Richard Skolasky Sc.D., M.A., director of the Spine Outcomes Research Center, discusses his paper “Cognitive Impairment is Associated with Greater Preoperative Symptoms, Worse Health-Related Quality of Life, and Reduced Likelihood of Recovery After Cervical and Lumbar Spine Surgery”. Follow Dr. Skolasky on Twitter to hear more about his latest research.
Read the paper: pubmed.ncbi.nlm.nih.gov/35706693 Hello. My name is Richard Sokoloski. I'm a health services researcher and a professor of orthopedic surgery at the johNS Hopkins University School of Medicine. Thank you for the opportunity to discuss a paper that my colleagues and I recently published in the North American Spine Society journal cognitive impairment is a common, although often undiagnosed condition and is not routinely included in preoperative screening or addressed as part of preoperative optimization. Our study sought to estimate the prevalence of preoperative cognitive impairment in adults undergoing spine surgery at an academic medical center. We wanted to understand whether this impairment was related to worse symptoms before surgery and whether patients with pre operative cognitive impairment had worse outcomes. Following surgery, we found that one in five patients had preoperative cognitive impairment compared to those patients without impairment. These patients were more likely to have severe back and neck pain, greater spine pain related disability and lower quality of life up to one year following surgery. These patients had half the odds of achieving meaningful improvements in pain, disability or quality of life. These results highlight the importance of assessment of cognitive impairment in patients undergoing spine surgery. Recognition of this impairment could lead to interventions to support these patients on their recovery journey and improve pain, disability and quality of life. Be sure to read our manuscript to learn more about this study and to follow me on social media to learn more about my other areas of interest. Thank you