Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study
Introduction: Due to global increases in life expectancy, numbers of both super-elderly patients (90 years old) and the spine surgeries they undergo are increasing. However, no studies on spine surgery for super-elderly patients have focused on patient-reported outcomes (PROs). Methods: Subjects wer...
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The Japanese Society for Spine Surgery and Related Research
2025-03-01
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| Series: | Spine Surgery and Related Research |
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| Online Access: | https://www.jstage.jst.go.jp/article/ssrr/9/2/9_2024-0071/_pdf/-char/en |
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| author | Masahiro Kosaka So Kato Hiroyuki Nakarai Hideki Nakamoto Toru Doi Yoshitaka Matsubayashi Yuki Taniguchi Naohiro Tachibana Shima Hirai Masayoshi Fukushima Masahito Oshina Yujiro Takeshita Shurei Sugita Rentaro Okazaki Kazuhiro Masuda Takashi Ono Akiro Higashikawa Naohiro Kawamura Hiroki Iwai Sakae Tanaka Yasushi Oshima |
| author_facet | Masahiro Kosaka So Kato Hiroyuki Nakarai Hideki Nakamoto Toru Doi Yoshitaka Matsubayashi Yuki Taniguchi Naohiro Tachibana Shima Hirai Masayoshi Fukushima Masahito Oshina Yujiro Takeshita Shurei Sugita Rentaro Okazaki Kazuhiro Masuda Takashi Ono Akiro Higashikawa Naohiro Kawamura Hiroki Iwai Sakae Tanaka Yasushi Oshima |
| author_sort | Masahiro Kosaka |
| collection | DOAJ |
| description | Introduction: Due to global increases in life expectancy, numbers of both super-elderly patients (90 years old) and the spine surgeries they undergo are increasing. However, no studies on spine surgery for super-elderly patients have focused on patient-reported outcomes (PROs).
Methods: Subjects were elderly patients (over 75 years old) undergoing spine surgery for degenerative disease (4408 cases) performed at our 13 affiliated centers between April 2017 and August 2021. Surgical procedures, perioperative complications, and PROs were investigated and compared between patients 90 years old (SE group) and control patients 75-89 years old (E group).
Results: Although the two groups showed no significant differences in patient background, the SE group showed significantly fewer fusions. The incidence of perioperative complications, including death within 30 days, did not significantly differ between groups. Regarding PROs, there were no significant differences in percentages of patients who achieved minimum clinically important differences in Neck Disability Index, Oswestry Disability Index, or EuroQoL 5 Dimension. There were no significant differences in pre- and postoperative numeric rating scales for each item or patient satisfaction.
Conclusions: There were significant improvements in PROs at 1 year postoperatively in the SE group than in the E group, and there were no significant differences in perioperative complication rates or mortality. |
| format | Article |
| id | doaj-art-9f99fcf63dd342e885d419d86c66ad8e |
| institution | OA Journals |
| issn | 2432-261X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | The Japanese Society for Spine Surgery and Related Research |
| record_format | Article |
| series | Spine Surgery and Related Research |
| spelling | doaj-art-9f99fcf63dd342e885d419d86c66ad8e2025-08-20T02:16:43ZengThe Japanese Society for Spine Surgery and Related ResearchSpine Surgery and Related Research2432-261X2025-03-019214014710.22603/ssrr.2024-00712024-0071Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter StudyMasahiro Kosaka0So Kato1Hiroyuki Nakarai2Hideki Nakamoto3Toru Doi4Yoshitaka Matsubayashi5Yuki Taniguchi6Naohiro Tachibana7Shima Hirai8Masayoshi Fukushima9Masahito Oshina10Yujiro Takeshita11Shurei Sugita12Rentaro Okazaki13Kazuhiro Masuda14Takashi Ono15Akiro Higashikawa16Naohiro Kawamura17Hiroki Iwai18Sakae Tanaka19Yasushi Oshima20Department of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedics, Japanese Red Cross Musashino HospitalDepartment of Orthopaedics, NHO Sagamihara National HospitalSpine Center, Toranomon HospitalDepartment of Orthopaedics, NTT Medical Center TokyoDepartment of Orthopaedics, Yokohama Rosai HospitalDepartment of Orthopaedics, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome HospitalDepartment of Orthopaedics, Japanese Red Cross Saitama HospitalDepartment of Orthopaedics, Tokyo Metropolitan Tama Medical CenterDepartment of Spinal Surgery, Japan Community Health Care Organization Tokyo Shinjuku Medical CenterDepartment of Spine and Orthopaedics, Kanto Rosai HospitalDepartment of Spine and Orthopaedics, Japanese Red Cross Medical CenterDepartment of Orthopaedics, Iwai Orthopaedic Medical HospitalDepartment of Orthopaedic Surgery, The University of TokyoDepartment of Orthopaedic Surgery, The University of TokyoIntroduction: Due to global increases in life expectancy, numbers of both super-elderly patients (90 years old) and the spine surgeries they undergo are increasing. However, no studies on spine surgery for super-elderly patients have focused on patient-reported outcomes (PROs). Methods: Subjects were elderly patients (over 75 years old) undergoing spine surgery for degenerative disease (4408 cases) performed at our 13 affiliated centers between April 2017 and August 2021. Surgical procedures, perioperative complications, and PROs were investigated and compared between patients 90 years old (SE group) and control patients 75-89 years old (E group). Results: Although the two groups showed no significant differences in patient background, the SE group showed significantly fewer fusions. The incidence of perioperative complications, including death within 30 days, did not significantly differ between groups. Regarding PROs, there were no significant differences in percentages of patients who achieved minimum clinically important differences in Neck Disability Index, Oswestry Disability Index, or EuroQoL 5 Dimension. There were no significant differences in pre- and postoperative numeric rating scales for each item or patient satisfaction. Conclusions: There were significant improvements in PROs at 1 year postoperatively in the SE group than in the E group, and there were no significant differences in perioperative complication rates or mortality.https://www.jstage.jst.go.jp/article/ssrr/9/2/9_2024-0071/_pdf/-char/ensuper-elderlypatient-reported outcomes (pros)patient satisfactionperioperative complicationperioperative mortalitydegenerative disease |
| spellingShingle | Masahiro Kosaka So Kato Hiroyuki Nakarai Hideki Nakamoto Toru Doi Yoshitaka Matsubayashi Yuki Taniguchi Naohiro Tachibana Shima Hirai Masayoshi Fukushima Masahito Oshina Yujiro Takeshita Shurei Sugita Rentaro Okazaki Kazuhiro Masuda Takashi Ono Akiro Higashikawa Naohiro Kawamura Hiroki Iwai Sakae Tanaka Yasushi Oshima Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study Spine Surgery and Related Research super-elderly patient-reported outcomes (pros) patient satisfaction perioperative complication perioperative mortality degenerative disease |
| title | Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study |
| title_full | Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study |
| title_fullStr | Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study |
| title_full_unstemmed | Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study |
| title_short | Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study |
| title_sort | patient reported outcomes in super elderly patients over 90 years of age with degenerative spinal diseases a multicenter study |
| topic | super-elderly patient-reported outcomes (pros) patient satisfaction perioperative complication perioperative mortality degenerative disease |
| url | https://www.jstage.jst.go.jp/article/ssrr/9/2/9_2024-0071/_pdf/-char/en |
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