{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T20:16:04Z","timestamp":1793218564377,"version":"4.5.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T00:00:00Z","timestamp":1719014400000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Analisar associa\u00e7\u00f5es entre ansiedade e desfecho cl\u00ednico p\u00f3s-cir\u00fargico em pacientes que realizaram a cirurgia de descompress\u00e3o lombar minimamente invasiva, al\u00e9m de comparar sintomas de ansiedade e depress\u00e3o antes e ap\u00f3s a cirurgia.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Trata-se de um estudo de coorte prospectiva de pacientes que realizaram a cirurgia de descompress\u00e3o lombar minimamente invasiva. Os desfechos cl\u00ednicos foram mensurados antes e 6 meses ap\u00f3s a cirurgia, utilizando a escala visual anal\u00f3gica de dor (EVA); Global Perceived Effect of Change (GPE); Hospital Anxiety and Depression Scale (HADS) e o Oswestry Disability Index (ODI). A partir do escore de ansiedade pr\u00e9-cir\u00fargico, os pacientes foram categorizados em pacientes ansiosos e n\u00e3o ansiosos e os desfechos comparados.<\/jats:p><jats:p>\n          Resultados\u2003Os pacientes de ambos os grupos obtiveram resultados similares em rela\u00e7\u00e3o aos desfechos cl\u00ednicos avaliados. Os escores HADS pr\u00e9-operat\u00f3rio diminu\u00edram significantemente 6 meses ap\u00f3s a cirurgia, tanto em ansiedade (8,70\u2009\u00b1\u20093,48 vs. 5,75\u2009\u00b1\u20093,91) quanto em depress\u00e3o (6,95\u2009\u00b1\u20093,54 vs. 5,50\u2009\u00b1\u20092,99). Houve redu\u00e7\u00e3o da dor na escala EVA das costas (-2,8\u2009\u00b1\u20093,64) e das pernas (-5,5\u2009\u00b1\u20093,5).<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A cirurgia de descompress\u00e3o lombar minimamente invasiva promoveu melhora cl\u00ednica e funcional, n\u00e3o sendo afetada por sintomas pr\u00e9-operat\u00f3rios de ansiedade. Os indicadores de sa\u00fade mental evidenciaram redu\u00e7\u00e3o significativa dos sintomas 6 meses ap\u00f3s a cirurgia.<\/jats:p>","DOI":"10.1055\/s-0044-1786727","type":"journal-article","created":{"date-parts":[[2024,6,22]],"date-time":"2024-06-22T22:30:23Z","timestamp":1719095423000},"page":"e372-e377","source":"Crossref","is-referenced-by-count":1,"title":["Estudo prospectivo da avalia\u00e7\u00e3o dos sintomas de ansiedade ap\u00f3s descompress\u00e3o lombar minimamente invasiva"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0106-0090","authenticated-orcid":false,"given":"Roberto Maretti","family":"Meves","sequence":"additional","affiliation":[{"name":"Faculdade Israelita de Ci\u00eancias da Sa\u00fade Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3955-1411","authenticated-orcid":false,"given":"Pedro Cortat","family":"Couri","sequence":"additional","affiliation":[{"name":"Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8563-877X","authenticated-orcid":false,"given":"Eliane","family":"Antonioli","sequence":"additional","affiliation":[{"name":"P\u00f3s-Gradua\u00e7\u00e3o em Ortopedia Multiprofissional, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3143-2845","authenticated-orcid":false,"given":"Albert Ofenhejm","family":"Gotfryd","sequence":"additional","affiliation":[{"name":"Treinamento de Cirurgi\u00f5es de Coluna, Hospital Israelita Albert Einstein, S\u00e3o Paulo, SP, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,6,22]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.pmr.2010.10.001","article-title":"Natural history of radiculopathy","volume":"22","author":"E Casey","year":"2011","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"ref2","first-page":"499","article-title":"Advances in minimally invasive spine surgery","volume":"49","author":"K T Foley","year":"2002","journal-title":"Clin Neurosurg"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1227\/NEU.0000000000001407","article-title":"Ten-Step Minimally Invasive Spine Lumbar Decompression and Dural Repair Through Tubular Retractors","volume":"13","author":"M A Boukebir","year":"2017","journal-title":"Oper Neurosurg (Hagerstown)"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"476","DOI":"10.3171\/2008.7.17634","article-title":"Surgical treatment for lumbar lateral recess stenosis with the full-endoscopic interlaminar approach versus conventional microsurgical technique: a prospective, randomized, controlled study","volume":"10","author":"S Ruetten","year":"2009","journal-title":"J Neurosurg Spine"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"E91","DOI":"10.1097\/BRS.0000000000001161","article-title":"minimally invasive versus open laminectomy for lumbar stenosis: A systematic review and meta-analysis","volume":"41","author":"K Phan","year":"2016","journal-title":"Spine"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"E320","DOI":"10.1097\/BRS.0b013e3181db1dfb","article-title":"Lumbar decompression using a traditional midline approach versus a tubular retractor system: comparison of patient-based clinical outcomes","volume":"36","author":"D G Anderson","year":"2011","journal-title":"Spine"},{"issue":"07","key":"ref7","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1016\/j.mayocp.2016.04.029","article-title":"Chronic pain and mental health disorders: Shared neural mechanisms, epidemiology, and treatment","volume":"91","author":"W M Hooten","year":"2016","journal-title":"Mayo Clin Proc"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2013a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"P A Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"P A Harris","year":"2019","journal-title":"J Biomed Inform"},{"issue":"03","key":"ref10","first-page":"e088","article-title":"Validation of Digital Visual Analog Scale Pain Scoring With a Traditional Paper-based Visual Analog Scale in Adults","volume":"2","author":"D A Delgado","year":"2018","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"issue":"22","key":"ref11","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1097\/BRS.0b013e3181849dbe","article-title":"Clinimetric testing of three self-report outcome measures for low back pain patients in Brazil: which one is the best?","volume":"33","author":"L O Costa","year":"2008","journal-title":"Spine"},{"issue":"01","key":"ref12","first-page":"52","article-title":"Hospital Anxiety and Depression Scale: a study on the validation of the criteria and reliability on preoperative patients","volume":"57","author":"J A Marcolino","year":"2007","journal-title":"Rev Bras Anestesiol"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/01.brs.0000255075.11496.47","article-title":"Development of a Brazilian Portuguese version of the Oswestry Disability Index: cross-cultural adaptation, reliability, and validity","volume":"32","author":"R Vigatto","year":"2007","journal-title":"Spine"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"A S Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"issue":"S 01","key":"ref15","doi-asserted-by":"crossref","first-page":"S260","DOI":"10.21037\/jss.2019.09.31","article-title":"Regional variations in acceptance, and utilization of minimally invasive spinal surgery techniques among spine surgeons: results of a global survey","volume":"6","author":"K U Lewandrowski","year":"2020","journal-title":"J Spine Surg"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1097\/01.brs.0000202533.05906.ea","article-title":"The quantitative analysis of tissue injury markers after mini-open lumbar fusion","volume":"31","author":"K T Kim","year":"2006","journal-title":"Spine"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"S136","DOI":"10.1007\/s00586-006-1070-3","article-title":"Chapter 2. European guidelines for prevention in low back pain : November 2004","volume":"15","author":"A K Burton","year":"2006","journal-title":"Eur Spine J"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1590\/S1679-45082015AO3320","article-title":"Analysis of epidemiology, lifestyle, and psychosocial factors in patients with back pain admitted to an orthopedic emergency unit","volume":"13","author":"A O Gotfryd","year":"2015","journal-title":"Einstein (Sao Paulo)"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1080\/09540261.2020.1764509","article-title":"The blurred line between anxiety and depression: hesitations on comorbidity, thresholds and hierarchy","volume":"32","author":"K Demyttenaere","year":"2020","journal-title":"Int Rev Psychiatry"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"2821","DOI":"10.1038\/s41598-022-06797-1","article-title":"Association between depression and anxiety on symptom and function after surgery for lumbar spinal stenosis","volume":"12","author":"U Held","year":"2022","journal-title":"Sci Rep"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.ijsu.2017.07.032","article-title":"Effectiveness of surgery versus conservative treatment for lumbar spinal stenosis: A system review and meta-analysis of randomized controlled trials","volume":"44","author":"X L Ma","year":"2017","journal-title":"Int J Surg"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1786727.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:44:30Z","timestamp":1730810670000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1786727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":21,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,6,22]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1786727","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}