• World Neurosurg · Oct 2019

    Multicenter Study

    Patient Demographic and Surgical Factors Which Affect Completion of Patient-Reported Outcomes (PROs) 90 Days and 1 Year After Spine Surgery: Analysis from the Michigan Spine Surgery Improvement Collaborative (MSSIC).

    • Hesham Mostafa Zakaria, Tarek Mansour, Edvin Telemi, Shujie Xiao, Michael Bazydlo, Lonni Schultz, David Nerenz, Miguelangelo Perez-Cruet, Donald Seyfried, Ilyas S Aleem, Richard Easton, Jason M Schwalb, Muwaffak Abdulhak, and Victor Chang.
    • Department of Neurosurgery, Henry Ford Hospital, Detroit, Michigan, USA.
    • World Neurosurg. 2019 Oct 1; 130: e259-e271.

    BackgroundThe Michigan Spine Surgery Improvement Collaborative is a statewide multicenter quality improvement registry. Because missing data can affect registry results, we used MSSIC to find demographic and surgical characteristics that affect the completion of patient-reported outcomes (PROs) at 90 days and 1 year.MethodsA total of 24,404 patients who had lumbar surgery (17,813 patients) or cervical surgery (6591 patients) were included. Multivariate logistic regression models of patient disease were constructed to identify risk factors for failure to complete scheduled PRO surveys.ResultsPatients ≥65 years old and female patients were both more likely to respond at 90 days and 1 year. Increasing education was associated with greater response rate at 90 days and 1 year. Whites and African Americans had no differences in response rates. Calling provided the highest response rate at 90 days and 1 year. For cervical spine patients, only discharge to rehabilitation increased completion rates, at 90 days but not 1 year. For lumbar spine patients, spondylolisthesis or stenosis (vs. herniated disc) had a greater response rate at 1 year. Patients with leg (vs. back) pain had a greater response only at 1 year. Patients with multilevel surgery had an increased response at 1 year. Patients who underwent fusion were more likely to respond at 90 days, but not 1 year. Discharge to rehabilitation increased response at 90 days and 1 year.ConclusionsA multivariate analysis from a multicenter prospective database identified surgical factors that affect PRO follow-up, up to 1 year. This information can be helpful for imputing missing PRO data and could be used to strengthen data derived from large prospective databases.Copyright © 2019 Elsevier Inc. All rights reserved.

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