P132. PROMIS depression and anxiety correlate with postoperative NASS satisfaction in cervical patients

Abstract

BACKGROUND CONTEXT Poor mental health is associated with lower satisfaction in surgery at large. Many cervical spine patients endorse psychiatric symptoms, but there is limited understanding of how these symptoms are related to postoperative satisfaction. The NASS satisfaction scale serves as a metric for satisfaction, with lower numbers indicating higher satisfaction. Mental health can be assessed with Patient-Reported Outcomes Measurement Information System (PROMIS) Depression and Anxiety (0 to 100 point scales with higher scores for severe symptoms) both preoperatively and postoperatively. PURPOSE To determine whether preoperative and postoperative PROMIS Depression and Anxiety scores correlate with postoperative satisfaction. STUDY DESIGN/SETTING Retrospective review at a single institution. PATIENT SAMPLE A total of 60 cervical patients. OUTCOME MEASURES NASS satisfaction score. METHODS PROMIS Depression, PROMIS Anxiety, and NASS satisfaction scores were collected for surgical cervical patients preoperatively and at 3 months postoperatively. Correlation was assessed for each preoperative and postoperative mental health metric versus postoperative satisfaction. RESULTS A total of 60 cervical patients (avg. age 63 years old) had mean satisfaction of 1.5 [1.2 to 1.7]. Each postoperative mental health metric moderately correlated with satisfaction (PROMIS depression r=0.3, PROMIS Anxiety r=0.3). Preoperative mental health did not correlate with postoperative satisfaction. CONCLUSIONS Postoperative PROMIS depression and anxiety moderately correlate with postoperative NASS satisfaction in surgical cervical patients, with worse postoperative mental health correlated with worse satisfaction. Preoperative depression and anxiety do not correlate with postoperative satisfaction. Addressing mental health concerns for operative cervical patients, particularly in the postoperative period, may increase satisfaction. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs.