Factors Affecting Decision Making Process on Spine Surgery: Patients’ Perspective

  • FAZAL GHANI Department of Neurosurgery, Khyber Teaching Hospita
  • IRUM KHATTAK Department of Management Sciences, Islamia College
  • SHABNUM AAMIR Department of Anatomy, Khyber Medical College
  • FAROOQ AZAM Department of Neurosurgery, Lady Reading Hospital, Peshawar
Keywords: Spine surgery,, Disability, Conservative, Emotional State


Objective:  To determine the factors that affects the decision making process of the spine surgery from a patient’s perspective.

Material and Methods:  The study was carried on 264 patients admitted for spine surgery in the Department of Neurosurgery, Khyber Teaching Hospital, Peshawar, Pakistan. Data was collected from patients on questionnaire using a Likert scale. Reliability was ensured by Cronbach alpha.

Results:  The results for regression analysis revealed that there is a significant negative relationship between previous experiences and decision for spine surgery in patients (β = -0.156, p = 0.001 < 0.05). There is a significant positive influence of emotional and social state (β = 0.193, p = 0.002), information & counselling (β = 0.097, p = 0.011), socioeconomic status (β = 0.131, p = 0.004), severity of disability (β = 0.602, p = 0.000), ineffective conservative treatment (β9 = 0.082, p = 0.013) and intensity of pain (β = 0.527, p = 0.000) on decision for spine surgery in patients. The independent variables, including physical health, gender role and age were found to have an insignificant effect on the decision for spine surgery (p > 0.05).

Conclusion:  It is concluded that the factors affecting the decision of patients on spine surgery included previous experience, emotional & social state, information & counselling, socioeconomic status, severity of disability, ineffectiveness of previously taken conservative treatment and intensity of pain.


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Original Article