{"id":"2277adb1-d3b0-4ab3-b21c-0350ccb4f7ef","slug":"commentary-on-can-the-anxiety-domain-of-eq-5d-and-mental-health-items-from-sf-36-help-predict-outcomes-after-surgery-for-lumbar-degenerative-disorders-by-carreon-et-al","title":"Commentary on: Can the anxiety domain of EQ-5D and mental health items from SF-36 help predict outcomes after surgery for lumbar degenerative disorders? By Carreon <i>et al</i>.","authors":["Ronald P. Pawl","Neil D. Mahoney"],"abstract":"Background: The commentary discusses the potential role of the anxiety domain of EQ-5D and mental health items from SF-36 in predicting outcomes after surgery for lumbar degenerative disorders. It highlights the historical context of pain treatment and the evolution of multidisciplinary approaches to chronic pain management. The psychological status of patients has been recognized as a major predictor of lumbar fusion outcomes. Summary: The author critiques the current study's reduction of psychological assessment to a single question, noting that while it may account for some variance in outcomes, it fails to address the majority of factors influencing surgical success. The commentary emphasizes the complexity of predicting outcomes, which involves multiple biopsychosocial elements. It suggests that the study offers limited practical assistance to spine clinic personnel tasked with identifying patients at risk for poor outcomes. Conclusion: The commentary concludes that no single data point can optimize patient selection for lumbar fusion surgery. It stresses the need for comprehensive evaluations that consider the interplay of various biopsychosocial factors. The challenge remains to develop effective methods for predicting individual patient outcomes in lumbar fusion surgery. Keywords: lumbar fusion, psychological assessment, outcomes prediction, biopsychosocial model, chronic pain, anxiety, mental health","thumbnailUrl":null,"publishDate":"2016-11-21T00:00:00.000Z","doi":"10.4103/2152-7806.194514","categories":["Spine","Commentary"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/2277adb1-d3b0-4ab3-b21c-0350ccb4f7ef/pdf"}