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- Talk
- Canada
The Impact of Frailty on Patient Reported Outcome Measures Following Elective Thoraco-Lumbar Spine Surgery
Description
This presentation, led by Raphaele Charest-Morin on behalf of Philippe Beachamp-Chalifour, discusses the effects of frailty on patient-reported outcomes (PROs) following elective thoracolumbar spine surgery. It begins with Charest-Morin introducing the topic and acknowledging the absence of Beachamp-Chalifour due to another commitment. They outline that frailty is known to predict adverse events post-surgery, but its impact on PROs remains unclear.
The presenters conducted a study utilizing prospectively collected data, focusing on patients over 55 undergoing spine surgery for degenerative diseases. They measured baseline frailty using the MFI and analyzed various PROs, including EQ-5D and ODI. The cohort included 293 patients, with a noteworthy fraction classified as frail or pre-frail. Key findings suggest that although frail patients experienced more adverse events, their improvement in PROs over time was comparable to non-frail patients. However, frail individuals had worse baseline scores, indicating a need for careful consideration in surgical decisions, without denying care based on frailty status. Overall, the results can guide clinician-patient discussions regarding the risks and benefits of surgery.