Loading…
The Preoperative Risks and Two-Year Sequelae of Postoperative Urinary Retention: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC)
Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery. The Michigan Spine Surgery Improvem...
Saved in:
| Published in: | World neurosurgery 2020-01, Vol.133, p.e619-e626 |
|---|---|
| Main Authors: | , , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c356t-18b8f5d37408d6aec64d840084ea5f1581388044f06c3fdb65e8424a339463b43 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c356t-18b8f5d37408d6aec64d840084ea5f1581388044f06c3fdb65e8424a339463b43 |
| container_end_page | e626 |
| container_issue | |
| container_start_page | e619 |
| container_title | World neurosurgery |
| container_volume | 133 |
| creator | Zakaria, Hesham Mostafa Lipphardt, Matthew Bazydlo, Michael Xiao, Shujie Schultz, Lonni Chedid, Mokbel Abdulhak, Muwaffak Schwalb, Jason M. Nerenz, David Easton, Richard Chang, Victor |
| description | Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery.
The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a large prospective multicenter registry. MSSIC was queried with multivariate analysis for factors that are associated with POUR, the association of POUR with 90-day adverse events, and the effect of POUR on 2-year patient-reported outcomes and satisfaction.
Multivariate analysis identified hardware revision (odds ratio [OR], 0.61), 1 operative level (OR, 0.74), and ambulation on postoperative day zero (OR, 0.65) to be protective for POUR. Factors associated with POUR included age (OR, 1.19), male gender (OR, 1.58), body mass index |
| doi_str_mv | 10.1016/j.wneu.2019.09.107 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2299768309</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1878875019325380</els_id><sourcerecordid>2299768309</sourcerecordid><originalsourceid>FETCH-LOGICAL-c356t-18b8f5d37408d6aec64d840084ea5f1581388044f06c3fdb65e8424a339463b43</originalsourceid><addsrcrecordid>eNp9kc1u1DAUhS0EolXpC7BAXpZFBjt2HBuxqUb8jNSKqpkuWFmOc9N6SOzBTqbqo_C2eDRD2eHNta6-c3SPDkJvKVlQQsWHzeLRw7woCVULovKufoFOqaxlIWuhXj7_K3KCzlPakPwY5bJmr9EJo5WQivJT9Hv9APgmQthCNJPbAb516WfCxnd4_RiKH2AibuDXDIMBHHp8E9L0D76Lzpv4hG9hAj-54D_iS2-Gp-TSHp6y-bWzD-7eeNxsnQfczPEesmI1bmPYwZhleBmGwbTh6Hlx3TSr5fs36FVvhgTnx3mG7r58Xi-_FVffv66Wl1eFZZWYCipb2VcdqzmRnTBgBe8kJ0RyMFVPK0mZlITzngjL-q4VFUhecsOY4oK1nJ2hi4NvvifHTJMeXbKQL_IQ5qTLUqlaSEZURssDamNIKUKvt9GNOb-mRO9b0Ru9b0XvW9FE5V2dRe-O_nM7Qvcs-dtBBj4dAMgpdw6iTtaBt9C5CHbSXXD_8_8Dp0KfRA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2299768309</pqid></control><display><type>article</type><title>The Preoperative Risks and Two-Year Sequelae of Postoperative Urinary Retention: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC)</title><source>ScienceDirect Journals</source><creator>Zakaria, Hesham Mostafa ; Lipphardt, Matthew ; Bazydlo, Michael ; Xiao, Shujie ; Schultz, Lonni ; Chedid, Mokbel ; Abdulhak, Muwaffak ; Schwalb, Jason M. ; Nerenz, David ; Easton, Richard ; Chang, Victor</creator><creatorcontrib>Zakaria, Hesham Mostafa ; Lipphardt, Matthew ; Bazydlo, Michael ; Xiao, Shujie ; Schultz, Lonni ; Chedid, Mokbel ; Abdulhak, Muwaffak ; Schwalb, Jason M. ; Nerenz, David ; Easton, Richard ; Chang, Victor ; MSSIC Investigators</creatorcontrib><description>Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery.
The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a large prospective multicenter registry. MSSIC was queried with multivariate analysis for factors that are associated with POUR, the association of POUR with 90-day adverse events, and the effect of POUR on 2-year patient-reported outcomes and satisfaction.
Multivariate analysis identified hardware revision (odds ratio [OR], 0.61), 1 operative level (OR, 0.74), and ambulation on postoperative day zero (OR, 0.65) to be protective for POUR. Factors associated with POUR included age (OR, 1.19), male gender (OR, 1.58), body mass index <25 (OR, 1.22), diabetes (OR, 1.28), coronary artery disease (OR, 1.20), fusion surgery (OR, 1.27), and longer surgery (OR, 1.11). Patients who had POUR were more likely to be readmitted, develop a urinary tract infection, and develop an infection (P < 0.001). POUR was associated with decreased likelihood of achieving Oswestry Disability Index minimal clinically important difference at 90 days (P < 0.001), but not at 1 year after surgery. POUR was associated with dissatisfaction with surgery at 90 days (P < 0.001), 1 year (P = 0.004), and 2 years after surgery (P = 0.011).
POUR is common after lumbar spine surgery, and the demographic, diagnostic, and surgical factors that are associated with POUR are identified. POUR is associated with several adverse events, and patients who have POUR were less likely to be satisfied with surgery up to 2 years after surgery.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2019.09.107</identifier><identifier>PMID: 31568914</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Cohort Studies ; Female ; Humans ; Lumbar Vertebrae ; Male ; Michigan ; Middle Aged ; Patient satisfaction ; Patient-reported outcome measures ; Postoperative complications ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prospective studies ; Quality improvement ; Registries ; Risk Factors ; Spinal Fusion - adverse effects ; Spine ; Urinary retention ; Urinary Retention - epidemiology ; Urinary Retention - etiology</subject><ispartof>World neurosurgery, 2020-01, Vol.133, p.e619-e626</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-18b8f5d37408d6aec64d840084ea5f1581388044f06c3fdb65e8424a339463b43</citedby><cites>FETCH-LOGICAL-c356t-18b8f5d37408d6aec64d840084ea5f1581388044f06c3fdb65e8424a339463b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31568914$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zakaria, Hesham Mostafa</creatorcontrib><creatorcontrib>Lipphardt, Matthew</creatorcontrib><creatorcontrib>Bazydlo, Michael</creatorcontrib><creatorcontrib>Xiao, Shujie</creatorcontrib><creatorcontrib>Schultz, Lonni</creatorcontrib><creatorcontrib>Chedid, Mokbel</creatorcontrib><creatorcontrib>Abdulhak, Muwaffak</creatorcontrib><creatorcontrib>Schwalb, Jason M.</creatorcontrib><creatorcontrib>Nerenz, David</creatorcontrib><creatorcontrib>Easton, Richard</creatorcontrib><creatorcontrib>Chang, Victor</creatorcontrib><creatorcontrib>MSSIC Investigators</creatorcontrib><title>The Preoperative Risks and Two-Year Sequelae of Postoperative Urinary Retention: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC)</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery.
The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a large prospective multicenter registry. MSSIC was queried with multivariate analysis for factors that are associated with POUR, the association of POUR with 90-day adverse events, and the effect of POUR on 2-year patient-reported outcomes and satisfaction.
Multivariate analysis identified hardware revision (odds ratio [OR], 0.61), 1 operative level (OR, 0.74), and ambulation on postoperative day zero (OR, 0.65) to be protective for POUR. Factors associated with POUR included age (OR, 1.19), male gender (OR, 1.58), body mass index <25 (OR, 1.22), diabetes (OR, 1.28), coronary artery disease (OR, 1.20), fusion surgery (OR, 1.27), and longer surgery (OR, 1.11). Patients who had POUR were more likely to be readmitted, develop a urinary tract infection, and develop an infection (P < 0.001). POUR was associated with decreased likelihood of achieving Oswestry Disability Index minimal clinically important difference at 90 days (P < 0.001), but not at 1 year after surgery. POUR was associated with dissatisfaction with surgery at 90 days (P < 0.001), 1 year (P = 0.004), and 2 years after surgery (P = 0.011).
POUR is common after lumbar spine surgery, and the demographic, diagnostic, and surgical factors that are associated with POUR are identified. POUR is associated with several adverse events, and patients who have POUR were less likely to be satisfied with surgery up to 2 years after surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Lumbar Vertebrae</subject><subject>Male</subject><subject>Michigan</subject><subject>Middle Aged</subject><subject>Patient satisfaction</subject><subject>Patient-reported outcome measures</subject><subject>Postoperative complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective studies</subject><subject>Quality improvement</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>Spinal Fusion - adverse effects</subject><subject>Spine</subject><subject>Urinary retention</subject><subject>Urinary Retention - epidemiology</subject><subject>Urinary Retention - etiology</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1DAUhS0EolXpC7BAXpZFBjt2HBuxqUb8jNSKqpkuWFmOc9N6SOzBTqbqo_C2eDRD2eHNta6-c3SPDkJvKVlQQsWHzeLRw7woCVULovKufoFOqaxlIWuhXj7_K3KCzlPakPwY5bJmr9EJo5WQivJT9Hv9APgmQthCNJPbAb516WfCxnd4_RiKH2AibuDXDIMBHHp8E9L0D76Lzpv4hG9hAj-54D_iS2-Gp-TSHp6y-bWzD-7eeNxsnQfczPEesmI1bmPYwZhleBmGwbTh6Hlx3TSr5fs36FVvhgTnx3mG7r58Xi-_FVffv66Wl1eFZZWYCipb2VcdqzmRnTBgBe8kJ0RyMFVPK0mZlITzngjL-q4VFUhecsOY4oK1nJ2hi4NvvifHTJMeXbKQL_IQ5qTLUqlaSEZURssDamNIKUKvt9GNOb-mRO9b0Ru9b0XvW9FE5V2dRe-O_nM7Qvcs-dtBBj4dAMgpdw6iTtaBt9C5CHbSXXD_8_8Dp0KfRA</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Zakaria, Hesham Mostafa</creator><creator>Lipphardt, Matthew</creator><creator>Bazydlo, Michael</creator><creator>Xiao, Shujie</creator><creator>Schultz, Lonni</creator><creator>Chedid, Mokbel</creator><creator>Abdulhak, Muwaffak</creator><creator>Schwalb, Jason M.</creator><creator>Nerenz, David</creator><creator>Easton, Richard</creator><creator>Chang, Victor</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202001</creationdate><title>The Preoperative Risks and Two-Year Sequelae of Postoperative Urinary Retention: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC)</title><author>Zakaria, Hesham Mostafa ; Lipphardt, Matthew ; Bazydlo, Michael ; Xiao, Shujie ; Schultz, Lonni ; Chedid, Mokbel ; Abdulhak, Muwaffak ; Schwalb, Jason M. ; Nerenz, David ; Easton, Richard ; Chang, Victor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-18b8f5d37408d6aec64d840084ea5f1581388044f06c3fdb65e8424a339463b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Lumbar Vertebrae</topic><topic>Male</topic><topic>Michigan</topic><topic>Middle Aged</topic><topic>Patient satisfaction</topic><topic>Patient-reported outcome measures</topic><topic>Postoperative complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective studies</topic><topic>Quality improvement</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>Spinal Fusion - adverse effects</topic><topic>Spine</topic><topic>Urinary retention</topic><topic>Urinary Retention - epidemiology</topic><topic>Urinary Retention - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zakaria, Hesham Mostafa</creatorcontrib><creatorcontrib>Lipphardt, Matthew</creatorcontrib><creatorcontrib>Bazydlo, Michael</creatorcontrib><creatorcontrib>Xiao, Shujie</creatorcontrib><creatorcontrib>Schultz, Lonni</creatorcontrib><creatorcontrib>Chedid, Mokbel</creatorcontrib><creatorcontrib>Abdulhak, Muwaffak</creatorcontrib><creatorcontrib>Schwalb, Jason M.</creatorcontrib><creatorcontrib>Nerenz, David</creatorcontrib><creatorcontrib>Easton, Richard</creatorcontrib><creatorcontrib>Chang, Victor</creatorcontrib><creatorcontrib>MSSIC Investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zakaria, Hesham Mostafa</au><au>Lipphardt, Matthew</au><au>Bazydlo, Michael</au><au>Xiao, Shujie</au><au>Schultz, Lonni</au><au>Chedid, Mokbel</au><au>Abdulhak, Muwaffak</au><au>Schwalb, Jason M.</au><au>Nerenz, David</au><au>Easton, Richard</au><au>Chang, Victor</au><aucorp>MSSIC Investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Preoperative Risks and Two-Year Sequelae of Postoperative Urinary Retention: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC)</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2020-01</date><risdate>2020</risdate><volume>133</volume><spage>e619</spage><epage>e626</epage><pages>e619-e626</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Although postoperative urinary retention (POUR) is common after spine surgery, the association of this adverse event with other morbidities and patient-reported outcomes is not fully understood. We sought to examine the sequelae of POUR after lumbar spine surgery.
The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a large prospective multicenter registry. MSSIC was queried with multivariate analysis for factors that are associated with POUR, the association of POUR with 90-day adverse events, and the effect of POUR on 2-year patient-reported outcomes and satisfaction.
Multivariate analysis identified hardware revision (odds ratio [OR], 0.61), 1 operative level (OR, 0.74), and ambulation on postoperative day zero (OR, 0.65) to be protective for POUR. Factors associated with POUR included age (OR, 1.19), male gender (OR, 1.58), body mass index <25 (OR, 1.22), diabetes (OR, 1.28), coronary artery disease (OR, 1.20), fusion surgery (OR, 1.27), and longer surgery (OR, 1.11). Patients who had POUR were more likely to be readmitted, develop a urinary tract infection, and develop an infection (P < 0.001). POUR was associated with decreased likelihood of achieving Oswestry Disability Index minimal clinically important difference at 90 days (P < 0.001), but not at 1 year after surgery. POUR was associated with dissatisfaction with surgery at 90 days (P < 0.001), 1 year (P = 0.004), and 2 years after surgery (P = 0.011).
POUR is common after lumbar spine surgery, and the demographic, diagnostic, and surgical factors that are associated with POUR are identified. POUR is associated with several adverse events, and patients who have POUR were less likely to be satisfied with surgery up to 2 years after surgery.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31568914</pmid><doi>10.1016/j.wneu.2019.09.107</doi></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1878-8750 |
| ispartof | World neurosurgery, 2020-01, Vol.133, p.e619-e626 |
| issn | 1878-8750 1878-8769 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2299768309 |
| source | ScienceDirect Journals |
| subjects | Adult Aged Cohort Studies Female Humans Lumbar Vertebrae Male Michigan Middle Aged Patient satisfaction Patient-reported outcome measures Postoperative complications Postoperative Complications - epidemiology Postoperative Complications - etiology Prospective studies Quality improvement Registries Risk Factors Spinal Fusion - adverse effects Spine Urinary retention Urinary Retention - epidemiology Urinary Retention - etiology |
| title | The Preoperative Risks and Two-Year Sequelae of Postoperative Urinary Retention: Analysis of the Michigan Spine Surgery Improvement Collaborative (MSSIC) |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T06%3A23%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Preoperative%20Risks%20and%20Two-Year%20Sequelae%20of%20Postoperative%20Urinary%20Retention:%20Analysis%20of%20the%20Michigan%20Spine%20Surgery%20Improvement%20Collaborative%20(MSSIC)&rft.jtitle=World%20neurosurgery&rft.au=Zakaria,%20Hesham%20Mostafa&rft.aucorp=MSSIC%20Investigators&rft.date=2020-01&rft.volume=133&rft.spage=e619&rft.epage=e626&rft.pages=e619-e626&rft.issn=1878-8750&rft.eissn=1878-8769&rft_id=info:doi/10.1016/j.wneu.2019.09.107&rft_dat=%3Cproquest_cross%3E2299768309%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c356t-18b8f5d37408d6aec64d840084ea5f1581388044f06c3fdb65e8424a339463b43%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2299768309&rft_id=info:pmid/31568914&rfr_iscdi=true |