopedia
/
Columna Vertebral
/
Estudios de Casos y Controles
/
Tamizaje Masivo
/
Incidencia
/
Prevalencia
/
Depresión
Tipo de estudio:
Estudio diagnóstico
/
Estudio de incidencia
/
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
/
Estudio de tamizaje
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Clinics in Orthopedic Surgery
Año:
2016
Tipo del documento:
Artículo
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