The use of patient-reported outcome measures (PROMs) is an application of volume-to-value-based healthcare services and has been quantitatively studied in the field of neurosurgery. Therefore, the current study aimed to investigate preoperative and early postoperative changes, as well as the factors driving these changes, in specific PROMs among spinal neurosurgery patients at a tertiary hospital in Palestine. The study used a prospective longitudinal design with a convenience sample of 99 lumbar and 35 cervical spine neurosurgery patients, who were interviewed to complete preoperative and one-month postoperative questionnaires measuring pain, quality of life (QoL), sleep quality, and mental health PROMs. Valid Arabic translations of the Neck Disability Index (NDI), Oswestry Disability Index (ODI), EuroQoL (EQ-5D-5L), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Patient Health Questionnaire (PHQ-9) were used. Data were analyzed using SPSS with full commitment to ethical considerations of anonymity and confidentiality. The patients had a mean age of 49.16 years, were 50.7% female, 74.6% married, 59.7% underwent discectomy, had a mean diagnosis-to-operation period of 7.15 weeks, and used preoperative paracetamol (69.4%), cortisones (76.9%), and NSAIDs (59.7%). All PROMs showed significant early postoperative improvements (p-value < 0.001), where better NDI improvements are found among urban residents and congenital disease-related operations, better ODI improvement among tumor resection patients, without hormonal disorders or use of preoperative cortisones, while better EQ-VAS improvements found among patients who are younger, and did not use preoperative paracetamol or muscle relaxants, and better ESS improvement are shown among older patients (p-value < 0.05). The current study found an overall significant early postoperative improvement in PROMs for pain, QoL, sleep quality, and mental health among spinal neurosurgery patients. Several studies agree with the findings of the current study, with differences in the affecting factors related to sampling and population characteristics differences. Patient’s engagement in preoperative education, resource allocation, and conduct of multicenter, interventional studies is recommended.

Title

Scientific Reports

Publisher

Nature Publishing Group UK

Publisher Country

United Kingdom

Indexing

Thomson Reuters

Impact Factor

3.6

Publication Type

Online only

Volume

--

Year

2025

Pages

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