Table 1.
Characteristic
|
Entire sample (N=422) | According to amount of pain relief expected
|
|||
---|---|---|---|---|---|
Complete (n=190) | A lot (n=185) | Moderate (n=40) | A little (n=7) | ||
Age, years (mean±SD) | 56±15 | 56±15 | 56±15 | 56±14 | 50±17 |
Men | 55% | 59% | 49% | 63% | 71% |
Employed full time | 36% | 42% | 32% | 35% | 0%* |
Workman compensation | 10% | 7% | 10% | 26% | 29%ʈ |
Non-work related accident | 18% | 19% | 17% | 15% | 14% |
Lawsuit pending | 4% | 3% | 4% | 3% | 14% |
Depressive symptoms, score a (mean±SD) | 10±7 | 9±7 | 10±8 | 11±7 | 14±9 |
positive screen for depression | 38% | 33% | 41% | 48% | 57%* |
Anxiety symptoms, score b (mean±SD) | 40±12 | 39±12 | 41±13 | 42 ±10 | 43±13 |
more anxiety than population norms | 60% | 54% | 63% | 73% | 57%* |
Major medical comorbidity | 29% | 25% | 35% | 18% | 43% |
Diagnosis | |||||
acute herniated disc | 22% | 27% | 19% | 10% | 14% |
degenerative disease c | 78% | 73% | 81% | 90% | 86%¶ |
Symptoms > 6 months | 79% | 77% | 80% | 85% | 86% |
Disability due to back pain, score d (mean±SD) | 56%± 14% | 56%±15% | 56%±13% | 57%±17% | 60%±12% |
Revision surgery | 21% | 15% | 23% | 30% | 57%ʈ |
Narcotics | 44% | 40% | 45% | 53% | 86%* |
Epidural corticosteroids | 76% | 73% | 76% | 83% | 86% |
Vertebral levels involved | |||||
L1 | 11% | 7% | 16% | 10% | 14% |
L2 | 25% | 20% | 30% | 33% | 14% |
L3 | 42% | 42% | 42% | 50% | 29% |
L4 | 73% | 75% | 70% | 78% | 57% |
L5 | 61% | 60% | 62% | 65% | 43% |
Spine fusion (lateral or interbody) | 38% | 34% | 44% | 43% | 29% |
Required subsequent surgery within 2 years | 15% | 12% | 16% | 25% | 43%¶ |
based on Geriatric Depression Scale, possible range 0–30, higher is more depressive symptoms, ≥ 11 is positive screen for depression
based on Spielberg State Anxiety Inventory, possible score 20 – 80, higher is more anxiety
spondylolisthesis, stenosis, disc disease
based on Oswestry Disablity Index, possible range 0–100%, higher is more disability
p ≤ .05;
p ≤ .01;
p ≤ .001