Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Psychopathological Influences on Surgical and Clinical Outcomes in Lumbar Disk Herniation: Prediction Models and Literature Analysis

G. Galieri, V. Orlando, E. Mazzucchi, F. Pignotti, D. Cusumano, P. Bazzu, S. Mantini, R. Altieri, M. Barbarisi, A. Olivi, G. Sabatino, G. La Rocca

. 2025 ; 15 (2) : . [pub] 20250126

Status neindexováno Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc25008563

Background/Objectives: Lumbar disk herniation (LDH) significantly affects quality of life due to lower back and radiating leg pain. Surgical intervention, such as discectomy, is effective for symptom relief when conservative measures fail; however, psychological factors like anxiety, depression, and maladaptive coping strategies may negatively impact surgical outcomes. This study aims to assess the role of preoperative psychological evaluations in predicting postoperative recovery and to identify key psychological and functional predictors of surgical success. Methods: A prospective study was conducted on 888 patients undergoing microdiscectomy for LDH at Mater Olbia Hospital between December 2020 and December 2023. Preoperative evaluations included the Visual Analog Scale, Symptom Checklist 90-R, Oswestry Disability Index, and Short Form 36. Logistic regression models and ROC curve analysis were used to identify significant predictors of outcomes and evaluate model accuracy. Results: Preoperative pain levels and emotional well-being emerged as the strongest determinants of postoperative improvement in the Oswestry Disability Index. The predictive model demonstrated high specificity (90.2%) in identifying patients likely to benefit from surgery. Clinically significant improvements were achieved by 69% of patients, highlighting the importance of psychological and functional assessments. Conclusions: Preoperative psychological assessment is critical in predicting outcomes of lumbar disk herniation surgery. Addressing psychological factors preoperatively enhances recovery, supports personalized treatment planning, and improves patient education. These findings advocate for an integrated care model that considers both physical and psychological health, optimizing surgical outcomes and patient satisfaction.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc25008563
003      
CZ-PrNML
005      
20250422095738.0
007      
ta
008      
250408s2025 sz f 000 0|eng||
009      
AR
024    7_
$a 10.3390/jpm15020048 $2 doi
035    __
$a (PubMed)39997325
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a sz
100    1_
$a Galieri, Gianluca $u Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, 00168 Rome, Italy $u Neurosurgical Training Center and Brain Research, Mater Olbia Hospital, 07026 Olbia, Italy $1 https://orcid.org/0000000174446177
245    10
$a Psychopathological Influences on Surgical and Clinical Outcomes in Lumbar Disk Herniation: Prediction Models and Literature Analysis / $c G. Galieri, V. Orlando, E. Mazzucchi, F. Pignotti, D. Cusumano, P. Bazzu, S. Mantini, R. Altieri, M. Barbarisi, A. Olivi, G. Sabatino, G. La Rocca
520    9_
$a Background/Objectives: Lumbar disk herniation (LDH) significantly affects quality of life due to lower back and radiating leg pain. Surgical intervention, such as discectomy, is effective for symptom relief when conservative measures fail; however, psychological factors like anxiety, depression, and maladaptive coping strategies may negatively impact surgical outcomes. This study aims to assess the role of preoperative psychological evaluations in predicting postoperative recovery and to identify key psychological and functional predictors of surgical success. Methods: A prospective study was conducted on 888 patients undergoing microdiscectomy for LDH at Mater Olbia Hospital between December 2020 and December 2023. Preoperative evaluations included the Visual Analog Scale, Symptom Checklist 90-R, Oswestry Disability Index, and Short Form 36. Logistic regression models and ROC curve analysis were used to identify significant predictors of outcomes and evaluate model accuracy. Results: Preoperative pain levels and emotional well-being emerged as the strongest determinants of postoperative improvement in the Oswestry Disability Index. The predictive model demonstrated high specificity (90.2%) in identifying patients likely to benefit from surgery. Clinically significant improvements were achieved by 69% of patients, highlighting the importance of psychological and functional assessments. Conclusions: Preoperative psychological assessment is critical in predicting outcomes of lumbar disk herniation surgery. Addressing psychological factors preoperatively enhances recovery, supports personalized treatment planning, and improves patient education. These findings advocate for an integrated care model that considers both physical and psychological health, optimizing surgical outcomes and patient satisfaction.
590    __
$a NEINDEXOVÁNO
655    _2
$a časopisecké články $7 D016428
700    1_
$a Orlando, Vittorio $u Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, 00168 Rome, Italy
700    1_
$a Mazzucchi, Edoardo $u Neurosurgical Training Center and Brain Research, Mater Olbia Hospital, 07026 Olbia, Italy $u Department of Neurosurgery, IRCCS Regina Elena National Cancer Institute, 00144 Rome, Italy $1 https://orcid.org/0000000194690791
700    1_
$a Pignotti, Fabrizio $u Neurosurgical Training Center and Brain Research, Mater Olbia Hospital, 07026 Olbia, Italy $u Department of Neurosurgery, Mater Olbia Hospital, 07026 Olbia, Italy
700    1_
$a Cusumano, Davide $u Unit of Medical Physics, Mater Olbia Hospital, 07026 Olbia, Italy
700    1_
$a Bazzu, Paola $u Clinical Psychology Service, Mater Olbia Hospital, 07026 Olbia, Italy $1 https://orcid.org/0000000230173493
700    1_
$a Mantini, Sofia $u Multidisciplinary Department, Charles University Faculty of Medicine in Pilsen, 323 00 Plzeň, Czech Republic
700    1_
$a Altieri, Roberto $u Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", 81100 Caserta, Italy
700    1_
$a Barbarisi, Manlio $u Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania "Luigi Vanvitelli", 81100 Caserta, Italy $1 https://orcid.org/0000000281616995
700    1_
$a Olivi, Alessandro $u Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, 00168 Rome, Italy
700    1_
$a Sabatino, Giovanni $u Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, 00168 Rome, Italy $u Neurosurgical Training Center and Brain Research, Mater Olbia Hospital, 07026 Olbia, Italy
700    1_
$a La Rocca, Giuseppe $u Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, 00168 Rome, Italy $u Neurosurgical Training Center and Brain Research, Mater Olbia Hospital, 07026 Olbia, Italy $1 https://orcid.org/0000000318304849
773    0_
$w MED00203320 $t Journal of personalized medicine $x 2075-4426 $g Roč. 15, č. 2 (2025)
856    41
$u https://pubmed.ncbi.nlm.nih.gov/39997325 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20250408 $b ABA008
991    __
$a 20250422095739 $b ABA008
999    __
$a ok $b bmc $g 2306421 $s 1245638
BAS    __
$a 3
BAS    __
$a PreBMC-PubMed-not-MEDLINE
BMC    __
$a 2025 $b 15 $c 2 $e 20250126 $i 2075-4426 $m Journal of personalized medicine $n J Pers Med $x MED00203320
LZP    __
$a Pubmed-20250408

Najít záznam

Citační ukazatele

Možnosti archivace