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Anthony L. Asher, Clinton J. Devin, Panagiotis Kerezoudis, Hui Nian, Mohammed Ali Alvi, Inamullah Khan, Ahilan Sivaganesan, Frank E. Harrell Jr., Kristin R. Archer and Mohamad Bydon

I n an increasingly pay-for-performance era, patient satisfaction is gaining an increasingly important role in assessing the value of care delivery to the American population. 5 Several tools currently exist to measure the overall patient experience with surgical care, including the Press Ganey and Hospital Consumer Assessment of Healthcare Providers and Systems surveys. 16 , 20 These surveys attempt to assess a broader portrait of care (e.g., by including the hospital environment, communication with nurses and providers, and staff responsiveness) that does not

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Joseph H. McAbee, Brian T. Ragel, Shirley McCartney, G. Morgan Jones, L. Madison Michael II, Michael DeCuypere, Joseph S. Cheng, Frederick A. Boop and Paul Klimo Jr.

report not having enough time for family or personal life 4 , 38 have higher levels of burnout. Conversely, surgeons who are older, 25 work in academia, 7 have sufficient time for non–patient care activities, 6 , 25 and spend more time in the operating room 37 are typically more satisfied with their career choice. While previous studies have included a small sample of neurosurgeons, there is little research dedicated to career satisfaction or burnout in what is arguably one of the most intense fields in medicine. We recently published our results from a pilot

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Andrew B. Harris, Floreana Kebaish, Lee H. Riley III, Khaled M. Kebaish and Richard L. Skolasky

P atient satisfaction is an important and measurable component of surgical care. 1 , 9 , 32 Aside from the obvious importance of patient satisfaction to both patients and providers, health systems and payers have also become increasingly focused on measuring and maximizing patient satisfaction. Satisfaction scores have been a key marker in hospital quality improvement initiatives 1 , 14 and are now used to adjust reimbursements from private insurers. 15 As we move toward a healthcare system that emphasizes patient-centeredness, patient accountability, and

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Justin K. Scheer, Justin S. Smith, Aaron J. Clark, Virginie Lafage, Han Jo Kim, John D. Rolston, Robert Eastlack, Robert A. Hart, Themistocles S. Protopsaltis, Michael P. Kelly, Khaled Kebaish, Munish Gupta, Eric Klineberg, Richard Hostin, Christopher I. Shaffrey, Frank Schwab, Christopher P. Ames and the International Spine Study Group

)–Schwab spine deformity class, 24 preoperative pain severity, and patient satisfaction. Methods Patient Cohort This study retrospectively reviewed a prospective multicenter database of ASD patients. Patients were enrolled consecutively and drawn from the International Spine Study Group (ISSG), comprising 11 sites across the United States. All patients were enrolled into an institutional review board–approved protocol by each site, and approval was obtained through each of the sites. Inclusion criteria for the ISSG database were the following: age > 18 years and

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Jay M. Levin, Robert D. Winkelman, Joseph E. Tanenbaum, Edward C. Benzel, Thomas E. Mroz and Michael P. Steinmetz

satisfaction is particularly acute for common and costly procedures, which have the largest potential impact on hospital reimbursement. The incidence and cost of lumbar spine surgery are increasing in the United States. 4 , 8 , 22 , 25 , 28 For example, aggregate hospital charges for surgical treatment of lumbar stenosis has increased by 40% between 2002 and 2007, mostly attributed to the rising rate of complex fusions performed. Additionally, as the United States population continues to age, the prevalence of spinal stenosis, the most common indication for lumbar spine

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Andrew K. Chan, Erica F. Bisson, Mohamad Bydon, Steven D. Glassman, Kevin T. Foley, Eric A. Potts, Christopher I. Shaffrey, Mark E. Shaffrey, Domagoj Coric, John J. Knightly, Paul Park, Kai-Ming Fu, Jonathan R. Slotkin, Anthony L. Asher, Michael S. Virk, Panagiotis Kerezoudis, Silky Chotai, Anthony M. DiGiorgio, Alvin Y. Chan, Regis W. Haid and Praveen V. Mummaneni

follow-up. 10 These somewhat conflicting results call for the identification of factors that portend the best outcomes following surgery for degenerative lumbar spondylolisthesis. One outcome metric for quality of care is patient satisfaction. Several studies have shown that high patient satisfaction may be correlated with efficient and high-quality surgical care 28 and superior surgical outcomes. 20 Authors investigating lumbar spine surgery have specifically linked various patient characteristics to satisfaction, including smoking, depression, disability

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Kazunori Hayashi, Louis Boissière, Fernando Guevara-Villazón, Daniel Larrieu, Susana Núñez-Pereira, Anouar Bourghli, Olivier Gille, Jean-Marc Vital, Ferran Pellisé, Francisco Javier Sánchez Pérez-Grueso, Frank Kleinstück, Emre Acaroğlu, Ahmet Alanay and Ibrahim Obeid

A dult spinal deformity (ASD) severely affects a patient’s quality of life, causing symptoms such as negative self-image, body pain, standing or gait disturbance, difficulty in social life, and mental problems. 22 Surgical management was developed as the representative treatment method for severe cases of ASD, and it has been reported to improve all clinical parameters measured by the subdomains of the health-related quality of life (HRQOL) questionnaires, with the exception of lifting ability. 13 , 15 , 23 , 31 , 32 Patient satisfaction with management is an

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Joon S. Yoo, Dil V. Patel, Benjamin C. Mayo, Dustin H. Massel, Sailee S. Karmarkar, Eric H. Lamoutte and Kern Singh

P atient satisfaction is an ever-increasing priority in quality assessment in orthopedic and spine surgery. The expectations patients have regarding postoperative outcomes may influence their satisfaction with the procedure, and ultimately, rapport with the treating surgeon and institution. In the current healthcare climate where an emphasis has been placed on value-based care, it is imperative to investigate both psychological and biological factors that may influence patient satisfaction with common procedures. Prior studies have investigated the relationship

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Takahito Fujimori, Motoki Iwasaki, Shinya Okuda, Yukitaka Nagamoto, Hironobu Sakaura, Takenori Oda and Hideki Yoshikawa

investigations of effectiveness of treatments in many medical fields. Because the concept of patient-based evaluation did not exist when the conventional JOA scoring system was developed, patient satisfaction, QOL, and psychological components are not evaluated in the conventional JOA scoring system. Given this background, the JOA produced a new evaluation method for cervical myelopathy: the JOACMEQ, a patient-based, multidimensional and statistically validated scoring system. 3–6 Evaluation from the patient's viewpoint has become essential for discussion of the effects of

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Charles H. Crawford III, Leah Y. Carreon, Mohamad Bydon, Anthony L. Asher and Steven D. Glassman

P atient satisfaction with treatment is important for all the various stakeholders in health care—patients, providers, and payers. Thus, understanding the factors that impact patient satisfaction will increase the chances that the metric will be used appropriately. These factors are undoubtedly complex. Soroceanu et al. 12 reported that, in addition to functional outcomes, preoperative expectations and the fulfillment of expectations influence postoperative satisfaction. Chotai et al. 4 reported that a Medicaid or uninsured payer status and worse baseline pain