KMID : 1207720160080020164
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Clinics in Orthopedic Surgery 2016 Volume.8 No. 2 p.164 ~ p.167
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Failure Rate of Spine Surgeons in Preoperative Clinical Screening of Severe Psychological Disorders
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Farzad Omidi-Kashani
Farhad Faridhoseini Shahrara Ariamanesh Mahya Hashemi Kazar Aslan Baradaran
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Abstract
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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 ¡¾ 9.6 years; male:female = 41:27) undergoing elective spine surgery and the control group included 69 healthy visitors of the orthopedic patients (mean age, 37.1 ¡¾ 6.9 years; male:female = 40:29) 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.
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KEYWORD
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Anxiety, Depression, Surgery, Psychiatric status, Spine
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