Publications by authors named "R Andrew Glennie"
Objective: Surgical treatment of degenerative lumbar spondylolisthesis (DLS) reliably improves patient-reported quality of life; however, patient population heterogeneity, in addition to other factors, ensures ongoing equipoise in choosing the ideal surgical treatment. Surgeon preference for fusion or decompression alone influences surgical treatment decision-making. Meanwhile, at presentation, patient-reported outcome measures (PROMs) differ considerably between females and males.
View Article and Find Full Text PDFArticle Synopsis
- The study compares frailty assessments of orthopedic surgery residents and expert geriatricians using the Clinical Frailty Scale (CFS) in hip fracture patients, analyzing data from 2015 to 2019.
- Results showed that orthopedic residents often rated patients as less frail than geriatricians, but overall, their assessments were found to have good agreement.
- The findings indicate that while orthopedic residents can reliably assess frailty, they may underestimate its severity, suggesting a need for better integration of comprehensive care models for frail patients.
Background Context: There is significant variability in minimal clinically important difference (MCID) criteria for lumbar spine surgery that suggests population and primary pathology specific thresholds may be required to help determine surgical success when using patient reported outcome measures (PROMs).
Purpose: The purpose of this study was to estimate MCID thresholds for 3 commonly used PROMs after surgical intervention for each of 4 common lumbar spine pathologies.
Study Design/setting: Observational longitudinal study of patients from the Canadian Spine Outcomes and Research Network (CSORN) national registry.
Unlabelled: The subjective degenerative spondylolisthesis instability classification (S-DSIC) system attempts to define preoperative instability associated with degenerative lumbar spondylolisthesis (DLS). The system guides surgical decision-making based on numerous indicators of instability that surgeons subjectively assess and incorporate. A more objective classification is warranted in order to decrease variation among surgeons.
View Article and Find Full Text PDFArticle Synopsis
- A retrospective analysis of a Canadian surgical database was conducted to evaluate how workload intensity affects the return to work (RTW) rates after elective lumbar spine surgeries.
- Among 1,290 patients, 82% returned to work within one year, with a median RTW time of about 10 weeks after fusion surgeries, regardless of job intensity.
- Non-fusion procedures showed variability in RTW times, where patients with sedentary jobs returned more quickly than those with moderate to heavy workloads.