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Predictors of Patient Satisfaction in Spine Surgery: A Systematic Review

Lehrich, Brandon M. and Goshtasbi, Khodayar and Brown, Nolan J. and Shahrestani, Shane and Lien, Brian V. and Ransom, Seth C. and Tafreshi, Ali R. and Ransom, Ryan C. and Chan, Alvin Y. and Diaz-Aguilar, Luis D. and Sahyouni, Ronald and Pham, Martin H. and Osorio, Joseph A. and Oh, Michael Y. (2021) Predictors of Patient Satisfaction in Spine Surgery: A Systematic Review. World Neurosurgery, 146 . e1160-e1170. ISSN 1878-8750. https://resolver.caltech.edu/CaltechAUTHORS:20201214-101923393

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Abstract

Background: Recently, there has been increased interest in patient satisfaction measures such as Press Ganey and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. In this systematic review, the spine surgery literature is analyzed to evaluate factors predictive of patient satisfaction as measured by these surveys. Methods: A thorough literature search was performed in PubMed/MEDLINE, Google Scholar, and Cochrane databases. All English-language articles from database inception to July 2020 were screened for study inclusion according to PRISMA guidelines. Results: Twenty-four of the 1899 published studies were included for qualitative analysis. There has been a statistically significant increase in the number of publications across years (P = 0.04). Overall, the studies evaluated the relationship between patient satisfaction and patient demographics (71%), preoperative and intraoperative clinical factors (21%), and postoperative factors (33%). Top positive predictors of patient satisfaction were patient and nursing/medical staff relationship (n = 4; 17%), physician–patient relationship (n = 4; 17%), managerial oversight of received care (n = 3; 13%), same sex/ethnicity between patient and physician (n = 2; 8%), and older age (n = 2; 8%). Top negative predictors of patient satisfaction were high Charlson Comorbidity Index/high disability/worse overall health functioning (n = 7; 29%), increased length of hospital stay (n = 4; 17%), high rating for pain/complications/readmissions (n = 4; 17%), and psychosocial factors (n = 3; 13%). Conclusions: There is heterogeneity in terms of different factors, both clinical and nonclinically related, that affect patient satisfaction ratings. More research is warranted to investigate the role of hospital consumer surveys in the spine surgical patient population.


Item Type:Article
Related URLs:
URLURL TypeDescription
https://doi.org/10.1016/j.wneu.2020.11.125DOIArticle
ORCID:
AuthorORCID
Lehrich, Brandon M.0000-0003-1003-5605
Goshtasbi, Khodayar0000-0002-0045-2547
Brown, Nolan J.0000-0002-6025-346X
Shahrestani, Shane0000-0001-7561-4590
Lien, Brian V.0000-0003-3044-8626
Ransom, Seth C.0000-0001-5949-1703
Tafreshi, Ali R.0000-0002-8956-3373
Ransom, Ryan C.0000-0001-6696-1793
Sahyouni, Ronald0000-0002-2124-0535
Additional Information:© 2020 Elsevier Inc. Received 28 August 2020, Revised 20 November 2020, Accepted 21 November 2020, Available online 28 November 2020. CRediT authorship contribution statement. Brandon M. Lehrich: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Resources, Data curation, Writing - original draft, Writing - review & editing, Visualization, Project administration. Khodayar Goshtasbi: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Resources, Data curation, Writing - original draft, Writing - review & editing, Visualization. Nolan J. Brown: Conceptualization, Methodology, Validation, Formal analysis, Investigation, Resources, Data curation, Writing - original draft, Writing - review & editing, Visualization. Shane Shahrestani: Methodology, Validation, Formal analysis, Investigation, Resources, Data curation, Writing - review & editing, Visualization. Brian V. Lien: Validation, Data curation, Writing - review & editing. Seth C. Ransom: Validation, Data curation, Writing - review & editing. Ali R. Tafreshi: Validation, Data curation, Writing - review & editing. Ryan C. Ransom: Validation, Data curation, Writing - review & editing. Alvin Y. Chan: Validation, Data curation, Writing - review & editing. Luis D. Diaz-Aguilar: Validation, Data curation, Writing - review & editing. Ronald Sahyouni: Conceptualization, Validation, Data curation, Writing - review & editing, Visualization, Supervision. Martin H. Pham: Validation, Data curation, Writing - review & editing. Joseph A. Osorio: Validation, Data curation, Writing - review & editing. Michael Y. Oh: Conceptualization, Validation, Data curation, Writing - review & editing, Supervision.
Subject Keywords:HCAHPS; Neurosurgery; Press Ganey; Satisfaction; Spine surgery; Survey
Record Number:CaltechAUTHORS:20201214-101923393
Persistent URL:https://resolver.caltech.edu/CaltechAUTHORS:20201214-101923393
Official Citation:Brandon M. Lehrich, Khodayar Goshtasbi, Nolan J. Brown, Shane Shahrestani, Brian V. Lien, Seth C. Ransom, Ali R. Tafreshi, Ryan C. Ransom, Alvin Y. Chan, Luis D. Diaz-Aguilar, Ronald Sahyouni, Martin H. Pham, Joseph A. Osorio, Michael Y. Oh, Predictors of Patient Satisfaction in Spine Surgery: A Systematic Review, World Neurosurgery, Volume 146, 2021, Pages e1160-e1170, ISSN 1878-8750, https://doi.org/10.1016/j.wneu.2020.11.125. (https://www.sciencedirect.com/science/article/pii/S1878875020325109)
Usage Policy:No commercial reproduction, distribution, display or performance rights in this work are provided.
ID Code:107063
Collection:CaltechAUTHORS
Deposited By: Tony Diaz
Deposited On:14 Dec 2020 22:38
Last Modified:16 Feb 2021 22:23

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