Failure rate of spine surgeons in preoperative clinical screening of severe psychological disorders

Omidi-Kashani, F. and Faridhoseini, F. and Ariamanesh, S. and Kazar, M. H. and Baradaran, A. (2016) Failure rate of spine surgeons in preoperative clinical screening of severe psychological disorders. CiOS Clinics in Orthopedic Surgery, 8 (2). pp. 164-167.

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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 ± 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 ± 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. © 2016 by The Korean Orthopaedic Association.

Item Type: Article
Additional Information: Cited By :1 Export Date: 16 February 2020 Correspondence Address: Omidi-Kashani, F.; Orthopedics Department, Orthopedic Research Center, Imam Reza Hospital, Mashhad University of Medical Sciences, Imam Reza Square, Iran; email:
Uncontrolled Keywords: Anxiety Depression Psychiatric status Spine Surgery adult age Article case control study controlled study diagnostic error disease association disease severity elective surgery female Hospital Anxiety and Depression Scale human major clinical study male mental disease preoperative evaluation prevalence psychologic assessment sex difference spine surgery middle aged questionnaire statistics and numerical data surgeon Case-Control Studies Humans Surgeons Surveys and Questionnaires
Subjects: WE Musculoskeletal system
WM Psychiatry
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib4 lib4
Date Deposited: 01 Mar 2020 06:22
Last Modified: 01 Mar 2020 06:22

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