Postoperative Satisfaction Following Lumbar Spinal Fusion Surgery: Patient Expectation versus Actuality Nathaniel W. Jenkins, MS 1 ; James M. Parrish, MPH 1 ; Nadia Hrynewycz, BS 1 ; Thomas Brundage, BS 1 ; Joon Yoo, BA 1 ; Kern Singh 1,2 1 Department of Orthopaedic Surgery, Rush University Medical Center 2 Professor, Co-Director of the Minimally Invasive Spine Institute at Rush University Medical Center; Founder and President, Minimally Invasive Spine Study Group
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Postoperative Satisfaction Following Lumbar Spinal Fusion Surgery: Patient Expectation versus Actuality
Nathaniel W. Jenkins, MS1; James M. Parrish, MPH1; Nadia Hrynewycz, BS1; Thomas Brundage, BS1; Joon Yoo, BA1; Kern Singh1,2
1Department of Orthopaedic Surgery, Rush University Medical Center2Professor, Co-Director of the Minimally Invasive Spine Institute at Rush University Medical Center;
Founder and President, Minimally Invasive Spine Study Group
DisclosuresNathaniel W. Jenkins, MS; James M. Parrish, MPH; Nadia Hrynewycz, BS; Thomas Brundage, BS; Joon Yoo, BA Nothing to disclose
Kern Singh, MD
• Royalties – Zimmer Biomet, Stryker K2M, RTI Surgical, Lippincott Williams and Wilkins, Thieme, Jaypee Publishing, Slack Publishing
INCREASES from preoperative state displayed compared to:● expectation● actuality
DECREASES from expectation compared to:● actuality
Results - Comparison of PROs
INCREASES in nearly all metrics from preoperative state compared to:● expectation● actuality
Expectations were MET with ODI pain, personal care, lifting, walkingExpectations were greater than post-op state with other metrics
Results - Comparison of PROs
Results - Comparison of PROs
Results - Comparison of PROs
Discussion● Most important indicator:
○ actual outcome itself
● Not so much:○ preoperative expectation or the degree to which
the expected result was met
● Strong Correlations:○ Actual postoperative state & patient satisfaction
● No Strong Correlations for PROs w/satisfaction and:○ Expectation ○ Expectation-actuality discrepancy○ Postoperative improvement
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